新生儿乙型肝炎疫苗全程免疫后抗-HBs低应答者的长期随访Long-term Follow-up of 28 Cases of Low Anti-HBs Response or Nonresponsiveness to Hepatitis B Vaccine
曹惠霖,贾志远,刘崇柏,颜天强,王继杰,马景臣
摘要(Abstract):
为了解新生儿乙型肝炎(乙肝)疫苗全程免疫后抗-HBs低应答者的再感染情况和转归,为免疫预防措施提供依据,选取乙肝疫苗全程免疫后抗-HBs低应答者28例进行长期血清流行病学随访.结果有12例(42.86%)仍是HBsAg、抗-HBs和抗-HBc三项全阴性,也未发现HBV感染指征;5例(17.86%)出现了单项抗-HBsS/N值≥10.0以上的应答;11例(36.4%)发生HBV感染,其中4例(36.4%)变为持续阳性者,有1例为HBsAg阳性可能仍属母婴阻断失败者。表明抗-HBs低应答是个暂时现象,多数有潜伏感染,但预后是好的.
关键词(KeyWords): 乙型肝炎疫苗免疫;抗-HBs低应答;长期随访
基金项目(Foundation):
作者(Author): 曹惠霖,贾志远,刘崇柏,颜天强,王继杰,马景臣
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