Arteaga Alejandro, Desviat Pilar Vallejo, Jaqueti Jeronimo, Santos Juana, de Miguel Angel Gil, Garcia Rodrigo Jiménez
Unidad de Docencia e Investigación en Medicina Preventiva y Salud Pública, Facultad de Ciencias de la Salud, Alcorcón, Madrid, Spain.
Hum Vaccin. 2010 Feb;6(2):198-201. doi: 10.4161/hv.6.2.10398.
This study aims to evaluate the immune status against hepatitis A, hepatitis B, tetanus, diphtheria and varicella in military recruits and the validity of self-reporting of their disease and vaccination history. A total of 226 participants were studied (mean age, 20.2 years; SD 1.7). 10.4% presented antibodies to hepatitis A, 78.3% to hepatitis B, 94.2% to tetanus, 77.4% to diphtheria and 81.9% to varicella. The relationship between self-reporting of vaccination history and seroprotection showed a high Positive Predictive Value for tetanus (98.8%) and a high Negative Predictive Value for hepatitis A (91%). Hepatitis A vaccination and serology testing for varicella and Hepatitis B on joining the Spanish armed forces are recommended.
本研究旨在评估新兵针对甲型肝炎、乙型肝炎、破伤风、白喉和水痘的免疫状况，以及他们疾病和疫苗接种史自我报告的有效性。共对226名参与者进行了研究（平均年龄20.2岁；标准差1.7）。10.4%的人有甲型肝炎抗体，78.3%的人有乙型肝炎抗体，94.2%的人有破伤风抗体，77.4%的人有白喉抗体，81.9%的人有水痘抗体。疫苗接种史自我报告与血清保护之间的关系显示，破伤风的阳性预测值较高（98.8%），甲型肝炎的阴性预测值较高（91%）。建议在加入西班牙武装部队时进行甲型肝炎疫苗接种以及水痘和乙型肝炎的血清学检测。
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