Gil A, González A, Dal-Ré R, Aguilar L, Rey Calero J
Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad Autónoma de Madrid.
Med Clin (Barc). 1991 May 11;96(18):681-4.
To find out the presence of hepatitis A antibodies (anti-HA) in an urban population of Madrid, age ranging from 6 to 18 years. At the same time, the immunity level is evaluated with respect to measles, rubella and mumps in a sub-group aged between 6 and 13 years old.
The study was carried out in two schools population of the north area of Madrid.
Anti-HA prevalence in the whole population under study (707 subjects) was of 6%; a direct correlation was observed between prevalence and age. With respect to the seroprotection study against measles, rubella and mumps, 81% out of the 385 vaccinated subjects is protected against the three viruses. Seroprotection rate is of 79% if this is evaluated with respect to the total 6-13 age group under study (458 subjects).
The results of anti-HA prevalence obtained in the eldest groups reveal that a high percentage of the study population aged 17 (92%) and 18 (84%), is anti-HA negative, which means that they might be susceptible to the infection when reaching the adult age. 21% of the school age group studied with respect to measles, rubella and mumps is seronegative to some of the three viruses. Considering the above results, it appears that it could be interesting to evaluate whether the administration of a booster dose to children in school age would enable to reduce the number of unprotected subjects in the referred ages.
为了查明马德里市区6至18岁人群中甲型肝炎抗体(抗-HA)的存在情况。同时,对6至13岁亚组人群的麻疹、风疹和腮腺炎免疫水平进行评估。
该研究在马德里北部地区的两所学校人群中开展。
在整个研究人群(707名受试者)中,抗-HA患病率为6%;观察到患病率与年龄之间存在直接相关性。关于针对麻疹、风疹和腮腺炎的血清保护研究,385名接种疫苗的受试者中有81%对这三种病毒具有免疫力。如果针对整个6至13岁研究年龄组(458名受试者)进行评估,血清保护率为79%。
在年龄较大的组中获得的抗-HA患病率结果显示,17岁(92%)和18岁(84%)的研究人群中很大比例抗-HA呈阴性,这意味着他们成年后可能易感染。在针对麻疹、风疹和腮腺炎进行研究的学龄组中,21%的人对这三种病毒中的某些病毒血清学呈阴性。考虑到上述结果,评估对学龄儿童接种加强剂量疫苗是否能够减少上述年龄组中未受保护的人数似乎是有意义的。