ppharmПедиатрическая фармакологияPediatric pharmacology1727-57762500-3089Издательство «ПедиатрЪ»10.15690/pf.v23i2.3018ppharm-2793Research ArticleКЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИCLINICAL RECOMMENDATIONSПозиция экспертов Объединенного комитета по слуху у детей по вакцинации при кохлеарной имплантацииJoint Committee on Children’s Hearing: Position Statement on Vaccination Prior and After Cochlear Implantationhttps://orcid.org/0000-0002-6809-7764ТуфатулинГ. Ш.TufatulinGaziz Sh.

Туфатулин Газиз Шарифович, д.м.н.  

Санкт-Петербург

Москва

MD, PhD 

Saint Petersburg 

Moscow 

dr.tufatulin@mail.ruhttps://orcid.org/0000-0002-3197-2879ПашковА. В.PashkovAlexander V.

Пашков Александр Владимирович, д.м.н., доцент  

Москва 

MD, PhD, Associate Professor 

Moscow 

avpashkov.mail@gmail.comhttps://orcid.org/0000-0003-0797-5612ФедосеенкоМ. В.FedoseenkoMarina V.

Федосеенко Марина Владиславовна, кандидат медицинских наук, заведующая отделом разработки научных подходов к иммунизации пациентов с отклонениями в состоянии здоровья и хроническими болезнями НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского», доцент кафедры факультетской педиатрии Института материнства и детства Российского национального исследовательского медицинского университета им. Н.И. Пирогова (Пироговский Университет)

119333, Москва, ул. Фотиевой, д. 10, стр. 1 

тел.: +7 (499) 137-01-97 

MD, PhD, Associate Professor 

10, Fotievoy Str., building 1, Moscow, 119333 

+7 (499) 137-01-97 

titovamarina@mail.ruhttps://orcid.org/0000-0002-3678-7939СелимзяноваЛ. Р.SelimzyanovaLilia R.

Селимзянова Лилия Робертовна, к.м.н., доцент 

Москва 

MD, PhD, Associate Professor

Moscow  

lilysir@mail.ruhttps://orcid.org/0000-0003-0856-8680СугароваС. Б.SugarovaSerafima B.

Сугарова Серафима Борисовна, к.м.н.  

Санкт-Петербург 

MD, PhD 

Saint Petersburg 

sima.sugarova@gmail.comhttps://orcid.org/0000-0001-6345-020XТанасчишинаВ. А.TanaschishinaViktoria A.

Танасчишина Виктория Андреевна, к.м.н.  

Санкт-Петербург 

MD, PhD 

Saint Petersburg 

v.tanaschishina@niilor.ruhttps://orcid.org/0000-0002-2404-8477ПашковаА. Е.PashkovaAlexandra E.

Пашкова Александра Елефтерьевна, к.м.н.  

Москва 

MD, PhD 

Moscow 

avpashkov.mail@gmail.comhttps://orcid.org/0000-0002-0925-7596ДворянчиковВ. В.DvoryanchikovVladimir V.

Дворянчиков Владимирович Владимирович, д.м.н., профессор 

Санкт-Петербург

MD, PhD, Professor 

Saint Petersburg 

e.vyazemskaya@niilor.ruhttps://orcid.org/0000-0003-0118-908XТаварткиладзеГ. А.TavartkiladzeGeorge A.

Таварткиладзе Георгий Абелович, д.м.н., профессор  

Москва 

MD, PhD, Professor 

Moscow 

gtavartkiladze@audiology.ruhttps://orcid.org/0000-0002-2209-7531Намазова-БарановаЛ. С.Namazova-BaranovaLeyla S.

Намазова-Баранова Лейла Сеймуровна, д.м.н., профессор, академик РАН 

Москва 

Шэньчжэнь 

MD, PhD, Professor, Academician of the RAS 

Moscow 

Shenzhen 

leyla.s.namazova@gmail.comhttps://orcid.org/0000-0003-3987-8112БарановА. А.BaranovAlexander A.

Баранов Александр Александрович, д.м.н., профессор, академик РАН 

Москва 

MD, PhD, Professor, Academician of the RAS  

Moscow 

orgkomitet@pediatr-russia.ruСанкт-Петербургский научно-исследовательский институт уха, горла, носа и речи; Детский городской сурдологический центр; Северо-Западный государственный медицинский университет им. И.И. Мечникова; Российская медицинская академия непрерывного медицинского образованияРоссияSaint Petersburg Scientific Research Institute of Ear, Throat, Nose and Speech; Center of Pediatric Audiology; North-Western State Medical University named after I.I. Mechnikov; Russian Medical Academy of Postgraduate EducationRussian FederationНИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»РоссияPediatrics and Child Health Research Institute in Petrovsky National Research Centre of SurgeryRussian FederationНИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»; Российский национальный исследовательский медицинский университет им. Н.И. Пирогова (Пироговский Университет)РоссияPediatrics and Child Health Research Institute in Petrovsky National Research Centre of Surgery; Pirogov Russian National Research Medical UniversityRussian FederationСанкт-Петербургский научно-исследовательский институт уха, горла, носа и речиРоссияSaint Petersburg Scientific Research Institute of Ear, Throat, Nose and SpeechRussian FederationРоссийская медицинская академия непрерывного медицинского образованияРоссияRussian Medical Academy of Postgraduate EducationRussian FederationНИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»; Российский национальный исследовательский медицинский университет им. Н.И. Пирогова (Пироговский Университет); Университет МГУ-ППИ в ШэньчжэнеРоссияPediatrics and Child Health Research Institute in Petrovsky National Research Centre of Surgery; Pirogov Russian National Research Medical University; Shenzhen MSU-BIT UniversityRussian Federation20263105202623296103Copyright © Туфатулин Г.Ш., Пашков А.В., Федосеенко М.В., Селимзянова Л.Р., Сугарова С.Б., Танасчишина В.А., Пашкова А.Е., Дворянчиков В.В., Таварткиладзе Г.А., Намазова-Баранова Л.С., Баранов А.А., 20262026Туфатулин Г.Ш., Пашков А.В., Федосеенко М.В., Селимзянова Л.Р., Сугарова С.Б., Танасчишина В.А., Пашкова А.Е., Дворянчиков В.В., Таварткиладзе Г.А., Намазова-Баранова Л.С., Баранов А.А.Tufatulin G.S., Pashkov A.V., Fedoseenko M.V., Selimzyanova L.R., Sugarova S.B., Tanaschishina V.A., Pashkova A.E., Dvoryanchikov V.V., Tavartkiladze G.A., Namazova-Baranova L.S., Baranov A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.pedpharma.ru/jour/article/view/2793

В статье представлена позиция экспертов Объединенного комитета по слуху у детей, посвященная роли вакцинопрофилактики у пациентов с кохлеарными имплантами. Подчеркивается, что вирусные и бактериальные инфекции являются значимой причиной сенсоневральной тугоухости, что определяет важность рутинной иммунизации как метода первичной профилактики. У пациентов с кохлеарными имплантами хирургическое вмешательство и наличие импланта создают дополнительные риски инфекционных осложнений, включая острый средний отит и менингит. Особое внимание уделено необходимости вакцинации против пневмококковой, гемофильной типа b инфекций, а также против гриппа. Авторы рекомендуют оценивать вакцинальный статус до и после операции, проводить иммунизацию в соответствии с национальным календарем профилактических прививок и по индивидуальному графику для групп высокого риска. Приводятся конкретные схемы вакцинации, включая сочетанное применение пневмококковых конъюгированных и полисахаридных вакцин. Делается вывод, что стратегически выверенная иммунопрофилактика является ключевым фактором минимизации рисков и повышения эффективности слухоречевой реабилитации.

The article presents the position of experts from the Joint Committee on Infant Hearing on the role of immunoprophylaxis in patients with cochlear implants. It emphasizes that viral and bacterial infections are a significant cause of sensorineural hearing loss, underscoring the importance of routine vaccination as a primary prevention method. In cochlear implants patients, surgery and the presence of the implant create additional risks of infectious complications, including acute otitis media and meningitis. Particular attention is paid to the necessity of vaccination against pneumococcal, Haemophilus influenzae type b infections, as well as influenza. The authors recommend assessing vaccination status before and after surgery, administering immunizations according to the National Immunization Schedule, and implementing an individual schedule for high-risk groups. Specific vaccination regimens are provided, including the combined use of pneumococcal conjugate and polysaccharide vaccines. It is concluded that strategically sound immunoprophylaxis is a key factor in minimizing risks and enhancing the effectiveness of auditory-speech rehabilitation.

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The authors declare that there are no conflicts of interest present.