在C型肝炎根除后,重新接种B型肝炎疫苗给以前没有反应的患者
Jesse G Powell1, Spencer R Goble2, Jose D Debes1,3
1Department of Gastroenterology and Hepatology, Hennepin Healthcare, Minneapolis, Minnesota, USA.
The Journal of infectious diseases
|July 31, 2023
概括
慢性型肝炎病毒 (HCV) 患者没有对乙型肝炎病毒 (HBV) 疫苗产生反应,在HCV治疗后再接种疫苗后,其抗体水平有所改善. 这表明再接种疫苗对这个患者群体有好处.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 免疫学 免疫学 免疫学
- 疫苗学 疫苗学 疫苗学
背景情况:
- 患有慢性型肝炎病毒 (HCV) 感染的患者对乙型肝炎病毒 (HBV) 接种疫苗的免疫反应减弱.
- 这种受损的反应需要探索替代疫苗接种策略,以便在HCV患者中有效预防HBV.
研究的目的:
- 为了评估之前没有反应的患者在成功治疗HCV后,用HBV疫苗重新接种疫苗的疗效.
- 要确定在HCV中实现持续病毒学反应 (SVR) 是否可以恢复对HBV疫苗接种的反应.
主要方法:
- 一项前性研究招募了先前没有对HBV疫苗产生反应的患者和有HCV病史的患者.
- 患者在实现HCV根除后接受HBV再接种疫苗.
- 测量乙型肝炎表面抗体 (HBsAb) 水平是在疫苗接种系列完成后的一个月.
主要成果:
- 在34名注册患者中,31人完成了随访HBsAb测试.
- 显著的比例,21名患者 (67.7%),在再接种疫苗后显示出反应性HBsAb水平.
- 在HBsAb反应性和患者人口统计 (年龄,性别,种族) 或晚期纤维化之间没有发现显著的关联.
结论:
- 在成功治疗HCV后,重新接种HBV疫苗可以在以前没有反应的人中引起保护性免疫反应.
- 这些发现支持考虑对已经清除HCV感染的患者进行HBV再接种疫苗.
- 在HCV患者中优化HBV疫苗策略对于预防HBV/HCV共感染及其并发症至关重要.
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