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  • 标题:Assessment of vaccine efficacy for diseases included in the national immunization program for preschool children
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  • 作者:Angela Romaniuc ; Anca Nistor ; Cecilia Durnea
  • 期刊名称:Journal of Preventive Medicine
  • 印刷版ISSN:1582-5388
  • 出版年度:2002
  • 卷号:10
  • 期号:3
  • 出版社:Institute of Public Health, Iasi
  • 摘要:The periodical evaluation of the population specific protection against the diseases included in the National Immunization Program (NIP) is necessary in view of the strengthening strategies. MATERIAL AND METHODS: The study was performed in 2001 y on a representative sample of 714 children aged less than 5 years old. The determination of antibody levels was made through the indirect ELISA ( Diasorin kits) taking 0.1 IU/ml as basic level for diphteria and tetanus antitoxine , 10 IU/l for the HBs antibodies, and higher than 40 AU/ml for measles and pertussis antibodies.

    RESULTS: Tetanus sero -protection was found in 96% of children (95% CI: 94.6–97.4) with an average geometrical mean of tetanus antitoxine antibodies of 1.49 IU/ml. The protection level of the diphteria antitoxine antibodies was about 10% lower than the level of antitetanus sero -protection of 87.4% (95% CI: 86.1-88.7). The children vaccinated with DTP3 have a medium level of seroprotection , while those who received 4 doses of vaccine have 91.8%. The Bordetella pertussis antibodies were present at a protector level in 76.1% children (95% CI: 72.9-79.2). The humoral antimeasles immunity reaches an average of 55.6% protected children (95% CI: 52.1-59.2) for a level of seropositive values of 62%. The percentage of the children protected against hepatitis B virus (HBV) infection had an average value of 59.5% (95% CI: 57.1-63.1) while the seropositive value was estimated to be 71.9%. CONCLUSIONS: The specific immunity to tetanus in the children aged less than 5 years corresponds to the goal of the National Immunization Program, but it is lower for diphteria , measles and HBV indicating susceptibility to these diseases.

  • 关键词:vaccination, prevalence, postvaccinal immunity
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