A live varicella vaccine in a pediatric community.

Biken journal Pub Date : 1984-09-01
H Yabuuchi, K Baba, N Tsuda, S Okada, O Nose, Y Seino, K Tomita, K Ha, T Mimaki, M Ogawa
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Abstract

A total of 663 children with various underlying diseases were immunized with a live varicella vaccine at the vaccine clinic of Osaka University Hospital during a period of seven years from October, 1975. Clinical reactions after vaccination occurred in 32.4% (24/74) of the children with malignancies and in 0.3% (2/591) of those in other groups. Vaccine-induced immunity was detected for more than 6 years, by FAMA (fluorescent antibody to membrane antigen) and IAHA (immune adherence hemagglutination) tests, and a skin-test for varicella-zoster virus (VZV). During an observation period of more than 7 years, clinical varicella developed in 12 children, 8 of whom were in the group with malignancies. Zoster occurred in only 4 (9.1%) of 44 vaccinees with acute leukemia, this incidence being significantly less (p less than 0.05) than that (21.6%, 8/37) in un-vaccinated leukemic children.

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儿童社区的水痘活疫苗。
从1975年10月起的七年间,在大阪大学医院的疫苗诊所,共有663名患有各种潜在疾病的儿童接种了水痘活疫苗。恶性肿瘤患儿接种后临床反应发生率为32.4%(24/74),其他组为0.3%(2/591)。通过FAMA(膜抗原荧光抗体)和IAHA(免疫粘附血凝)试验以及水痘-带状疱疹病毒(VZV)皮肤试验,检测疫苗诱导免疫已有6年多的时间。在7年多的观察期间,12例儿童出现临床水痘,其中8例为恶性肿瘤组。44例接种疫苗的急性白血病患儿中,带状疱疹发生率仅有4例(9.1%),显著低于未接种疫苗的白血病患儿(21.6%,8/37)(p < 0.05)。
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