Early and long term anamnestic response to HBV booster dose among fully vaccinated Egyptian children during infancy

Iman I Salama1, Samia M Sami2, Zeinab N Said3

  • 1Community Medicine Research Department, National Research Centre, Egypt.

Vaccine
|March 14, 2018
PubMed

Insights

Most children vaccinated against Hepatitis B virus (HBV) show a strong early response to a booster dose, even with low or undetectable antibodies. This indicates long-term immune memory, suggesting booster doses may not be necessary for healthy children.

Area of Science:

  • Immunology
  • Vaccinology
  • Public Health

Background:

  • Hepatitis B virus (HBV) vaccination is crucial for preventing infection.
  • Assessing the durability of immune memory after infant vaccination is essential for public health strategies.
  • Many children may lose seroprotective levels of anti-HBs antibodies over time.

Purpose of the Study:

  • To evaluate the early and long-term anamnestic response to a booster dose of HBV vaccine in children who were not seroprotected.
  • To identify risk factors associated with the absence of an anamnestic response to HBV vaccination.
  • To determine the long-term efficacy of the HBV vaccination program in children with waning or undetectable antibody levels.

Main Methods:

  • A national community-based study involving 3600 children aged 9 months to 16 years, fully vaccinated in infancy.
  • Identified 1535 children with non-seroprotective anti-HBs levels (<10 IU/L) and no active infection.
  • Administered a 10 μg booster dose of Euvax HBV vaccine to 1121 children and assessed anti-HBs levels at early (2-4 weeks) and long-term (1 year) intervals.

Main Results:

  • 90.3% of children demonstrated an early anamnestic response after the booster dose.
  • Children with undetectable pre-booster anti-HBs levels (<1 IU/L) had a significantly lower early response rate (85%) compared to those with detectable levels (90%).
  • Absence of early response was predicted by undetectable anti-HBs, rural residence, and older age (15-16 years). After one year, 15% lost their response, predicted by poor early response and undetectable pre-booster anti-HBs.

Conclusions:

  • Immunological memory for HBV vaccine persists even when anti-HBs antibody levels decline or become undetectable.
  • The HBV vaccination program provides effective long-term protection, highlighting the robustness of immune memory.
  • Booster doses may not be necessary for healthy children, as their immune system retains memory of the vaccine.
Abstract

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