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未免疫和已免疫母亲的破伤风经胎盘免疫转移率。

Transfer rate of transplacental immunity to tetanus from non-immunized and immunized mothers.

作者信息

Sangpetchsong V, Vichaikummart S, Vichitnant A, Podhipak A

出版信息

Southeast Asian J Trop Med Public Health. 1984 Sep;15(3):275-80.

PMID:6523168
Abstract

Tetanus antitoxin was quantitatively measured in 912 pregnant women by indirect hemagglutination test. The mothers who received no dose, one dose and two doses of tetanus toxoid were 64.6%, 10.1% and 25.3% respectively. The percentage of mothers with protective antibodies in the groups receiving none, one, and two doses of tetanus toxoid were 95.4, 100 and 100. The level of protective antibody in the newborn and the magnitude of transfer rate of passive immunity to tetanus depended directly upon the level of tetanus antitoxin in maternal serum. Mothers who had tetanus antitoxin of 1.28 IU/ml or more could transfer protection to almost all of the newborns (97%-100%) irrespective of doses of tetanus toxoid administration. However, mothers who had received two doses of tetanus toxoid during pregnancy not only confer good protection but also transfer a high tetanus antitoxin levels to their newborns.

摘要

采用间接血凝试验对912名孕妇进行破伤风抗毒素定量检测。未接种、接种一剂和两剂破伤风类毒素的母亲分别占64.6%、10.1%和25.3%。未接种、接种一剂和两剂破伤风类毒素的母亲中具有保护性抗体的比例分别为95.4%、100%和100%。新生儿的保护性抗体水平以及破伤风被动免疫的转移率高低直接取决于母体血清中破伤风抗毒素的水平。破伤风抗毒素水平达到1.28 IU/ml及以上的母亲,无论破伤风类毒素的接种剂量如何,几乎都能将保护作用传递给所有新生儿(97%-100%)。然而,孕期接种两剂破伤风类毒素的母亲不仅能提供良好的保护,还能将较高水平的破伤风抗毒素传递给新生儿。

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引用本文的文献

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Antitetanus toxoid antibodies in mothers and neonates: a single-centre study from Uganda.母亲和新生儿破伤风类毒素抗体:乌干达的一项单中心研究。
BMJ Paediatr Open. 2023 Aug;7(1). doi: 10.1136/bmjpo-2021-001334.
2
Neonatal Tetanus Immunity in Nigeria: The Effect of HIV Infection on Serum Levels and Transplacental Transfer of Antibodies.尼日利亚新生儿破伤风免疫:HIV感染对抗体血清水平及经胎盘转运的影响
J Trop Med. 2016;2016:7439605. doi: 10.1155/2016/7439605. Epub 2016 Jan 20.
3
Tetanus immunization in pregnant women. Serum levels of antitetanus antibodies at time of delivery.
孕妇破伤风免疫。分娩时抗破伤风抗体的血清水平。
Eur J Epidemiol. 2001;17(7):661-5. doi: 10.1023/a:1015507402480.
4
Factors affecting the immunogenicity and potency of tetanus toxoid: implications for the elimination of neonatal and non-neonatal tetanus as public health problems.影响破伤风类毒素免疫原性和效力的因素:对消除新生儿和非新生儿破伤风这一公共卫生问题的启示
Bull World Health Organ. 1997;75(1):81-93.