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朱凤才, 吴扬生, 祖荣强, 祁洪山, 汪勤文, 王庆奎, 孙曰快, 汪杰, 李忠典, 胡静, 顾玲, 刘光中. 江苏省肾综合征出血热灭活疫苗四年期效果评价及免疫增强研究[J]. 中国公共卫生, 1999, 15(7): 582-584.
引用本文: 朱凤才, 吴扬生, 祖荣强, 祁洪山, 汪勤文, 王庆奎, 孙曰快, 汪杰, 李忠典, 胡静, 顾玲, 刘光中. 江苏省肾综合征出血热灭活疫苗四年期效果评价及免疫增强研究[J]. 中国公共卫生, 1999, 15(7): 582-584.
Zhu Fengcai, Wu Yangsheng, Zu Rongqiang, . Evaluation on th Efficacy of Inactivated vaccines against HFRS during 4 years period and study on their Antibody Dependent Immunization Enhancement in jiangsu province[J]. Chinese Journal of Public Health, 1999, 15(7): 582-584.
Citation: Zhu Fengcai, Wu Yangsheng, Zu Rongqiang, . Evaluation on th Efficacy of Inactivated vaccines against HFRS during 4 years period and study on their Antibody Dependent Immunization Enhancement in jiangsu province[J]. Chinese Journal of Public Health, 1999, 15(7): 582-584.

江苏省肾综合征出血热灭活疫苗四年期效果评价及免疫增强研究

Evaluation on th Efficacy of Inactivated vaccines against HFRS during 4 years period and study on their Antibody Dependent Immunization Enhancement in jiangsu province

  • 摘要: 1994年底,在江苏省3个肾综合征出血热高发地区,分别进行了国产沙鼠肾Ⅰ型苗和地鼠肾Ⅱ型苗的大规模人群接种;一年后,用同一厂家同一型别的疫苗进行了一针次加强接种,并进行了四年期的免疫持久性和防病效果观察,结果显示:沙鼠肾Ⅰ型苗的中和抗体在加强后抗体阳性率最高,随后逐年下降,至免后4年(加强后3年),其中和抗体阳性率仍高于免后1年;地鼠肾Ⅱ型苗的中和抗体在基础三针免后,阳转率最高,一年后经一针次加强,阳性率大大提高,至免后4年(加强后3年),其阳性率仍高于免后1年。对各个不同时期两种型别疫苗的同期进行比较,Ⅰ型苗的免后荧光抗体阳性率高于Ⅱ型苗,而中和抗体阳性率,则为Ⅱ型苗高于Ⅰ型苗。2种型别的疫苗在四年观察期间,接种人群共发生4例病人,有3例发生于免后1年内,此4例病人的血清学型别均不与所接种疫苗的型别相同,这些结果提示,免后1年加强接种是必要的,两种疫苗均有较好的防病效果,尤其对同型病例的保护率达100%,二种疫苗的保护期至少4年。另外,通过对全程接种者免后3年流行高峰前后的荧光抗体波动,和对接种与对照人群发生的病例的病情进行比较研究,显示,国产两种型别的HFRS灭活疫苗免后无免疫效果(感染)增强反应。

     

    Abstract: In the end of 1994 the two different types of inactivatedvac-cines against HFRSC type I vaccine purified from tissue culture of Mongolian gerbils Kindney and type II vaccines prepared from tissue culture of hamster kidney)were immunizated in the crowd of three HFRS high-endemic areas in Jiangsu province.The booster of one dose of injection by the same tyep vaccine wascarried out in the crowd one year after primary immunization and efficacy of immune and protection was evaluatied druing 4 years period Results Showed The peak of positive rate of neutralizing antibody was after booster in the type I vaccine and then decreased trend was year by year.The rate was higher 4 years after primary immunization than one year;the peak of positive rate of neutralizing antibody was two weeks after primary immunization in the type II vaccine.the rate was higher 4 years after primary immunization (3 years after booster) than one year after primary immunization.In the same time of the different period the positive rate of im-munofluorescent antibody was higher in the type I vaccine than in the type II vaccine and the positive rate of neutralizing antibody was higher in the type II vaccine than the type I vaccine.During the 4 years period 4 cases occured in the immunized crowd of 3 cases occurred in the one year after primary immunization The serological type of the 4 cases were differed from the type of vaccine these results suggested:booster was necessary one year after primary imunization.The efficacy of protection of two types of vaccines were high special protection against the same case,the protection rate was 100%.the protection term was more than 4 years in the two types of the vaccines and alse.the antibody dependent immunization enhancement was not found by the observation.

     

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