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[儿童用海乐活甲型肝炎灭活疫苗0、12月接种程序的研究]

[The study on the 0, 12 month vaccination schedule' of Healive inactivated hepatitis A vaccine in children].

作者信息

Ren Yin-hai, Chen Jiang-ting, Wu Wen-ting, Gong Xue-jie, Zhang Yu-cheng, Xue Wei-hua, Ren Yi-feng, Han Lian-jun, Kang Wen-xue, Li Sheng-ping, Liu Chong-bai

机构信息

Health and Anti-eqidemic Station of Pingshan County, Pingshan 050400, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2003 Nov;24(11):1013-5.

Abstract

OBJECTIVE

To evaluate the safety, immunogenicity and fit dosage of Healive inactivated hepatitis A vaccine (HAV) in children.

METHODS

A total of 85 susceptible aged 4 - 10 years with HAV seronegative children, had been enrolled from two adjacent villages in a county. The volunteers were randomized allocated into two groups and to receive a priming dose of 250 U/0.5 ml/dose or 500 U/1.0 ml/dose of Healive vaccine, produced by Sinovac Biotech Co, Ltd. A booster of the same dose was given at 12th month. Local and systemic side effects were examined and seroconversion rate as well as geometric mean titers of anti-HAV antibody were tested at 3-week, 12-month after the primary dose and at 1 month after the booster dose.

RESULTS

The vaccine was well tolerated in both groups. At 21 days after the primary dose, the seroconversion rates were 94.4%, 100.0% and geometric mean titers (GMT) were 195 mIU/ml and 370 mIU/ml in 250 U and 500 U groups respectively. At 12 months after the primary dose, the seroconversion rate of anti-HAV was 100.0%, and GMT raised to 361 mIU/ml, 456 mIU/ml (P > 0.05) respectively. One month after the booster dose, GMT raised to 14 893 mIU/ml, 21 696 mIU/ml.

CONCLUSION

GMT of the 0, 12 month schedule was higher than other schedule after the booster vaccination. The Healive inactivated vaccine can be used for emergency vaccination. The Healive inactivated vaccine produced by Sinovac Company Ltd was safe and highly immunogenic. Two hundred and fifty U/dose was considered appropriate for children.

摘要

目的

评估孩尔来福甲型肝炎灭活疫苗(HAV)在儿童中的安全性、免疫原性及适宜剂量。

方法

从某县两个相邻村庄招募了85名4 - 10岁甲型肝炎血清学阴性的易感儿童。将志愿者随机分为两组,分别接种由北京科兴生物制品有限公司生产的250 U/0.5 ml/剂或500 U/1.0 ml/剂的孩尔来福疫苗进行基础免疫。在第12个月时接种相同剂量的加强针。观察局部和全身不良反应,并在基础免疫后3周、12个月及加强免疫后1个月检测抗-HAV抗体的阳转率及几何平均滴度。

结果

两组疫苗耐受性均良好。基础免疫后21天,250 U组和500 U组的阳转率分别为94.4%、100.0%,几何平均滴度(GMT)分别为195 mIU/ml和370 mIU/ml。基础免疫后12个月,抗-HAV阳转率均为100.0%,GMT分别升至361 mIU/ml、456 mIU/ml(P>0.05)。加强免疫后1个月,GMT分别升至14 893 mIU/ml、21 696 mIU/ml。

结论

0、12月免疫程序加强免疫后GMT高于其他程序。孩尔来福灭活疫苗可用于应急接种。北京科兴生物制品有限公司生产的孩尔来福灭活疫苗安全且免疫原性高。250 U/剂对儿童较为适宜。

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