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婴幼儿对乙肝疫苗低应答和无应答对策的研究
引用本文:龚晓红,邢玉兰,刘立荣,康沛,徐凤美,张瑞琴,敦哲,郑全良,张震,李立琴.婴幼儿对乙肝疫苗低应答和无应答对策的研究[J].疾病监测,1998,13(12):447-450.
作者姓名:龚晓红  邢玉兰  刘立荣  康沛  徐凤美  张瑞琴  敦哲  郑全良  张震  李立琴
作者单位:1.北京市卫生防疫站;
摘    要:本文对101名低、无应答儿童采用不同方案加强免疫,进行随机对照前瞻性研究观察,表明,对母亲HBsAg阳性的低、无应答婴幼儿采用注射分枝杆菌多糖与乙肝疫苗(30μg×3)联合应用,免后1年抗体阳转率可达90%左右;对母亲HBsAg阴性的低、无应答婴幼儿采用加强1支10μg乙肝疫苗,可使近一半婴幼儿产生抗-HBs。利用PCR检测低、无应答者的HBV-DNA,仅有3.85%为HBV感染者,母亲为HBsAg阳性者的无应答婴幼儿若不进行加强免疫,仍存在着HBV感染的危险性。

关 键 词:低应答    无应答    乙肝疫苗    分枝杆菌多糖
收稿时间:1998-06-24

Study on Strategy with Low-and Non-Response to HBV Vaccine in Infants
Gong Xiaohong,et al.Study on Strategy with Low-and Non-Response to HBV Vaccine in Infants[J].Disease Surveillance,1998,13(12):447-450.
Authors:Gong Xiaohong  
Affiliation:1.Beijing Sanitaiton and Anti-epidemic Station;Beijing 100013
Abstract:In order to explore the best boaster strategy for children with low-and non-response to HBV vaccine, a randomized controlled trial for evaluation of simple HBV vaccine (30μg×3) and HBV vaccine (30μg×3) combined with Mycobacteria Phlei Polysaccharides (MPS, MPS-A 20μg/ml×15, MPS-B 2μg/ml×15) was conducted in 59 infants of HBsAg positive mothers. The infants with low-and non-response were tested for HBV-DNA using PCR, only 3.8% were infected with HBV, most of the infants were free of HBV infecion. Therefore,the booster vaccination with the HB vaccine and MPS was necessary,especially for children of HBsAg positive mothers.
Keywords:Low-and non-response  HB vaccine  MPS  
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