乙型肝炎疫苗的长期免疫性和辅助疫苗政策:意大利多中心研究
Alessandro Remo Zanetti1, Andrea Mariano, Luisa Romanò
1Istituto di Virologia, Università di Milano, Milan, Italy. alessandro.zanetti@unimi.it
Lancet (London, England)
|October 18, 2005
概括
意大利的乙型肝炎疫苗在大多数婴儿和青少年中提供了超过10年的长期免疫力. 通常不需要强剂量来维持对乙型肝炎病毒的保护.
科学领域:
- 免疫学 免疫学 免疫学
- 疫苗学 疫苗学 疫苗学
- 公共卫生 公共卫生
背景情况:
- 1991年,意大利开始为婴儿和青少年提供B型肝炎疫苗接种.
- 一项多中心研究评估了长期免疫力和在接种疫苗后十年内需要补充剂量的需要.
研究的目的:
- 为了评估初级乙型肝炎疫苗接种后免疫的持续时间.
- 确定是否需要增剂剂量以获得持续的保护.
主要方法:
- 测量了1212名儿童和446名青少年10年前接种疫苗的抗HBs和抗HBc抗体度.
- 向抗HBs<10 IU/L和重新评估的抗体水平的个体给予增强剂量.
主要成果:
- 64%的儿童和89%的青少年在10年后仍然保持了抗HBs保护水平 (>10 IU/L).
- 强增剂量在有低抗体水平的97%儿童和96%青少年中引起了历史回应.
结论:
- 一个强大的免疫记忆在初级乙型肝炎疫苗接种后持续很长时间.
- 增强剂可能是不必要的,以确保对乙型肝炎的长期保护.
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