Safety and immunogenicity of a diphtheria, tetanus, and acellular pertussis-inactivated poliovirus vaccine/Haemophilus influenzae type B combination vaccine administered to Taiwanese infants at 2, 4, and 6 months of age.

Safety and immunogenicity of a diphtheria, tetanus, and acellular pertussis-inactivated poliovirus vaccine/Haemophilus influenzae type B combination vaccine administered to Taiwanese infants at 2, 4, and 6 months of age.
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白喉、破伤风和无细胞百日咳灭活脊髓灰质炎病毒疫苗/B 型流感嗜血杆菌联合疫苗给 2、4 和 6 个月大的台湾婴儿注射的安全性和免疫原性。

DOI:
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发表时间:
2003
期刊:
Chang Gung medical journal
影响因子:
--
通讯作者:
H. Bock
H. Bock
中科院分区:
--
文献类型:
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作者:
Tzou;Ying;Luan;C. Chiu;Yhu;Haiwen Tang;H. Bock

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背景 迫切需要联合疫苗,以确保符合越来越多的儿童推荐疫苗的要求。我们评估了给 2、4 和 6 个月大的婴儿接种白喉、破伤风和无细胞百日咳灭活脊髓灰质炎病毒疫苗/b 型流感嗜血杆菌 (DTaP-IPV/Hib) 联合疫苗的安全性和抗体反应。 方法 招募了 60 名 6 至 12 周龄的健康婴儿。一组疫苗单次注射接受 DTaP-IPV/Hib,而另一组在不同的注射部位同时接受 DTaP-IPV 和 Hib。通过父母的观察来监测所引起的不良事件,并将其记录在日记卡上。在第一剂疫苗接种前和第三剂疫苗接种后 1 个月收集针对 DTaP 和聚核糖基核糖醇磷酸酯破伤风 (PRP-T) 抗原的血清抗体水平。 结果 与单独注射组相比,联合注射组的局部反应往往较低,并且反应原性没有增加。除联合注射组的抗脊髓灰质炎 2 抗体 (96.4%) 外,两组所有抗原的血清转化率均为 100%。联合注射组的PRP抗体水平(8.45微克/毫升)低于单独注射组(20.61微克/毫升)。然而,两组中达到 PRP 抗体保护水平(≥ 0.15 微克/毫升或≥ 1.0 微克/毫升)的疫苗百分比相似。 结论 使用 2、4 和 6 个月的疫苗接种计划,可以安全有效地对健康婴儿施用 DTaP-IPV/Hib。这种联合疫苗具有成本效益,更容易被父母和医生接受,并最大限度地减少婴儿的痛苦。
BACKGROUND Combined vaccines are urgently needed to ensure compliance with the increasing number of recommended vaccines for children. We evaluated the safety and antibody response to a diphtheria, tetanus, and acellular pertussis-inactivated poliovirus vaccine/Haemophilus influenzae type b (DTaP-IPV/Hib) combination vaccine administrated to infants at 2, 4, and 6 months of age. METHODS Sixty healthy infants between 6 and 12 weeks of age were enrolled. One group of vaccines received the DTaP-IPV/Hib in a single injection, while another group concurrently received DTaP-IPV and Hib at separate injection sites. Solicited adverse events were monitored by parental observation and were recorded on a diary card. Levels of serum antibodies to DTaP and polyribosyl-ribitolphosphate-tetanus (PRP-T) antigens were collected before the first vaccine dose and 1 month after the third vaccine dose. RESULTS The combined-injection group tended to have lower local reactions, and there was no increase in reactogenicity when compared with the separate-injection group. Seroconversion rates were 100% in both groups for all antigens, except for the anti-polio 2 antibody in the combined-injection group (96.4%). The combined-injection group had lower antibody levels of PRP (8.45 microg/ml) than did the separate-injection group (20.61 microg/ml). However, the percentage of vaccines achieving protective levels of antibody to PRP (> or = 0.15 microg/ml or > or = 1.0 microg/ml) was similar in both groups. CONCLUSIONS DTaP-IPV/Hib may be safely and effectively administered to healthy infants, using a 2-, 4-, and 6-month vaccination schedule. This combined vaccine is cost-effective, more acceptable to parents and physicians, and minimizes distress to infants.
DOI: 10.1056/nejm199602083340602
发表时间: 1996-02-08
影响因子: 158.5
作者:
Gustafsson, L;Hallander, HO;Storsaeter, J
通讯作者: Storsaeter, J
由无细胞百日咳疫苗组成的联合疫苗。
DOI: 10.1097/00006454-199704001-00005
发表时间: 1997
期刊: The Pediatric infectious disease journal
影响因子: --
作者:
Edwards,KM;Decker,MD
通讯作者: Decker,MD