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[通过体内中和试验在一组年轻人中测定的加强吸附破伤风类毒素(ADT)前后抗毒素滴度之间的关系。NT-PHAR比较评估]

[The relationships between antitoxic titers determined in a group of young people before and after booster ADT by the in vivo neutralization test. Comparative NT-PHAR evaluations].

作者信息

Durbacă S, Stoean C, Mateescu M

出版信息

Arch Roum Pathol Exp Microbiol. 1989 Apr-Jun;48(2):135-46.

PMID:2561337
Abstract

The geometrical mean of antitoxic titers determined in a lot of immunized young men who received, 5-7 years before, a booster with diphtheria-tetanus bivaccine, was of 1.54 (x/divided by 10.54) I.U./ml. At one month after another booster, performed with Tetanus toxoid (adsorbed), an increase of 34 times was recorded, the geometrical mean reaching the value of 52.67 (x/divided by 10.42 I.U./ml). The covering coefficients of the minimal protective antitoxin level have increased from 154 to 5267, in the estimation performed at the level of geometrical mean (calculating the ratio between the value of this indicator and that of the protection limit) and from 1623 to 54935, or from 15 to 505, respectively, in the estimations performed at the levels of the limits of the statistical range of one geometric standard deviation (Mg x/divided by D Sg). The study of the relations between pre- and post-antitoxic titers, performed by the linear regression analysis, leads to an equation whose slope evidenced the lower amplitude of the booster titers, along the increase of previous titers. The study of the inter-methods (neutralization-passive haemagglutination) regression allowed to obtain a correlation coefficient, between methods, of r = 0.83 and to perform the transposition of the minimal protective N.T. level (0.01 I.U.) in the terms of passive haemagglutination reaction, at the titer of 160 (0.3 PHAU/ml), for the p less than or equal to 0.05 probability level.

摘要

在一群5至7年前接受白喉-破伤风二联疫苗加强免疫的年轻男性中,所测定的抗毒素效价几何平均值为1.54(x/除以10.54)国际单位/毫升。在用吸附破伤风类毒素进行再次加强免疫后1个月,记录到效价增加了34倍,几何平均值达到52.67(x/除以10.42国际单位/毫升)。在几何平均值水平进行估算时(计算该指标值与保护限值之比),最低保护性抗毒素水平的覆盖系数从154增至5267,而在一个几何标准差统计范围限值水平进行估算时,分别从1623增至54935,即从15增至505。通过线性回归分析对免疫前后抗毒素效价之间的关系进行研究,得出一个方程,其斜率表明随着先前效价的增加,加强免疫效价的增幅较小。对中和法-被动血凝法之间的回归研究得出两种方法之间的相关系数r = 0.83,并在概率水平p≤0.05时,将最低保护性中和试验水平(0.01国际单位)换算为被动血凝反应效价,即160(0.3PHAU/毫升)。

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