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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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