首页|不同频次接种史对复种狂犬病疫苗2-1-1方案再次免疫的影响

不同频次接种史对复种狂犬病疫苗2-1-1方案再次免疫的影响

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目的 观察不同频次狂犬病疫苗接种史对复种狂犬病疫苗2-1-1方案再次免疫的影响.方法 试验对象为南京市第二医院急诊科动物咬伤门诊的狂犬病疫苗接种人群,根据不同频次狂犬病疫苗接种史人群分为3组:A组为对照组,既往无狂犬病疫苗接种史的初种人群,入组30人;B组为仅有1次全程狂犬病疫苗接种史并且超过3年的复种人群,入组20人;C组为有2次全程狂犬病疫苗接种史并且超过3年的复种人群,入组10人.观察指标包括狂犬病病毒抗体滴度和阳性率.结果 在第0天时,拥有2次接种史的C组人群体内狂犬病病毒抗体在本次复种狂犬病疫苗之前仍然保持了 100%的阳性率,然而只有1次接种史的B组人群只有大约50%的阳性率,两者之间差异有统计学意义(x2=37.125,P<0.05),无接种史的A组人群血清狂犬病病毒抗体均是阴性.C组人群体内抗体滴度在复种狂犬病疫苗后的升高速度和滴度水平均明显高于B组和A组人群,而且C组人群在0、7d时抗体滴度和阳性率方面与B组、A组人群之间差异均有统计学意义(P均<0.05).45 d时3组间阳性率差异无统计学意义(x2=1.069,P>0.05),但是抗体滴度差异仍有统计学意义(x2=11.224,P<0.05).结论 不同频次狂犬病疫苗接种史的人群复种狂犬病疫苗前后体内狂犬病抗体水平差异有统计学意义,有必要根据不同频次预防接种史探索更加优化的复种狂犬病疫苗方案.
The impact of different frequency of vaccination history on the immunity of revaccination of rabies vaccine 2-1-1 regimen
Objective To observe the impact of different frequency of vaccination history on the immunity of revaccination of rabies vaccine 2-1-1 regimen.Methods The volunteers were divided into three groups according to the different times of rabies vaccination history,group A as control group without rabies vaccination history,group B with only one history of full-course rabies vaccination more than 3 years ago,group C with two histories of vaccination more than 3 years ago.The observation indexes included rabies antibody titer and positive rate.Results The positive rate of rabies antibody of group C with two histories of vaccination was 100 percent before re-immunization on day 0,however,the positive rate of group B with only one vaccination history was around 50 percent,which showed statistical differences between them(x2=37.125,P<0.05),and rabies virus antibodies were all negative in group A without vaccination history.The increase rate and titer level of antibody in group C were higher than those in groups B and A after revaccination,and there were statistical differences among them on day 0 and the 7th day(P<0.05 both in positive rate and titer).There were no statistical differences in the positive rate among the three groups on the 45th day(x2=1.069,P>0.05),but there were still statistical differences in antibody titer among them(x2=11.224,P<0.05).Conclusion There were statistical differences in antibody level among groups with different times of rabies vaccination history before and after re-immunization of rabies vaccine,and it was necessary to probe a more optimized post-exposure re-immunization regimen of rabies vaccine according to the different times of rabies vaccination history.

Rabies vaccineRe-immunizationExperimental research

蒋学友、裴学玉、卓九五、薛松林

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东南大学附属第二医院(南京市第二医院)急诊科,江苏南京 210003

狂犬病疫苗 再次免疫 试验研究

江苏省卫生厅预防医学科研课题

Y2012075

2024

热带医学杂志
广东省寄生虫学会 中华预防医学会

热带医学杂志

CSTPCD
影响因子:0.643
ISSN:1672-3619
年,卷(期):2024.24(1)
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