Takayama N, Kidokoro M, Suzuki K, Morita M
Tokyo Metropolitan Komagome Hospital, Chiba Serum Institute.
Kansenshogaku Zasshi. 1992 Jun;66(6):776-80. doi: 10.11150/kansenshogakuzasshi1970.66.776.
Trivalent vaccine, containing measles TD97, rubella TCRB-19 and mumps NK-M46 strains (MMR vaccine) was administered to a total of 116 healthy children of which 50 subjects were simultaneously injected with varicella vaccine in the opposite arm. The seroconversion rates for measles, mumps, rubella, and varicella in those who received both MMR and varicella vaccines (MMR + V group) were 100% (44/44), 91% (39/43), 100% (46/46) and 95% (39/41), respectively. And these rates were comparable to those in subjects receiving only MMR vaccine, namely 100% (64/64) for measles, 95% (57/62) for mumps, and 97% (58/60) for rubella. Fifty-eight children receiving MMR vaccine were seronegative to measles, mumps and rubella before vaccination, and 51 (88%) of them were found to be seropositive against all three viruses at 6 to 8 weeks after vaccination. Among the children injected with MMR and varicella vaccines, 36 subjects had no pre-antibodies to measles, mumps, rubella and varicella. Seroconversion in post-serum to all four viruses were found in 31 cases (86%). Clinical reactions observed in some vaccines were mild fever (17%) and exanthem (5%). There were no complications of lymphadenopathy, swelling in parotid regions, or meningitis. Our results indicate that simultaneous administration of MMR vaccine and varicella vaccine is a safe and effective method for immunizing children against these four infectious diseases.
三价疫苗,包含麻疹TD97、风疹TCRB - 19和腮腺炎NK - M46毒株(MMR疫苗),共接种给116名健康儿童,其中50名受试者在另一侧手臂同时注射了水痘疫苗。在同时接种MMR和水痘疫苗的儿童(MMR + V组)中,麻疹、腮腺炎、风疹和水痘的血清转化率分别为100%(44/44)、91%(39/43)、100%(46/46)和95%(39/41)。这些比率与仅接种MMR疫苗的受试者相当,即麻疹为100%(64/64),腮腺炎为95%(57/62),风疹为97%(58/60)。58名接种MMR疫苗的儿童在接种前对麻疹、腮腺炎和风疹血清学阴性,其中51名(88%)在接种后6至8周被发现对所有三种病毒血清学阳性。在接种MMR和水痘疫苗的儿童中,36名受试者对麻疹、腮腺炎、风疹和水痘没有预先抗体。在31例(86%)中发现接种后血清对所有四种病毒均发生血清转化。在一些疫苗接种中观察到的临床反应为轻度发热(17%)和皮疹(5%)。没有淋巴结病、腮腺区域肿胀或脑膜炎等并发症。我们的结果表明,同时接种MMR疫苗和水痘疫苗是一种安全有效的方法,可使儿童对这四种传染病产生免疫。