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Antibody Responses to Four Haemophilus influenzae Type b Conjugate Vaccines
H. Käyhty, PhD;
J. Eskola, MD;
H. Peltola, MD;
P-R. Rönnberg, RN;
E. Kela, RN;
V. Karanko, RN;
L. Saarinen, MSc
Am J Dis Child. 1991;145(2):223-227.
Abstract
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Serum antibody responses to four Haemophilus influenzae type b capsular polysaccharide-protein conjugate vaccines (PRP-D, HbOC, C7p, and PRP-T) were studied and compared in 175 infants, 85 adults, and 140 2-year-old children. Antibodies to the H influenzae type b polysaccharide vaccines were determined with a Farr-type radioimmunoassay. The infants received two doses of vaccine at the ages of 4 and 6 months. After the first dose of vaccine, the geometric mean antibody concentration measured at the age of 6 months was 0.09 to 0.10 mg/L, only marginally higher than that measured before immunization in all infants who had received PRP-D, HbOC, or C7p but increased to 0.82 mg/L in those who had received PRP-T. One month after the second dose, the geometric mean antibody concentration was increased in all vaccine groups. No significant differences were noted between recipients of HbOC, C7p, or PRP-T (geometric mean antibody concentrations, 4.32,3.10, and 6.10 mg/L, respectively), whereas the PRP-D recipients had a significantly lower geometric mean antibody concentration (0.63 mg/L). In contrast, PRP-D, HbOC, C7p, and PRP-T were all highly immunogenic in adults, with no differences noted among them. The 2-year-old children also responded to one dose of these vaccines with a high antibody concentration.
(AJDC. 1991;145:223-227)
Author Affiliations
From the Department of Bacteriology, National Public Health Institute, Helsinki, Finland.
Footnotes
Accepted for publication May 30, 1990.
Reprint requests to National Public Health Institute, Manner-heimintie 166, 00300 Helsinki, Finland (Dr Eskola).
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