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西奈半岛的瑞典联合国士兵在接受免疫球蛋白预防后发生的临床和亚临床甲型肝炎。

Clinical and subclinical hepatitis A occurring after immunoglobulin prophylaxis among Swedish UN soldiers in Sinai.

作者信息

Weiland O, Niklasson B, Berg R, Lundbergh P, Tideström L

出版信息

Scand J Gastroenterol. 1981;16(8):967-72. doi: 10.3109/00365528109181012.

DOI:10.3109/00365528109181012
PMID:7336137
Abstract

This study was performed to investigate the efficiency of 5 ml of 16.5% immunoglobulin (Ig) with an antibody titer against hepatitis A (anti-HAV) of 1:4000, using the HAVAB RIA technique, as pre-infection prophylaxis in 610 Swedish UN soldiers stationed in Sinai for 6 months. Sera were collected from 553 of these soldiers before, during, and after their service and were tested by the HAVAB technique for anti-HAV. Only 13 of 553 (2.4%) were immune before their service. During the first 5 months in Sinai, only one subclinical case of hepatitis A occurred among the men. Thereafter, two subclinical and four clinical cases occurred, although one of the subclinical cases and the four clinical ones did not occur until after the 6-month period. Thus, the Ig prophylaxis scheme used seems to offer almost complete passive protection for 5 months.

摘要

本研究旨在采用甲型肝炎放射免疫分析(HAVAB RIA)技术,调查5毫升抗体效价为1:4000的16.5%免疫球蛋白(Ig)对610名驻扎在西奈半岛6个月的瑞典联合国士兵进行感染前预防的效果。在这些士兵服役前、服役期间和服役后采集了553人的血清,并采用HAVAB技术检测抗甲型肝炎病毒(anti-HAV)。553人中只有13人(2.4%)在服役前具有免疫力。在西奈半岛的头5个月里,这些人中仅出现1例甲型肝炎亚临床病例。此后,又出现了2例亚临床病例和4例临床病例,不过其中1例亚临床病例和4例临床病例直到6个月期限结束后才出现。因此,所采用的免疫球蛋白预防方案似乎能在5个月内提供几乎完全的被动保护。

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