阴道分娩和母乳养有益于婴儿对乙型肝炎疫苗的免疫反应:一项前性队列研究
Huiqing Liu1, Lili Li2, Yali Li1
1Jinchang Municipal Center for Disease Control and Prevention, Jinchang, Gansu, China.
Journal of clinical and translational hepatology
|July 6, 2023
概括
自然的阴道分娩和母乳养可以增强婴儿对乙型肝炎疫苗 (HepB) 的免疫反应. 剖腹产和配方食与新生儿的疫苗反应减少有关.
科学领域:
- 免疫学 免疫学 免疫学
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 婴儿免疫系统的发展受到分娩和养方法的影响.
- 对疫苗的免疫反应与婴儿的整体免疫状态有关.
研究的目的:
- 调查分娩方式和婴儿养实践对B型肝炎疫苗 (HepB) 免疫反应的影响.
主要方法:
- 一项前性队列研究涉及1,254名完成乙型肝炎免疫接种的婴儿.
- 集群抽样被用于招募2018-2019年间出生的婴儿.
- 使用后勤回归分析来确定对HepB.无反应和低反应的风险因素.
主要成果:
- 剖腹产分娩和较低的出生体重 (<3.18公斤) 是对不响应HepB.的显著风险因素.
- 剖腹产,配方养,母亲的抗HBs消极性,父亲的HepB无反应史,以及低出生体重 (<3.22公斤) 与对HepB的免疫反应较低有关.
- 1.59%的婴儿没有反应,而10.05%的婴儿对HepB疫苗反应较低.
结论:
- 自然的阴道分娩和母乳养积极影响婴儿对乙型肝炎疫苗的免疫反应.
- 修改分娩和养模式可能会提高婴儿接种疫苗的响应能力,特别是考虑到出生体重等不可修改的因素时.
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