[The immunogenicity of the Heberbiovac-HB vaccine in children]
M Díaz González1, A Chiang Macía, D Díaz Acosta
1Instituto de Medicina Tropical Pedro Kourí.
Insights
The Cuban recombinant hepatitis B vaccine (HBV) is highly immunogenic in children under 15. This vaccine demonstrates 100% seroconversion and protective antibody titers, making it recommendable for HBV protection.
Area of Science:
- Immunology
- Vaccinology
- Public Health
Background:
- Hepatitis B virus (HBV) infection is a significant global health concern.
- Effective vaccination strategies are crucial for preventing HBV transmission, especially in pediatric populations.
- Recombinant vaccines offer a safe and effective approach to hepatitis B immunization.
Purpose of the Study:
- To evaluate the immunogenicity of a Cuban recombinant hepatitis B vaccine in children under 15 years of age.
- To assess seroconversion rates and protective antibody titers following vaccination.
- To compare vaccine response across different age groups within the pediatric cohort.
Main Methods:
- A cohort of children under 15 received a 10 µg dose of the Cuban recombinant hepatitis B vaccine following a 0, 1, and 6-month schedule.
- Immunogenicity was assessed at 2, 7, and 12 months post-vaccination.
- Key metrics included seroconversion rates, antibody titers (UI/L), and geometric mean titers (GMT).
Main Results:
- The vaccine achieved 100% seroconversion in all vaccinated children.
- High percentages of participants attained protective antibody titers (>100 UI/L) at various time points (65.9% at 60 days, 100% at 210 days, 83.5% at 360 days).
- Preschool and school-aged children showed significantly higher antibody responses compared to those over 10 years old (p < 0.05).
Conclusions:
- The Cuban recombinant hepatitis B vaccine exhibits high immunogenicity and induces protective antibody levels in children under 15.
- The vaccine is well-tolerated and effective in preventing hepatitis B virus infection across the studied pediatric age groups.
- The findings support the recommendation of this vaccine for the protection of children against hepatitis B.
Abstract:
The Cuban recombinant vaccine against hepatitis B virus was applied with doses of 10 ìg to children under 15 in a scheme from 0, 1 to 6 months. The immunogenicity was evaluated at 2, 7, and 12 months and showed 100% of seroconversion with protective titres. 65.9, 100, and 83.5% of the vaccinated attained titres higher that 100 UI/L at 60, 210, and 360 days. The geometrical mean was of 213.6, 8208.2, and 568.0 UI/L, respectively. All the groups obtained 100% of seroconversion; however, there were significant differences (p < 0.05) in favor of the preschool and school children compared with those over 10 as regards the response level (titres higher than 100 UI/L) and the geometrical mean of antibody titres in the 3 samples. It was demonstrated the high immunogenic power of the vaccine at these ages, which makes it recommendable for their protection against the hepatitis B virus (HBV).
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