纵向感染艾滋病毒的人对儿童接种疫苗的免疫反应:长期评估
Annachiara Zin1, Elisa Barbieri1, Giulia Brigadoi1
1Division of Pediatric Infectious Diseases, Department of Women's and Children's Health, University of Padua, 35128 Padua, Italy.
Vaccines
|August 28, 2025
概括
随着时间的推移,患有周围感染的艾滋病毒感染者 (PLHIV) 的疫苗免疫力显著下降. 这凸显了需要进行强制注射和监测,以确保长期预防传染病.
科学领域:
- 免疫学
- 传染性疾病
- 公共卫生
背景情况:
- 艾滋病毒感染者 (PLHIV) 常常对疫苗的免疫反应减弱,即使有有效的抗逆转录病毒疗法 (ART).
- 有限的数据表明,在垂直获得的艾滋病毒感染者中,疫苗诱导的免疫持续时间有限.
研究的目的:
- 在垂直感染的PLHIV中评估对常规儿童疫苗的幽默免疫的持久性.
- 确定影响该群体长期免疫反应的因素.
主要方法:
- 对85个垂直感染的PLHIV进行横截面观察研究.
- 针对腹膜炎,破伤风,麻疹,,风疹和乙型肝炎 (HBV) 的抗体进行回顾性血清检测.
- 疫苗接种后2年,5年,10年和20年的血清保护率分析;多变量分析预测因素.
主要成果:
- 所有测试疫苗的血清保护率随着时间的推移显著下降.
- 乙型肝炎疫苗的反应特别差,仅有7. 5%的患者在20年后保持保护.
- 接种疫苗后的时间是免疫力减弱的唯一重要预测因素.
结论:
- 垂直感染的PLHIV体现出疫苗诱导的免疫力不足且迅速下降.
- 针对这一高风险群体的定制免疫策略,包括增剂和血清监测,至关重要.
- 这些发现强调了在PLHIV中保持对疫苗可预防疾病的保护性免疫的重要性.
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