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乙肝疫苗接种后医护人员中未检测到抗HTLV-III抗体。

Absence of antibodies to HTLV-III in health workers after hepatitis B vaccination.

作者信息

Dienstag J L, Werner B G, McLane M F, Snydman D R, Grady G F, Craven D E, Crumpacker C S, Polk B F, Platt R, Allan J

出版信息

JAMA. 1985;254(8):1064-6.

PMID:2991619
Abstract

A proportion of the plasma for the triply inactivated, plasma-derived hepatitis B vaccine produced in the United States is obtained from homosexual men. Because homosexual men are a high-risk group for the acquired immunodeficiency syndrome (AIDS), concern has emerged that the vaccine could harbor the AIDS agent. To evaluate this risk, we tested 15-month postvaccination serum samples for antibodies to human T-cell lymphotropic virus type III in 100 health care workers who had received inactivated hepatitis B vaccine lots made from plasma collected between 1977 and 1979 and 100 who had received placebo injections. None of the 200 health workers had serological evidence of human T-cell lymphotropic virus type III infection. These serological findings lend additional support to earlier epidemiologic and immunologic observations suggesting that hepatitis B vaccine does not transmit infection with an AIDS virus.

摘要

美国生产的三倍灭活血浆源性乙肝疫苗有一部分血浆取自男同性恋者。由于男同性恋者是获得性免疫缺陷综合征(艾滋病)的高危人群,因此有人担心该疫苗可能携带艾滋病病原体。为评估这种风险,我们对100名接种疫苗15个月后的医护人员的血清样本进行检测,这些人员中,100人接种的是1977年至1979年间采集的血浆制成的灭活乙肝疫苗,另外100人接受的是安慰剂注射,检测他们血清中抗人类T细胞嗜淋巴细胞病毒III型抗体。200名医护人员中无人有感染人类T细胞嗜淋巴细胞病毒III型的血清学证据。这些血清学结果为早期的流行病学和免疫学观察提供了更多支持,表明乙肝疫苗不会传播艾滋病病毒感染。

相似文献

1
Absence of antibodies to HTLV-III in health workers after hepatitis B vaccination.乙肝疫苗接种后医护人员中未检测到抗HTLV-III抗体。
JAMA. 1985;254(8):1064-6.
2
The safety of the hepatitis B vaccine. Inactivation of the AIDS virus during routine vaccine manufacture.乙肝疫苗的安全性。常规疫苗生产过程中艾滋病病毒的灭活。
JAMA. 1986 Aug 15;256(7):869-72.
3
Prospective study of cytotoxic T lymphocyte responses to influenza and antibodies to human T lymphotropic virus-III in homosexual men. Selective loss of an influenza-specific, human leukocyte antigen-restricted cytotoxic T lymphocyte response in human T lymphotropic virus-III positive individuals with symptoms of acquired immunodeficiency syndrome and in a patient with acquired immunodeficiency syndrome.对同性恋男性中细胞毒性T淋巴细胞对流感的反应及人类嗜T淋巴细胞病毒III型抗体的前瞻性研究。在患有获得性免疫缺陷综合征症状的人类嗜T淋巴细胞病毒III型阳性个体以及一名获得性免疫缺陷综合征患者中,流感特异性、人类白细胞抗原限制的细胞毒性T淋巴细胞反应选择性丧失。
J Clin Invest. 1985 Oct;76(4):1699-704. doi: 10.1172/JCI112158.
4
HTLV-III infection among health care workers. Association with needle-stick injuries.医护人员中的人类嗜T淋巴细胞病毒III型感染。与针刺伤的关联。
JAMA. 1985 Oct 18;254(15):2089-93.
5
Screening test for HTLV-III (AIDS agent) antibodies. Specificity, sensitivity, and applications.人类嗜T淋巴细胞病毒III型(艾滋病病原体)抗体筛查试验。特异性、敏感性及应用。
JAMA. 1985 Jan 11;253(2):221-5.
6
HIV and HTLV-I antibody studies: pregnant women in the 1960s, patients with AIDS, homosexuals, and individuals with tropical spastic paraparesis.艾滋病毒和人类嗜T淋巴细胞病毒I型抗体研究:20世纪60年代的孕妇、艾滋病患者、同性恋者以及患有热带痉挛性截瘫的个体。
Yale J Biol Med. 1987 Nov-Dec;60(6):569-74.
7
Risk of nosocomial infection with human T-cell lymphotropic virus III (HTLV-III).
N Engl J Med. 1985 Jan 3;312(1):1-4. doi: 10.1056/NEJM198501033120101.
8
Association of human T lymphotropic virus type III antibodies with sexual and other behaviors in a cohort of homosexual men from Boston with and without generalized lymphadenopathy.来自波士顿的一组有或无全身淋巴结病的同性恋男性中,人类嗜T淋巴细胞病毒III型抗体与性行为及其他行为的关联。
Am J Med. 1986 Mar;80(3):357-63. doi: 10.1016/0002-9343(86)90706-0.
9
HTLV-III antibodies after hepatitis B vaccination.
Lancet. 1985 Jun 29;1(8444):1506-7. doi: 10.1016/s0140-6736(85)92278-0.
10
Additional recommendations to reduce sexual and drug abuse-related transmission of human T-lymphotropic virus type III/lymphadenopathy-associated virus.减少人类嗜T淋巴细胞病毒III型/淋巴结病相关病毒与性传播和药物滥用相关传播的其他建议。
MMWR Morb Mortal Wkly Rep. 1986 Mar 14;35(10):152-5.

引用本文的文献

1
Transmission of human immunodeficiency virus (HIV/HTLV-III/LAV): a review.人类免疫缺陷病毒(HIV/HTLV-III/LAV)的传播:综述
Infection. 1986 Sep-Oct;14(5):203-11. doi: 10.1007/BF01644263.