Knight P A
Dev Biol Stand. 1978;41:67-72.
Although recommended by WHO the high cost of parallel line quantal response assays for diphtheria and tetanus vaccines has retarded the introduction of comparative assays for these vaccines in developed countries and for the same reason is likely to discourage the introduction of adequate control standards in developing countries. These costs are mainly due to the large numbers of animals needed to obtain adequate precision when responses are assessed simply in terms of death or survival. The use of intradermal challenge scores for diphtheria and of semiquantal scores based on the onset of symptoms for tetanus together with the prospects for use of the same animals for both assays are discussed. Data are presented to show that the adoption of such methods would increase the information available from each animal and so reduce the number of animals required for the satisfactory standardization of diphtheria and tetanus vaccines.
虽然世界卫生组织推荐使用平行线定量反应试验来检测白喉和破伤风疫苗,但该试验成本高昂,这阻碍了发达国家引入针对这些疫苗的对比试验,并且出于同样原因,也可能会使发展中国家不愿引入适当的对照标准。这些成本主要是由于仅根据死亡或存活来评估反应时,需要大量动物才能获得足够的精确度。本文讨论了使用白喉皮内攻击分数以及基于破伤风症状发作的半定量分数,以及两种试验使用同一批动物的可能性。文中给出的数据表明,采用这些方法将增加从每只动物获得的信息,从而减少白喉和破伤风疫苗标准化达到满意效果所需的动物数量。