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乙型肝炎疫苗预防围产期传播的乙型肝炎病毒感染:英格兰西米德兰兹郡一项研究的初步报告

Hepatitis B vaccine in the prevention of perinatally transmitted hepatitis B virus infections: initial report of a study in the West Midlands of England.

作者信息

Boxall E H, Tarlow M J

出版信息

J Med Virol. 1986 Mar;18(3):255-60. doi: 10.1002/jmv.1890180307.

DOI:10.1002/jmv.1890180307
PMID:2939196
Abstract

A study was carried out to evaluate the efficacy of hepatitis B vaccine in interrupting perinatal transmission of hepatitis B virus from carrier mothers to their babies. A four-dose schedule was used. Eight of nine babies of e antigen carrier mothers became actively immune when immunisations were started within 48 hr of birth. Effectiveness was reduced if immunisation was delayed. This report includes results from a total of 32 babies, the longest period of follow-up being 2 years. The success of this scheme is comparable to that of more intensive prophylaxis of immunoglobulin either alone or combined with vaccine and should be seriously considered for the babies of all hepatitis B carrier mothers.

摘要

开展了一项研究以评估乙肝疫苗在阻断乙肝病毒从携带病毒的母亲围产期传播给其婴儿方面的效果。采用了四剂接种方案。e抗原携带母亲的九名婴儿中有八名在出生后48小时内开始免疫接种时产生了主动免疫。如果免疫接种延迟,效果会降低。本报告包括总共32名婴儿的结果,最长随访期为2年。该方案的成功率与单独使用或与疫苗联合使用更强效的免疫球蛋白预防方案相当,所有乙肝携带母亲的婴儿都应认真考虑采用该方案。

相似文献

1
Hepatitis B vaccine in the prevention of perinatally transmitted hepatitis B virus infections: initial report of a study in the West Midlands of England.乙型肝炎疫苗预防围产期传播的乙型肝炎病毒感染:英格兰西米德兰兹郡一项研究的初步报告
J Med Virol. 1986 Mar;18(3):255-60. doi: 10.1002/jmv.1890180307.
2
Hepatitis B vaccine in the prevention of perinatally transmitted hepatitis B virus infection: final report on a West Midlands pilot study.乙肝疫苗预防围产期传播的乙肝病毒感染:西米德兰兹郡试点研究的最终报告
J Med Virol. 1990 Feb;30(2):113-6. doi: 10.1002/jmv.1890300207.
3
Efficacy of hepatitis-B immunoglobulin and hepatitis-B vaccine in prevention of the HBsAg carrier state in newborn infants of mothers who are chronic carriers of HBsAg and HBeAg.乙型肝炎免疫球蛋白和乙型肝炎疫苗对预防母亲为慢性乙型肝炎表面抗原(HBsAg)和乙型肝炎e抗原(HBeAg)携带者的新生儿成为HBsAg携带者状态的疗效。
Asian Pac J Allergy Immunol. 1986 Jun;4(1):33-6.
4
[Hepatitis B screening in pregnancy and simultaneous postpartum vaccination of newborn infants].[孕期乙肝筛查及新生儿产后同步接种疫苗]
Padiatr Padol. 1990;25(2):111-5.
5
Prevention of hepatitis B virus infections.预防乙型肝炎病毒感染。
Asian Pac J Allergy Immunol. 1986 Jun;4(1):1-3.
6
Immunoprophylaxis of perinatal transmission of the hepatitis B virus: efficacy of hepatitis B immune globulin and hepatitis B vaccine in a low-prevalence area.围产期乙型肝炎病毒传播的免疫预防:乙型肝炎免疫球蛋白和乙型肝炎疫苗在低流行地区的疗效
J Med Virol. 1986 Apr;18(4):381-91. doi: 10.1002/jmv.1890180411.
7
Yeast-recombinant hepatitis B vaccine. Efficacy with hepatitis B immune globulin in prevention of perinatal hepatitis B virus transmission.酵母重组乙型肝炎疫苗。与乙型肝炎免疫球蛋白联合预防围产期乙型肝炎病毒传播的效果。
JAMA. 1987 May 15;257(19):2612-6. doi: 10.1001/jama.257.19.2612.
8
Anti-HBs levels in infants of hepatitis B carrier mothers after delayed active immunization with recombinant vaccine concomitant with DTP-polio vaccine: is there need for a second dose of HBIg? Dutch Study Group on Prevention of Neonatal Hepatitis B.乙肝携带者母亲的婴儿在与百白破-脊髓灰质炎疫苗同时接种重组疫苗进行延迟主动免疫后抗-HBs水平:是否需要第二剂乙肝免疫球蛋白?荷兰预防新生儿乙肝研究组
Vaccine. 1994 Sep;12(12):1059-63. doi: 10.1016/0264-410x(94)90173-2.
9
Multicenter trial on the efficacy of HBIG and vaccine in preventing perinatal hepatitis B. Final report.乙肝免疫球蛋白(HBIG)与疫苗预防围产期乙型肝炎疗效的多中心试验。最终报告。
J Med Virol. 1986 Apr;18(4):327-34. doi: 10.1002/jmv.1890180405.
10
Hepatitis B vaccine alone or in combination with anti-HBs immunoglobulin in the perinatal prophylaxis of babies born to HBsAg carrier mothers.乙型肝炎疫苗单独或与抗-HBs免疫球蛋白联合用于HBsAg携带者母亲所生婴儿的围产期预防。
Acta Virol. 1992 Aug;36(4):359-66.

引用本文的文献

1
Immunising infants at risk of hepatitis B. Parent held vaccination card may improve uptake.为有感染乙型肝炎风险的婴儿接种疫苗。家长持有疫苗接种卡可能会提高接种率。
BMJ. 1995 Feb 11;310(6976):400. doi: 10.1136/bmj.310.6976.400.
2
Can we eradicate hepatitis B?我们能根除乙肝吗?
Br Med J (Clin Res Ed). 1986 Aug 16;293(6544):404-5. doi: 10.1136/bmj.293.6544.404.