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接受地塞米松治疗慢性肺病的早产儿对加速接种b型流感嗜血杆菌疫苗的抗体反应。

Antibody response to accelerated Hib immunisation in preterm infants receiving dexamethasone for chronic lung disease.

作者信息

Robinson M J, Campbell F, Powell P, Sims D, Thornton C

机构信息

Neonatal Department, Hope Hospital, Salford.

出版信息

Arch Dis Child Fetal Neonatal Ed. 1999 Jan;80(1):F69-71. doi: 10.1136/fn.80.1.f69.

Abstract

AIM

To study the effect of dexamethasone on the routine immunisation of preterm infants with chronic lung disease.

METHODS

Serum samples were obtained before and after immunisation from an unselected cohort of 59 preterm infants. Haemophilus influenzae antibodies were measured using an ELISA method and differences in the geometric mean values between the two groups of babies analysed.

RESULTS

Sixteen infants received no dexamethasone. Before and after immunisation antibody titres for those receiving no dexamethasone were 0.16 and 4.63 mcg IgG/ml. Corresponding values for those receiving dexamethasone were 0.10 and 0.51 mcg IgG/ml, respectively.

CONCLUSION

Dexamethasone used in the treatment of chronic lung disease seems to significantly affect the antibody response of preterm infants to immunisation against Haemophilus influenzae.

摘要

目的

研究地塞米松对患有慢性肺病的早产儿常规免疫的影响。

方法

从59名未经过挑选的早产儿队列中获取免疫前后的血清样本。采用酶联免疫吸附测定法测量流感嗜血杆菌抗体,并分析两组婴儿几何平均值的差异。

结果

16名婴儿未接受地塞米松治疗。未接受地塞米松治疗的婴儿免疫前后抗体滴度分别为0.16和4.63微克IgG/毫升。接受地塞米松治疗的婴儿相应值分别为0.10和0.51微克IgG/毫升。

结论

用于治疗慢性肺病的地塞米松似乎会显著影响早产儿对流感嗜血杆菌免疫的抗体反应。

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