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[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.
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.
Abstract:
The immunological activity of different vaccines against hepatitis B was evaluated in the Hepatological Center organized on the basis of the Infectious Hospital in Tula. Newborn infants were immunized with the use of the following vaccines: Engerix B (Belgium), Combiotech (Russia), Euvax B (Aventis Pastèur, South Korea). Altogether, after the full course of immunization anti-HBs were detected in 76 children out of 81 (in 93.8%). Vaccine Engerix B, when introduced according to the schedule 0-1-2-12 months, exhibited high immunogenic properties in a group of infants born of women with persistent HBs-antigenemia. Anti-HBs at a concentration exceeding 1000 I.U./I could be detected in 84.6%. In another group of children immunized according to the schedule 0-1-6 months first with vaccine Combiotech at the age of 0 and 1 month, then (at the age of 6 months) with vaccine Euvax, the presence of postvaccinal anti HBs at protective concentration was registered in all children. After immunization against hepatitis B with the use of all above-mentioned vaccines introduced according to both schedules high immunological activity and safety of immunization were noted.
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