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对正在进行维持化疗的急性白血病或其他恶性肿瘤患儿进行水痘主动免疫。

Active immunization against varicella of children with acute leukaemia or other malignancies on maintenance chemotherapy.

作者信息

Haas R J, Belohradsky B, Dickerhoff R, Eichinger K, Eife R, Holtmann H, Goetz O, Graubner U, Peller P

出版信息

Postgrad Med J. 1985;61 Suppl 4:69-72.

PMID:3014480
Abstract

Twenty-six patients with acute leukaemia and other malignancies susceptible to varicella were vaccinated with the Oka-strain live attenuated varicella vaccine during maintenance chemotherapy. All recipients showed no adverse clinical reactions. There was no spread of vaccine virus. Seroconversion was 94% in seronegative patients. Among those having low antibody titres before vaccination, a booster effect was demonstrable in 56%. None of the seroconverted recipients contracted varicella despite documented contact exposure. No case of herpes zoster occurred. The results suggest that, in immunocompromised children, live varicella vaccination has a protective effect against varicella infection which may result in a mortality rate of up to 7% in these patients.

摘要

26例患有急性白血病及其他易感染水痘的恶性肿瘤患者在维持化疗期间接种了Oka株减毒活水痘疫苗。所有接种者均未出现不良临床反应。疫苗病毒未发生传播。血清阴性患者的血清转化率为94%。在接种前抗体滴度较低的患者中,56%的患者显示出增强效应。所有血清转化的接种者尽管有明确的接触暴露史,但均未感染水痘。未发生带状疱疹病例。结果表明,在免疫功能低下的儿童中,接种活水痘疫苗对水痘感染具有保护作用,而水痘感染在这些患者中的死亡率可能高达7%。

相似文献

1
Active immunization against varicella of children with acute leukaemia or other malignancies on maintenance chemotherapy.对正在进行维持化疗的急性白血病或其他恶性肿瘤患儿进行水痘主动免疫。
Postgrad Med J. 1985;61 Suppl 4:69-72.
2
[Active chickenpox vaccination of children with acute leukemia or other neoplastic diseases].[对患有急性白血病或其他肿瘤性疾病的儿童进行水痘主动疫苗接种]
Klin Padiatr. 1985 Nov-Dec;197(6):477-80. doi: 10.1055/s-2008-1034025.
3
A multicentre trial of live attenuated varicella vaccine in children with leukaemia in remission.一项针对缓解期白血病患儿的减毒活水痘疫苗多中心试验。
Postgrad Med J. 1985;61 Suppl 4:73-8.
4
Clinical experience with Oka live varicella vaccine in Japan.日本Oka株水痘活疫苗的临床经验。
Postgrad Med J. 1985;61 Suppl 4:61-7.
5
Live varicella vaccine in severely immunodepressed children.严重免疫抑制儿童接种水痘活疫苗。
Postgrad Med J. 1985;61 Suppl 4:97-102.
6
Five-year follow-up study of recipients of live varicella vaccine using enhanced neutralization and fluorescent antibody membrane antigen assays.使用增强中和及荧光抗体膜抗原检测法对水痘减毒活疫苗接种者进行的五年随访研究
Pediatrics. 1983 Sep;72(3):291-4.
7
Early results of a trial of the Oka-strain varicella vaccine in children with leukaemia or other malignancies in Sweden.瑞典一项针对白血病或其他恶性肿瘤患儿的Oka株水痘疫苗试验的早期结果。
Postgrad Med J. 1985;61 Suppl 4:79-83.
8
Immunization of children with malignant diseases with the Oka-strain varicella vaccine.用Oka株水痘疫苗对患有恶性疾病的儿童进行免疫接种。
Postgrad Med J. 1985;61 Suppl 4:93-5.
9
Live attenuated varicella vaccine use in immunocompromised children and adults.减毒活水痘疫苗在免疫功能低下儿童和成人中的应用。
Pediatrics. 1986 Oct;78(4 Pt 2):757-62.
10
Long-term protective immunity of recipients of the OKA strain of live varicella vaccine.水痘减毒活疫苗OKA株接种者的长期保护性免疫
Pediatrics. 1985 Apr;75(4):667-71.

引用本文的文献

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Guidelines on vaccinations in paediatric haematology and oncology patients.儿童血液学和肿瘤学患者的疫苗接种指南。
Biomed Res Int. 2014;2014:707691. doi: 10.1155/2014/707691. Epub 2014 Apr 29.
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Varicella vaccination in children with lymphoma and solid tumours.淋巴瘤和实体瘤患儿的水痘疫苗接种
Postgrad Med J. 2006 Nov;82(973):760-2. doi: 10.1136/pmj.2005.041293.
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Varicella and varicella immunity in patients with lysinuric protein intolerance.赖氨酸尿蛋白不耐受患者的水痘及水痘免疫力
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