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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vsp</journal-id><journal-title-group><journal-title xml:lang="ru">Вопросы современной педиатрии</journal-title><trans-title-group xml:lang="en"><trans-title>Current Pediatrics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-5527</issn><issn pub-type="epub">1682-5535</issn><publisher><publisher-name>Издательство «ПедиатрЪ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15690/vsp.v16i2.1711</article-id><article-id custom-type="elpub" pub-id-type="custom">vsp-1741</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL RECOMMENDATIONS</subject></subj-group></article-categories><title-group><article-title>Вакцинопрофилактика заболеваний, вызванных вирусом папилломы человека: позиции доказательной медицины. Обзор клинических рекомендаций</article-title><trans-title-group xml:lang="en"><trans-title>Vaccinal Prevention of the Diseases Caused by Human Papillomavirus: Evidence-Based Medicine. Review of Clinical Guidelines</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3987-8112</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Баранов</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Baranov</surname><given-names>Alexander A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2209-7531</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Намазова-Баранова</surname><given-names>Л. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Namazova-Baranova</surname><given-names>Leyla S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Таточенко</surname><given-names>В. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Tatochenko</surname><given-names>Vladimir K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7398-0562</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вишнёва</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Vishneva</surname><given-names>Elena A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кандидат медицинских наук, заместитель директора НИИ педиатрии по научной работе, заведующая отделом стандартизации и клинической фармакологии, врач аллерголог-иммунолог отделения восстановительного лечения детей с аллергическими болезнями и заболеваниями органов дыхания НИИ педиатрии,</p><p>119991, Москва, Ломоносовский пр-т, д. 2, стр. 1</p></bio><bio xml:lang="en"><p>Moscow</p></bio><email xlink:type="simple">vishneva@nczd.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0797-5612</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Федосеенко</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Fedoseenko</surname><given-names>Marina V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3678-7939</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Селимзянова</surname><given-names>Л. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Selimzianova</surname><given-names>Liliia R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3598-9600</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чемакина</surname><given-names>Д. 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В.</given-names></name><name name-style="western" xml:lang="en"><surname>Lobzin</surname><given-names>Yuriy V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2371-2460</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Харит</surname><given-names>С. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Kharit</surname><given-names>Susanna M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6446-2744</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Брико</surname><given-names>Н. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Briko</surname><given-names>Nikolay I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лопухов</surname><given-names>П. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Lopukhov</surname><given-names>Platon D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0214-1213</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сухих</surname><given-names>Г. Т.</given-names></name><name name-style="western" xml:lang="en"><surname>Sukhikh</surname><given-names>Gennadiy T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3105-5640</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Уварова</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Uvarova</surname><given-names>Elena V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Прилепская</surname><given-names>В. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Prilepskaya</surname><given-names>Vera N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8096-0874</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Поляков</surname><given-names>В. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Polyakov</surname><given-names>Vladimir G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гомберг</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Gomberg</surname><given-names>Mikhail A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-8"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Краснопольский</surname><given-names>В. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Krasnopolskiy</surname><given-names>Vladislav I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-9"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6155-788X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зароченцева</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zarochentseva</surname><given-names>Nina V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-10"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5818-9569</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Костинов</surname><given-names>М. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Kostinov</surname><given-names>Mikhail P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-11"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Белоцерковцева</surname><given-names>Л. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Belotserkovtseva</surname><given-names>Larisa D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ханты-Мансийский автономный округ — Югра</p></bio><bio xml:lang="en"><p>Khanty-Mansi Autonomous Okrug — Yugra</p></bio><xref ref-type="aff" rid="aff-12"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мельникова</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Melnikova</surname><given-names>Albina A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-13"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Батыршина</surname><given-names>Л. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Batyrshina</surname><given-names>Leysan R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-5"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Национальный научно-практический центр здоровья детей;&#13;
Первый Московский государственный медицинский университет им. И.М. Сеченова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Scientific and Practical Center of Children’s Health;&#13;
Sechenov First Moscow State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Национальный научно-практический центр здоровья детей;&#13;
Российский национальный исследовательский медицинский университет им. Н.И. Пирогова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Scientific and Practical Center of Children’s Health;&#13;
Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Национальный научно-практический центр здоровья детей</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Scientific and Practical Center of Children’s Health</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Научно-исследовательский институт детских инфекций Федерального медико-биологического агентства России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute of Pediatric Infections of the Federal Medical and Biological Agency of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Первый Московский государственный медицинский университет им. И.М. Сеченова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov First Moscow State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>Научный центр акушерства, гинекологии и перинатологии им. академика В.И. Кулакова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Center for Obstetrics, Gynecology and Perinatology n.a. academician V.I. Kulakov</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>Научно-исследовательский институт детской онкологии и гематологии ФГБУ «РОНЦ им. Н.Н. Блохина»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute of Pediatric Oncology and Hematology of the Federal State Budget Institution «Russian Oncological Scientific Center n.a. N.N. Blokhin»</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-8"><aff xml:lang="ru"><institution>Гильдия специалистов по инфекциям, передаваемым половым путем «ЮСТИ РУ»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Guild of Specialists on Sexually Transmitted Infections IUSTI RU</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-9"><aff xml:lang="ru"><institution>Московский областной научно-исследовательский институт акушерства и гинекологии</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Moscow Regional Research Institute of Obstetrics and Gynecology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-10"><aff xml:lang="ru"><institution>Московский областной научно-исследовательский институт акушерства и гинекологии Научно-исследовательский институт вакцин и сывороток им. И.И. Мечникова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Moscow Regional Research Institute of Obstetrics and Gynecology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-11"><aff xml:lang="ru"><institution>Научно-исследовательский институт вакцин и сывороток им. И.И. Мечникова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute of Vaccines and Sera n.a. I.I. Mechnikov</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-12"><aff xml:lang="ru"><institution>Сургутский государственный университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Surgut State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-13"><aff xml:lang="ru"><institution>Федеральная служба по надзору в сфере защиты прав потребителей и благополучия человека</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>19</day><month>06</month><year>2017</year></pub-date><volume>16</volume><issue>2</issue><fpage>107</fpage><lpage>117</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Баранов А.А., Намазова-Баранова Л.С., Таточенко В.К., Вишнёва Е.А., Федосеенко М.В., Селимзянова Л.Р., Чемакина Д.С., Лобзин Ю.В., Харит С.М., Брико Н.И., Лопухов П.Д., Сухих Г.Т., Уварова Е.В., Прилепская В.Н., Поляков В.Г., Гомберг М.А., Краснопольский В.И., Зароченцева Н.В., Костинов М.П., Белоцерковцева Л.Д., Мельникова А.А., Батыршина Л.Р., 2017</copyright-statement><copyright-year>2017</copyright-year><copyright-holder xml:lang="ru">Баранов А.А., Намазова-Баранова Л.С., Таточенко В.К., Вишнёва Е.А., Федосеенко М.В., Селимзянова Л.Р., Чемакина Д.С., Лобзин Ю.В., Харит С.М., Брико Н.И., Лопухов П.Д., Сухих Г.Т., Уварова Е.В., Прилепская В.Н., Поляков В.Г., Гомберг М.А., Краснопольский В.И., Зароченцева Н.В., Костинов М.П., Белоцерковцева Л.Д., Мельникова А.А., Батыршина Л.Р.</copyright-holder><copyright-holder xml:lang="en">Baranov A.A., Namazova-Baranova L.S., Tatochenko V.K., Vishneva E.A., Fedoseenko M.V., Selimzianova L.R., Chemakina D.S., Lobzin Y.V., Kharit S.M., Briko N.I., Lopukhov P.D., Sukhikh G.T., Uvarova E.V., Prilepskaya V.N., Polyakov V.G., Gomberg M.A., Krasnopolskiy V.I., Zarochentseva N.V., Kostinov M.P., Belotserkovtseva L.D., Melnikova A.A., Batyrshina L.R.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://vsp.spr-journal.ru/jour/article/view/1741">https://vsp.spr-journal.ru/jour/article/view/1741</self-uri><abstract><p>Статья посвящена актуальной проблеме — папилломавирусной инфекции, чрезвычайно высокий уровень распространенности которой определяет ключевой вклад в структуру заболеваемости и смертности от онкологических заболеваний. Хроническое персистирующее течение, реализующееся в доброкачественные и злокачественные новообразования в зоне входных ворот инфекции, заставляет ученых искать новые пути лечения. Единственным надежным методом защиты на сегодняшний день признана специфическая вакцинопрофилактика. Статья представляет собой актуализированный обзор разработанных и утвержденных профессиональной ассоциацией «Союз педиатров России» в 2016 г. клинических рекомендаций по вакцинопрофилактике заболеваний, вызванных вирусом папилломы человека, впервые опубликованных на сайте pediatr-russia.ru. Широкое внедрение вакцин против вируса папилломы человека, подтвердивших клиническую эффективность и безопасность, способно существенно снизить глобальное бремя ассоциированных с папилломавирусной инфекцией заболеваний.</p></abstract><trans-abstract xml:lang="en"><p>The article is devoted to the urgent problem of papillomavirus infection, the extremely high prevalence of which determines the key contribution to the structure of morbidity and mortality from oncological diseases. A chronic persistent course, resulting in benign and malignant tumors in the infection atrium, makes scientists seek new ways of treatment. A specific vaccinal prevention is recognized to be the only reliable protection method today. The article is an updated review of the clinical guidelines developed and approved by the professional association «Union of Pediatricians of Russia» in 2016 for a vaccinal prevention of the diseases caused by human papillomavirus, first published on pediatr-russia.ru. The widespread introduction of vaccines against human papillomavirus, which have confirmed the clinical efficacy and safety, can significantly reduce the global burden of diseases associated with papillomavirus infection.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>вакцинопрофилактика</kwd><kwd>вирус папилломы человека</kwd></kwd-group><kwd-group xml:lang="en"><kwd>vaccinal prevention</kwd><kwd>human papillomavirus</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">компания МСД</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">hpvcenter.se [Internet]. International Human Papillomavirus Reference Center. Human papillomavirus reference clones, 2014. [cited 2014 Sep 9]. Available from: http://www.hpvcenter.se/html/refclones.html.</mixed-citation><mixed-citation xml:lang="en">hpvcenter.se [Internet]. 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