[Experience with vaccine prophylaxis of hepatitis B among different groups of children]

I A Moskovskaia1, L E Kuzina, T V Anichkina

  • 1Hepatological Center of Infectious Hospital No. 2, Tula, Russia.

Zhurnal Mikrobiologii, Epidemiologii I Immunobiologii
|July 31, 2003
PubMed

Insights

This study evaluated hepatitis B vaccines in newborns, finding high immunological activity and safety. All tested vaccines demonstrated effectiveness in generating protective antibody levels against hepatitis B virus.

Area of Science:

  • Immunology
  • Vaccinology
  • Hepatology

Background:

  • Hepatitis B remains a significant global health concern.
  • Neonatal immunization is crucial for preventing vertical transmission and lifelong infection.
  • Evaluating the immunogenicity of different hepatitis B vaccines in infants is essential.

Purpose of the Study:

  • To assess and compare the immunological activity of three distinct hepatitis B vaccines in newborn infants.
  • To determine the safety and efficacy of different immunization schedules for hepatitis B vaccination.
  • To evaluate vaccine effectiveness in infants born to mothers with persistent HBs-antigenemia.

Main Methods:

  • Immunological evaluation of Engerix B, Combiotech, and Euvax B vaccines in newborn infants.
  • Administration of vaccines according to two different schedules: 0-1-2-12 months and 0-1-6 months.
  • Detection and quantification of anti-HBs antibodies post-immunization using serological assays.

Main Results:

  • Overall, 93.8% of infants developed protective anti-HBs antibody levels after completing the immunization course.
  • Engerix B showed high immunogenicity in infants of HBs-antigen-positive mothers (84.6% with >1000 IU/L anti-HBs) using the 0-1-2-12 month schedule.
  • A combined Combiotech and Euvax B schedule (0-1-6 months) resulted in protective anti-HBs levels in all infants.

Conclusions:

  • All evaluated hepatitis B vaccines demonstrated high immunological activity and safety in newborn infants.
  • Different vaccination schedules can achieve protective antibody levels, with specific schedules showing high efficacy even in high-risk infants.
  • The study confirms the effectiveness of available hepatitis B vaccines for neonatal immunization programs.

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