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在2、4、6、18月龄接受白喉-破伤风-百日咳-乙肝(DTPw-HBV)疫苗初免和加强免疫的儿童中抗体的长期持久性。

Long-term antibody persistence in children primed and boosted with a DTPw-HBV vaccine at 2, 4, 6, 18, months of age.

作者信息

Poovorawan Yong, Hutagalung Yanee, Chongsrisawat Voranush, Thaemboonlers Apiradee, Lefevre Inge

机构信息

Center of Excellence in Viral Hepatitis Research, Department of Paediatrics, Faculty of Medicine, Chulalongkorn University and Hospital, Bangkok, Thailand.

出版信息

Vaccine. 2008 Mar 17;26(12):1535-40. doi: 10.1016/j.vaccine.2008.01.028. Epub 2008 Feb 4.

Abstract

This paper presents 7- and 10-year follow-up immunogenicity data from two studies, which explored long-term persistence induced by combined tetravalent DTPw-HBV vaccines. The 10-year follow-up study compared two identical antigen-content, but different formulations of DTPw-HBV vaccine (adsorbed on either Al(OH)(3) or Al(PO(4)), whilst the 7-year follow-up study compared two different formulations of DTPw-HBV vaccines containing 5 and 10 microg of hepatitis B surface antigen (HBsAg), following a birth dose of HBV. Primary vaccination took place at 2, 4, 6 months and booster dosing at 18 months. A booster dose of local DTPw vaccine was given at 4 years of age to all returning subjects. At the end of the 7-year study, 90.9% subjects receiving 10 microg HBsAg had anti-HBs antibody concentrations > or =10mIU/ml; the majority of subjects remained seroprotected against diphtheria and tetanus (> or =90.9 and 100%, respectively) and 100% had seropositive levels for pertussis antigens. At the end of the 10-year follow-up study, > or =60.9% subjects had seroprotective concentrations of anti-HBs antibodies; > or =95.2 and 100% subjects were seroprotected against diphtheria and tetanus, respectively; > or =78.3% subjects were seropositive for pertussis. The results demonstrate long-term antibody persistence induced by combined DTPw-HBV vaccine.

摘要

本文展示了两项研究的7年和10年随访免疫原性数据,这两项研究探讨了联合四价白百破-乙肝疫苗诱导的长期持久性。10年随访研究比较了两种抗原含量相同但配方不同的白百破-乙肝疫苗(吸附于氢氧化铝或磷酸铝),而7年随访研究比较了在出生时接种乙肝疫苗后,含有5微克和10微克乙肝表面抗原(HBsAg)的两种不同配方的白百破-乙肝疫苗。基础免疫在2、4、6月龄进行,加强免疫在18月龄进行。所有返回的受试者在4岁时给予一剂本地白百破疫苗加强针。在7年研究结束时,接受10微克HBsAg的受试者中90.9%的抗-HBs抗体浓度≥10mIU/ml;大多数受试者对白喉和破伤风仍保持血清保护(分别≥90.9%和100%),100%的百日咳抗原血清学检测呈阳性。在10年随访研究结束时,≥60.9%的受试者具有抗-HBs抗体的血清保护浓度;≥95.2%和100%的受试者分别对白喉和破伤风有血清保护作用;≥78.3%的受试者百日咳血清学检测呈阳性。结果表明联合白百破-乙肝疫苗可诱导抗体长期持续存在。

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