Effects of vertical HIV infection on the persistence of anti-HBs after a schedule of three doses of recombinant hepatitis B vaccine

被引:15
作者
Fernandes, Sergio Julio [1 ]
Slhessarenko, Natasha [2 ]
Dutra Souto, Francisco Jose [2 ]
机构
[1] Secretaria Saude Estado Mato Grosso, BR-78020500 Cuiaba, MT, Brazil
[2] Univ Fed Mato Grosso, Fac Ciencias Med, BR-78060900 Cuiaba, MT, Brazil
关键词
perinatal HIV; transmission; hepatitis B vaccine; children;
D O I
10.1016/j.vaccine.2007.12.020
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Anti-HBs persistence following HBV vaccination among HIV-positive children has never been systematically studied in central Brazil. An historical cohort study was performed aiming to evaluate persistence of anti-HBs in HIV-positive children in comparison with an HIV-negative child group. Fifty-eight HIV-positive and 116 HIV-negative individuals were enrolled. Birth weight, breast-feeding duration, and the time elapsed since the Last hepatitis B vaccine doses were similar between the groups. Fourteen (24%) out of 58 HIV-positive participants were anti-HBs positive and 101 (87%) out of 116 were HIV-negative (p<0.001). Among anti-HBs-positive individuals, the geometric mean titres were 118 and 298 mlU/mL, respectively to HIV-positive and HIV-negative groups (p=0.04). These results disclose a worrying picture regarding the failure of standard HBV vaccination among Brazilian HIV-infected children. (c) 2007 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1032 / 1037
页数:6
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