尼日利亚婴儿和哺乳母亲的母源性麻疹抗体下降:综述

Taiwo Mo, A. Ho, Adebayo Os, Sakariyau Ao, Akindele Oo, Adegoke Oo
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摘要

麻疹,也被称为风疹,是一种由病毒引起的地方性呼吸道疾病。这是一种高度传染性感染,通常以轻度至中度发烧开始,通常伴有持续咳嗽、流鼻涕、结膜炎和喉咙痛。今天,尽管安全、有效和相对便宜的疫苗已有40多年的历史,但在儿童中,麻疹造成的死亡人数仍然超过任何其他疫苗可预防疾病。孕妇产生IgG免疫球蛋白抗体,通过胎盘进入胎儿血液循环;从而在新生儿早期提供预防感染的初级保护。因此,婴儿体内是否存在母体麻疹抗体(MMA)是婴儿麻疹免疫接种中要考虑的一个因素。在尼日利亚,婴儿常规麻疹疫苗接种的推荐年龄为9个月大。然而,据严重报道,当今文明的母亲更多地接种麻疹疫苗,而不是天然的麻疹病毒免疫,因此,产生低效价的抗麻疹病毒抗体,因此,在常规接种麻疹疫苗的9个月前,其各自的婴儿体内就会腐烂或清除。早期接种麻疹疫苗可能会最大限度地缩短从母体胎盘转移抗体丧失到婴儿接种推荐的麻疹疫苗之间的时间,因此有必要重新评估麻疹免疫计划。关键词:疫苗接种;母麻疹抗体;婴儿,病毒;
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Declining Maternally-Derived Measles Antibodies in Infants and Nursing Mothers in Nigeria: A Review
Measles, also reffered to as rubeolais an endemic respiratory disease caused by a virus. It is a highly contagious infection which typically begins with a mild to moderate fever, often accompanied by a persistent cough, runny nose, conjunctivitis and sore throat. Today, despite the availability of a safe, effective and relatively inexpensive vaccine for more than 40 years, measles still kills more than any other vaccines preventable disease among children. In Pregnant women, IgG immunoglobulin antibody is produced and crosses the placenta to developing fetus’ blood circulation; thereby conferring primary protection against infections in the early life of newborns. The presence or absence of Maternal Measles Antibody (MMA) in infants is therefore a factor to be considered in immunization of infants against measles. In Nigeria, the recommended age for routine measles vaccination for infants is at 9 month of age. However, it has been severely reported that the present-day civilized mothers are more measles vaccine-immuned contrary to been natural measles virus-immuned and as such, produce low titer anti-measles virus antibody which consequently decays or clears from their respective infants earlier than 9 months of age when measles vaccine is routinely administered. Early immunization against measles may potentially minimize the duration of the period between the loss of maternal antibodies transferred via the placenta and the administration of the recommended measles vaccination for infants, hence the need for the re-evaluation of the measles immunization schedule. Keywords: Vaccination; Maternal Measles Antibody; Infant, Virus;
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