Impaired Response to Recombinant Hepatitis B Vaccine in HIV‐Infected Persons
作者:
Miguel Bruguera,
Manuel Cremades,
Ramón Salinas,
Josep Costa,
Montserrat Grau,
Jordi Sans,
期刊:
Journal of Clinical Gastroenterology
(OVID Available online 1992)
卷期:
Volume 14,
issue 1
页码: 27-30
ISSN:0192-0790
年代: 1992
出版商: OVID
关键词: Acquired immune deficiency syndrome;Hepatitis B vaccine;Human immunodeficiency virus
数据来源: OVID
摘要:
Surgicale studied the immunogenicity of the standard schedule of recombinant hepatitis B vaccine (20 μmUg per dose at months 0, 1, and 6) in 21 anti-human immunodeficiency virus (HIV)-positive persons. Relatively low titers of anti-HBs developed in only five subjects (23.8%) 1 month after the third dose; all five had T4 cell counts greater than 700 cells/mm and none of the 11 subjects with a T4 cell count below this value responded. Five of the 16 nonresponders to the vaccine later had acquired immunodeficiency syndrome (AIDS)-related complex (two) and AIDS (three), while none of the responders did. Our results show that anti-HIV–positive persons are poor responders to the recombinant hepatitis B vaccine, and that the absence of a response is an indicator of a more severe immune deficiency and of a poor prognosis. An optimal regimen of hepatitis B vaccination in HIV-infected persons is still to be established.
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