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Immunization aganist hepatitis B in children from endemic zone: evaluation of the antibody response against the DNA recombinant vaccine (Engerix B-20 mcg) Imunização contra Hepatite B em crianças de zona endêmica: avaliação da resposta de anticorpo à vacina HB recombinante (Engerix B-20mcg)

Authors: C.R.B. Ferreira; C.F.T. Yoshida; L.A.C. Mercadante; D.F. Gomes; J.M. Oliveira; M.S. França; M. Sidoni; +4 Authors

Immunization aganist hepatitis B in children from endemic zone: evaluation of the antibody response against the DNA recombinant vaccine (Engerix B-20 mcg) Imunização contra Hepatite B em crianças de zona endêmica: avaliação da resposta de anticorpo à vacina HB recombinante (Engerix B-20mcg)

Abstract

A previous seroepidemiological study in the rural zone of Vargem Alta (ES) SouthEast of Brazil, showed a prevalence of up to 9% of hepatitis B surface antigen (HBsAg) in some areas. One hundred susceptible children aging 1 to 5 years old were selected and immunized with a recombinant DNA hepatitis B vaccine (Smith-Kline 20 mcg) using the 0-1-6 months vaccination schedule. Blood samples were collected at the time of the first vaccine dose (month 0) in order to confirm susceptible individuals and 1,3,6 and 8 months after the first dose , to evaluate the antibody response. Our results showed that two and five months after the second dose, 79% and 88% of children seroconverted respectively, reaching 97% after the third dose. The levels of anti-HBs were calculated in milli International Units/ml (mIU/ml) and demonstrated the markedly increase of protective levels of antibodies after the third dose. These data showed a good immunogenicity of the DNA recombinant hepatitis B vaccine when administered in children of endemic areas.Um estudo soroepidemiológico prévio na zona rural de Vargem Alta (ES) - Sudeste do Brasil, mostrou uma predominância de até 9% do antígeno de superfície da Hepatite B (HBsAg). Foram selecionadas 100 crianças com faixa etária entre 1 e 5 anos de idade, as quais foram imunizadas com vacina contra Hepatite B -DNA recombinante (Smith-Kline,20 mcg) nos meses 0,1 e 6. Foram coletadas amostras de sangue antes da primeira dose da vacina (mês 0) para confirmação dos susceptíveis, e nos meses 1,3,6 e 8 após a vacinação para avaliação da resposta vacinai. Os resultados mostraram que 79 e 88% das crianças apresentaram soroconversão dois e cinco meses após a segunda dose respectivamente, atingindo 97% de soroconversão, após a 3a.dose. Os níveis de anti-HBs foram calculados em miliunidades internacionais/ml (mUI/ml), demonstrando um considerável aumento dos níveis de anticorpos protetores após a 3a. dose. Os resultados demonstraram uma boa imunogenicidade da vacina de DNA recombinante contra hepatite B, quando administradas em crianças de áreas endêmicas.

Keywords

Immune response-children, Arctic medicine. Tropical medicine, hepatitis B recombinant vaccine, RC955-962, DNA recombinant vaccine, Infectious and parasitic diseases, RC109-216, Anti-HBs

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
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