Simultaneous active and passive immunization against hepatitis A studied in a population of travellers.

Details

Serval ID
serval:BIB_585D0BF2C884
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Simultaneous active and passive immunization against hepatitis A studied in a population of travellers.
Journal
Vaccine
Author(s)
Wagner G., Lavanchy D., Darioli R., Pécoud A., Brulein V., Safary A., Frei P.C.
ISSN
0264-410X
Publication state
Published
Issued date
1993
Peer-reviewed
Oui
Volume
11
Number
10
Pages
1027-1032
Language
english
Abstract
Three hundred travellers, seronegative for hepatitis A, were enrolled into this study to evaluate a new inactivated hepatitis A vaccine. Three injections, each containing at least 720 ELISA units, were administered intramuscularly at months 0, 1 and 6. The subjects were distributed into three groups: 100 received vaccine only; 100 received a single injection of immunoglobulin enriched in HAV antibody; and the 100 remaining travellers received the vaccine and immunoglobulin administered simultaneously with the first vaccine dose. In both vaccinated groups, the rate of seroconversion was found to be higher than 90% at month 1, reaching 100% and 97.8% at month 2 in groups 1 and 3, respectively, and 100% at month 7. In the group receiving both vaccine and immunoglobulin, antibody production was somewhat slower and the final titres were, on average, slightly lower than those obtained in the group with the vaccine alone (GMT 2488 and 3614 mIU ml-1 respectively; p = 0.02). The vaccine appeared to be highly immunogenic in all subjects and was also well tolerated. The slight inhibition of antibody production, induced by the concurrent administration of immunoglobulin, does not affect the overall protection afforded by the vaccine. We conclude that simultaneous active and passive hepatitis A immunizations can be recommended.
Keywords
Adolescent, Adult, Alanine Transaminase, Female, Hepatitis A, Hepatitis A Antibodies, Hepatitis A Vaccines, Hepatitis Antibodies, Hepatovirus, Humans, Immunization, Passive, Male, Middle Aged, Vaccination, Vaccines, Inactivated, Viral Hepatitis Vaccines
Pubmed
Web of science
Create date
28/01/2008 12:59
Last modification date
20/08/2019 15:12
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