Tsachouridou Olga, Christaki Eirini, Skoura Lemonia, Georgiou Adamantini, Nanoudis Sideris, Vasdeki Dimitra, Ntziovara Maria-Anna, Kotoreni Georgia, Forozidou Evropi, Tsoukra Paraskevi, Germanidis Georgios, Metallidis Symeon
First Department of Internal Medicine, AHEPA University Hospital, Medical School, Aristotle University of Thessaloniki, Greece.
Microbiology Department, AHEPA University Hospital, Medical School, Aristotle University of Thessaloniki, Greece.
Comp Immunol Microbiol Infect Dis. 2017 Oct;54:27-33. doi: 10.1016/j.cimid.2017.07.006. Epub 2017 Aug 4.
Humoral response to vaccination has been found to be inadequate in individuals infected with the human immunodeficiency virus (HIV). We retrospectively assessed antibody responses to three routinely recommended vaccines, against hepatitis B, hepatitis A and S. pneumoniae, in HIV-infected individuals. Data regarding age at HIV diagnosis, years of infection, sex, nationality, HIV mode of transmission, CD4 cell count, nadir CD4 count, plasma viral load, HIV stage, insurance status, educational level and treatment with Highly Active Antiretroviral Therapy (HAART) were collected. Univariate and multivariate analysis was performed in order to detect factors associated with response to vaccination. 437 patients were assessed for hepatitis B, 627 patients for hepatitis A and 66 patients for S. pneumoniae serologic vaccine responsiveness. Regarding hepatitis B and hepatitis A, education level and insurance status were the only predictors of response. As for S. pneumoniae vaccination HAART and control of viremia were correlated with better response to vaccination.
已发现感染人类免疫缺陷病毒(HIV)的个体对疫苗接种的体液反应不足。我们回顾性评估了HIV感染个体对三种常规推荐疫苗(乙肝疫苗、甲肝疫苗和肺炎链球菌疫苗)的抗体反应。收集了有关HIV诊断时的年龄、感染年限、性别、国籍、HIV传播方式、CD4细胞计数、最低CD4计数、血浆病毒载量、HIV分期、保险状况、教育水平以及接受高效抗逆转录病毒疗法(HAART)治疗的数据。进行单因素和多因素分析以检测与疫苗接种反应相关的因素。对437例患者进行了乙肝疫苗接种反应评估,627例患者进行了甲肝疫苗接种反应评估,66例患者进行了肺炎链球菌血清学疫苗反应评估。对于乙肝疫苗和甲肝疫苗,教育水平和保险状况是反应的唯一预测因素。至于肺炎链球菌疫苗接种,HAART和病毒血症控制与疫苗接种的更好反应相关。