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婴儿期接种疫苗的医学实习生中抗-HBs的持久性及回忆反应

Anti-HBs persistence and anamnestic response among medical interns vaccinated in infancy.

作者信息

Hanafi Nesrine Fathi, Omar Nashwa Naguib, Ismail Ghada Abdelwahed, El-Kholy Amani Ali, ElShafei Ahmed, Essa Sara AbdelAziz

机构信息

Department of Medical Microbiology and Immunology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Department of Clinical Pathology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

出版信息

Sci Rep. 2025 May 9;15(1):16213. doi: 10.1038/s41598-025-00055-w.

Abstract

Medical interns are at high risk of acquiring Hepatitis B Virus (HBV) infection during their training. HBV vaccination is the most effective measure to reduce the global incidence of HBV. The duration of protection after HBV vaccination is still controversial. We aimed to determine the prevalence of protective anti-HBs levels among medical interns who had received compulsory hepatitis B vaccination in infancy, and to assess the anamnestic response of those subjects with non-protective antibodies titers, to a booster dose of the vaccine. We conducted a cross-sectional study on 519 medical interns in 2022. We examined their immunization status and records. Blood samples were collected and qualitative testing of Hepatitis B surface antigen (HBsAg), and quantitative testing of Hepatitis B surface antibody (anti-HBs) were performed. For medical interns whose titers were ˂ 10 mIU/mL, a booster dose of the vaccine was given, followed by repeat testing of anti-HBs 2 months later. About 304 (58.6%) of the medical interns revealed titers higher than or equal 10 mIU/mL. About (44.93%) of male medical interns showed an immunity level below 10 mIU/mL. However, (43.91%) of female medical interns had an antibody titer of 100 mIU/mL or higher. All subjects who got a booster dose presented a titer level of 10 mIU/mL 2 months later. About (41.4%) of our medical interns enrolled in the study had anti-HBs titer ˂ 10 mIU/mL. This raises the importance of establishing a screening protocol and offering booster dose for those at risk to protect them against the high risk of infection.

摘要

医学实习生在培训期间感染乙型肝炎病毒(HBV)的风险很高。乙肝疫苗接种是降低全球乙肝发病率的最有效措施。乙肝疫苗接种后的保护持续时间仍存在争议。我们旨在确定在婴儿期接受过强制性乙肝疫苗接种的医学实习生中保护性抗-HBs水平的流行情况,并评估那些抗体滴度无保护作用的受试者对一剂加强疫苗的回忆反应。2022年,我们对519名医学实习生进行了一项横断面研究。我们检查了他们的免疫状况和记录。采集血样,进行乙肝表面抗原(HBsAg)定性检测和乙肝表面抗体(抗-HBs)定量检测。对于滴度<10 mIU/mL的医学实习生,给予一剂加强疫苗,然后在2个月后重复检测抗-HBs。约304名(58.6%)医学实习生的滴度高于或等于10 mIU/mL。约(44.93%)的男性医学实习生免疫水平低于10 mIU/mL。然而,(43.91%)的女性医学实习生抗体滴度为100 mIU/mL或更高。所有接受加强疫苗的受试者在2个月后的滴度水平均为10 mIU/mL。参与本研究的医学实习生中约(41.4%)抗-HBs滴度<10 mIU/mL。这凸显了建立筛查方案并为高危人群提供加强疫苗以保护他们免受高感染风险的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf41/12064783/62f1fecf3897/41598_2025_55_Fig1_HTML.jpg

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