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意外暴露后乙型肝炎免疫球蛋白的疗效。退伍军人管理局合作研究的初步报告。

Efficacy of hepatitis B immune serum globulin after accidental exposure. Preliminary report of the Veterans Administration Cooperative Study.

作者信息

Seeff L B, Wright E C, Finkelstein J D, Greenlee H B, Hamilton J, Leevy C M, Tamburro C H, Vlahcevic Z, Zimmon D S, Zimmerman H J, Felsher B F, Garcia-Pont P, Dietz A A, Koff R S, Kiernan T, Schiff E R, Zemel R, Nath N

出版信息

Lancet. 1975 Nov 15;2(7942):939-41. doi: 10.1016/s0140-6736(75)90357-8.

DOI:10.1016/s0140-6736(75)90357-8
PMID:53428
Abstract

A randomised, double-blind, controlled trial has been undertaken to compare the efficacy of hepatitis B immune globulin (H.B.I.G.) with that of immune serum globulin (I.S.G.) for the prophylaxis of viral hepatitis. Participants in the trial were individuals exposed accidentally to material infectious for hepatitis (primarily viral B hepatitis). Preliminary evaluation of the first 302 of the 561 individuals entered into the study indicates that H.B.I.G. significantly reduced the frequencies of both clinical and subclinical hepatitis during the first 3--4 months after the injection. Less than 10% of H.B.I.G. recipients had detectable anti-HBs at the sixth month after the injection, suggesting that H.B.I.G. might need to be given every 3--4 months to continually exposed individuals. Further long-term evaluation is required in order to define more clearly those most likely to benefit from H.B.I.G.

摘要

已开展一项随机、双盲、对照试验,以比较乙肝免疫球蛋白(H.B.I.G.)和免疫血清球蛋白(I.S.G.)预防病毒性肝炎的疗效。该试验的参与者是意外接触到具有肝炎传染性物质(主要是乙肝病毒)的个体。对纳入该研究的561名个体中的前302名进行的初步评估表明,H.B.I.G.在注射后的头3至4个月内显著降低了临床和亚临床肝炎的发生率。注射后第六个月,接受H.B.I.G.治疗的个体中不到10%可检测到抗-HBs,这表明对于持续暴露的个体,可能需要每3至4个月注射一次H.B.I.G.。需要进一步进行长期评估,以便更清楚地确定最有可能从H.B.I.G.中获益的人群。

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引用本文的文献

1
Hepatitis among hospital employees.医院员工中的肝炎情况。
West J Med. 1983 Apr;138(4):519-23.
2
Editorial: High-titre hepatitis B immune globulin.社论:高滴度乙型肝炎免疫球蛋白
Br Med J. 1976 Jan 31;1(6004):241-2. doi: 10.1136/bmj.1.6004.241.
3
Problems of protection against virus B hepatitis.乙型肝炎病毒的防护问题。
Postgrad Med J. 1976 Sep;52(611):580-3. doi: 10.1136/pgmj.52.611.580.
4
Hepatitis in clinical laboratories.临床实验室中的肝炎
Br Med J. 1976 Oct 2;2(6039):778-9.
5
Delayed hepatitis after treatment with hepatitis B immune serum globulin.使用乙型肝炎免疫球蛋白治疗后出现的迟发性肝炎。
Br Med J. 1976 Jul 3;2(6026):19-20. doi: 10.1136/bmj.2.6026.19-a.
6
Development and use of a micro haemagglutination inhibition (HAI) technique, based on Hepatest, for the detection and quantitation of hepatitis B surface antibody (Anti-HBs) in blood donors.基于Hepatest的微量血凝抑制(HAI)技术的开发与应用,用于检测和定量献血者血液中的乙型肝炎表面抗体(抗-HBs)。
J Clin Pathol. 1977 Jan;30(1):50-3. doi: 10.1136/jcp.30.1.50.
7
Viral hepatitis, type B.乙型病毒性肝炎
Yale J Biol Med. 1976 Jul;49(3):235-41.
8
Clinical use of blood, blood components and blood products.血液、血液成分及血液制品的临床应用。
Can Med Assoc J. 1979 Jul 7;121(1):33-42.
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Recent advances in the identification of hepatitis viruses.肝炎病毒鉴定的最新进展
Postgrad Med J. 1977 Jul;53(621):364-73. doi: 10.1136/pgmj.53.621.364.
10
Passive immunization against exposure to hepatitis B virus in the military: potential and possibilities.军队中针对乙型肝炎病毒暴露的被动免疫:潜力与可能性。
Yale J Biol Med. 1976 Jul;49(3):251-7.