[北京市顺义区乙肝疫苗预防乙肝病毒母婴传播效果分析]。

中国疫苗和免疫 Pub Date : 2010-04-01
Wen-zeng Zhang, Chang-qing Li, Guo-qiang Ji
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引用次数: 0

摘要

目的:评价北京市顺义区乙型肝炎疫苗预防乙型肝炎病毒母婴传播(MTCT)免疫策略的效果。方法:收集2005-2008年母亲为HBsAg携带者或母亲为HBsAg + HBeAg携带者所生儿童的血清监测资料。分析乙肝表面抗原(HBsAg)阳性率、抗乙肝抗体(anti-HBs)阳性率、抗乙肝抗体(anti-HBc)阳性率及保护率。结果:223名母亲为HBsAg携带者和HBeAg携带者或HBsAg携带者所生儿童按北京市乙肝疫苗免疫策略接种。HBV感染率为1.18%,HepB保护率为98.61%。母亲为HBsAg携带者和HBeAg携带者所生子女的HBV感染率高于母亲为HBsAg携带者所生子女的HBV感染率。抗体阳性率为84.71%。不同年份间差异有统计学意义。抗- hbs GMC为139.32 mIU / mL, 2007年和2008年抗- hbs GMC高于2005年和2006年。HBIG收养儿童的抗hbs GMC高于未收养儿童。结论:顺义区乙肝疫苗免疫策略对预防乙肝病毒围产期传播具有良好的免疫和保护作用。
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[Analysis on the effects of hepatitis B vaccine to prevent mother-to-children transmission of hepatitis B virus in Shunyi District of Beijing Municipal].

Objective: To evaluate the effects of immunization strategy about Hepatitis B vaccine preventing mother-to-children transmission (MTCT)of Hepatitis B virus (HBV) in Shun Yi District of Beijing.

Methods: The supervision data of blood serum of the children born from mothers who HBsAg carrier or HBsAg and HBeAg carrier were collected during the years of 2005-2008. The positive rate of HBsAg, anti-HBs, anti-HBc and the protective rate were analyzed.

Results: 223 children born from mothers of HBsAg and HBeAg carrier or HBsAg carrier were vaccinated according to the Hepatitis B vaccine immunigation strategy of Beijing. The infective rate of HBV was 1.18%, and protective rate of HepB was 98.61%. The infective rate of HBV of the children born from mothers of HBsAg and HBeAg carrier was higher than the rate of the children born from mothers of HBsAg carrier. The positive rate of anti-HBs was 84.71%. There were statistics significance in different years. The GMC of anti-HBs was 139.32 mIU per mL. The anti-HBs GMC of 2007 and 2008 were higher than those of 2005 and 2006. The anti-HBs GMC of the children who HBIG adopted was higher than that of the children who HBIG did not adopted.

Conclusion: The Hepatitis B vaccine immunization strategy of Shun Yi District had good immunological and protective effects to prevent HBV perinatal transmission.

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