Oral, inactivated, whole cell enterotoxigenic Escherichia coli plus cholera toxin B subunit vaccine: results of the initial evaluation in children. PRIDE Study Group.
Oral, inactivated, whole cell enterotoxigenic Escherichia coli plus cholera toxin B subunit vaccine: results of the initial evaluation in children. PRIDE Study Group.
复制标题
口服灭活全细胞产肠毒素大肠杆菌加霍乱毒素 B 亚单位疫苗:儿童初步评估结果。
DOI:
10.1086/314543
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发表时间:
1999
期刊:
影响因子:
--
通讯作者:
Clemens,JD
中科院分区:
文献类型:
--
作者:
Savarino,SJ;Hall,ER;Bassily,S;Brown,FM;Youssef,F;Wierzba,TF;Peruski,L;El-Masry,NA;Safwat,M;Rao,M;ElMohamady,H;Abu-Elyazeed,R;Naficy,A;Svennerholm,AM;Jertborn,M;Lee,YJ;Clemens,JD
Two randomized, double-blinded trials assessed the safety and immunogenicity of an oral, killed enterotoxigenicEscherichia coli(ETEC) plus cholera toxin B subunit vaccine in Egyptian children. Two doses of vaccine orE. coliK-12 were given 2 weeks apart to 105 6- to 12-year-olds and 97 2- to 5-year-olds. Safety was monitored for 3 days after each dose. Blood was collected before immunization and 7 days after each dose to measure immune responses. Few children reported postdosing symptoms, with no differences in the frequency of symptoms between treatment groups. Most vaccinees had an IgA antibody—secreting cell response against colonization factor antigen I (100%, 6–12 years; 95%, 2–5 years), coli surface antigen 2 (92%, 6–12 years; 83%, 2–5 years), and coli surface antigen 4 (93%, 6–12 years). Vaccination evoked a ⩾4-fold rise in antitoxic IgA and IgG titers in 93% and 81% of children, respectively. In conclusion, the oral ETEC vaccine was safe and immunogenic in 2- to 12-year-old children, justifying further evaluation in infants.