Study of specific immune response to unadsorbed concentrated tetanus vaccine administered by intradermal route to non-immunized persons in the last ten years.

G Dimache, C Stoean, S Durbacă, M Croitoru, M Ionescu, I N Nedelcu, I Corbu
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Abstract

Investigations of anti-tetanus response, in 404 subjects, most of them aged 60, being non-immunized for at least 10 years, stressed out the fact that 28.7% were not protected and 6.18% presented a protecting titer of 0.01 IU/ml, evaluated by "in vivo" protection test in mice. Some subjects were immunized with unadsorbed Tetanus vaccine (10 Lf/0.1 ml/dose) by i.d. route, using Jet-injector, and the others with adsorbed Tetanus vaccine (0.5 ml/dose), by i.m. route, using the needle and syringe. The vaccines were well tolerated and adverse reactions were not recorded. After 30 days, a single vaccine dose produced a protecting effect in 97.45% of non-protected subjects, belonging to i.d. immunized group, and also in 93.33% belonging to i.m. immunized group. 30 days after the administration of a second dose, protection set up in all subjects, no matter of vaccine type and administration route used. For a continuous reduction of tetanus morbidity, the authors suggest a specific periodical immunization of non-protected persons, selected by serological screening, using unadsorbed Tetanus vaccine, administered by i.d. route by means of the Jet-injector.

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近十年未免疫人群皮内注射未吸附破伤风浓缩疫苗特异性免疫反应的研究。
对404例患者(多为60岁,至少10年未接种)的抗破伤风反应调查,强调了28.7%的人未被保护,6.18%的人通过小鼠“体内”保护试验评估其保护效价为0.01 IU/ml。部分受试者接种无吸附破伤风疫苗(10 Lf/0.1 ml/剂),采用id免疫途径,使用喷射注射器;其余受试者接种吸附破伤风疫苗(0.5 ml/剂),采用im免疫途径,使用针头和注射器。疫苗耐受性良好,无不良反应记录。30 d后,97.45%的未接种组和93.33%的未接种组接种单剂疫苗产生保护作用,属于免疫组,属于免疫组。注射第二剂后30天,所有受试者,无论疫苗类型和使用的给药途径,均建立保护。为了持续降低破伤风发病率,作者建议对未受保护的人进行特定的定期免疫接种,通过血清学筛查选择,使用未吸附的破伤风疫苗,通过注射方式进行注射。
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