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儿童期的破伤风免疫

[Immunity against tetanus in childhood].

作者信息

Cilla Eguiluz G, Sáenz Domínguez J R, Urbieta Egaña M, Carcedo Michelena A, Pérez Trallero E

机构信息

Servicio de Microbiología, Hospital Ntra. Sra. de Aránzazu, San Sebastián.

出版信息

An Esp Pediatr. 1993 Jun;38(6):499-502.

PMID:8368677
Abstract

In order to evaluate the programs of vaccination against tetanus, we have studied the presence of specific antibodies in a sample of children and adolescents from our region. We used a passive hemagglutination test, corroborating the results by a biological assay based on toxin-neutralization. Among the subjects investigated, 93.2% (551/591) had neutralizing toxin-antibodies at a protective level (> or = 0.01 ui/ml). The younger children were more protected (97.5% in children from 1 to 5 years old, and 79.2% in children from 16 to 19 years of age), (X2 = 25.39, p = 0.000-). We did not find any significant differences between the sexes in the degree of protection. Among protected subjects, the higher antibody titers were observed in children from 6 to 10 years old, coinciding with the age of a booster vaccine. The results show an excellent immunization coverage among the childhood population in our region. They also confirm the high effectiveness of this vaccine. However, this high protection was not found among people above the adolescent period.

摘要

为了评估破伤风疫苗接种计划,我们研究了本地区儿童和青少年样本中特异性抗体的存在情况。我们使用了被动血凝试验,并通过基于毒素中和的生物学检测来证实结果。在接受调查的受试者中,93.2%(551/591)拥有处于保护水平(≥0.01 ui/ml)的毒素中和抗体。年龄较小的儿童受到的保护更好(1至5岁儿童中为97.5%,16至19岁儿童中为79.2%),(X2 = 25.39,p = 0.000 -)。我们未发现性别之间在保护程度上有任何显著差异。在受保护的受试者中,6至10岁儿童的抗体滴度较高,这与加强疫苗接种的年龄相符。结果显示我们地区儿童人群的免疫接种覆盖率极佳。它们还证实了这种疫苗的高效性。然而,在青春期以上人群中未发现如此高的保护率。

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