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Immune response to the 7-valent pneumococcal conjugate vaccine in 30 asplenic children
B Mikoluc1, H Kayhty, E Bernatowska
1Department of Pediatrics and Developmental Disorders of Children and Adolescents, Medical University in Bialystok, 17 Waszyngtona Street, 15-224, Bialystok, Poland. bozenam@mp.pl
Insights
This study shows that the 7-valent pneumococcal conjugate vaccine (PCV7) effectively boosts pneumococcal antibodies in asplenic children. Previous pneumococcal polysaccharide vaccine (PPV) immunization did not impact PCV7 vaccine response.
Area of Science:
- Pediatric Immunology
- Vaccinology
- Infectious Diseases
Background:
- Asplenic children are at increased risk of severe pneumococcal infections.
- Pneumococcal conjugate vaccines (PCV) and pneumococcal polysaccharide vaccines (PPV) are used for prevention.
- The immune response to PCV7 in asplenic children, particularly those with prior PPV exposure, requires further investigation.
Purpose of the Study:
- To determine pneumococcal antibody concentrations post-PCV7 vaccination in asplenic children.
- To assess the influence of prior PPV immunization on the PCV7 response.
- To evaluate PCV7 as a potential vaccine option for asplenic children.
Main Methods:
- Study included 30 asplenic children aged 4 months to 19 years.
- Antibody concentrations against seven pneumococcal serotypes were measured using ELISA before and after PCV7 vaccination.
- Fifteen children had received PPV approximately 5 years prior to PCV7 vaccination.
Main Results:
- PCV7 vaccination induced a robust immune response in asplenic children.
- Pre-vaccination antibody levels were similar in children with or without prior PPV exposure.
- Prior PPV immunization did not alter antibody concentrations after PCV7 vaccination.
Conclusions:
- Asplenic children previously vaccinated with PPV may benefit from earlier PPV revaccination than currently recommended.
- PCV7 demonstrates a satisfactory immune response in asplenic patients.
- PCV7 should be considered a viable vaccine alternative for asplenic children.
Abstract:
The aim of the study was to determine the concentration of pneumococcal antibodies after a dose of 7-valent pneumococcal conjugate vaccine (PCV7) in 30 asplenic children between 4 months and 19 years of age. Fifteen children had received pneumococcal polysaccharide vaccine (PPV) approximately 5 years prior to vaccination with PCV7. The antibody concentrations against serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F were measured by ELISA before and after the PCV7 vaccination. Before vaccination with PCV7, the antibody concentrations were similar in children who had or had not received PPV previously. A dose of PCV7 stimulated a good immune response in asplenic patients. Prior immunization with PPV did not affect the antibody concentration after the vaccination with PCV7. In conclusion, asplenic children vaccinated with PPV may need revaccination with PPV earlier than the recommended 3-5 years after the first dose. PCV7 induces a satisfactory immune response in asplenic patients and should be considered as an alternative vaccine in that patient group.
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