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Effective Immunization with Live Attenuated Influenza A Virus Can Be Achieved in Early Infancy

Identifieur interne : 001665 ( Istex/Corpus ); précédent : 001664; suivant : 001666

Effective Immunization with Live Attenuated Influenza A Virus Can Be Achieved in Early Infancy

Auteurs : Mary Lou Clements ; Mamodikoe K. Makhene ; Ruth A. Karron ; Brian R. Murphy ; Mark C. Steinhoff ; Kanta Subbarao ; Modena H. Wilson ; Pediatric Care Center ; Peter F. Wright

Source :

RBID : ISTEX:B66CC0796028ADDED903FE61DBA7543AAEAB74BF

Abstract

The immunogenicity of vaccines can be modified in infancy by maternal antibodies and other immunizations. Hence, the safety and immunogenicity of two doses of 107 TCID50 of live, attenuated cold-adapted (ca) influenza A/Kawasaki/86 (H1N1) reassortant virus vaccine given with or apart from childhood immunizations were evaluated in infants, starting at 2, 4, or >6 months of age, in randomized, double-blind trials. The ca vaccine was safe and did not significantly reduce the immunogenicity of the childhood vaccines in these infants. Infectivity of ca virus (virus shedding, ⩾4-fold rise in serum hemagglutination inhibition antibody titer, or both) was affected by age, quantity of ca virus given, and prior ca virus infection. Two doses of 107 TCID50 of ca influenza virus infected all infants, indicating that both doses are probably needed to achieve immunity against influenza in infants <6 months of age.

Url:
DOI: 10.1093/infdis/173.1.44

Links to Exploration step

ISTEX:B66CC0796028ADDED903FE61DBA7543AAEAB74BF

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<affiliation>Center for Immunization Research, Department of International Health, School of Public Health, and Departments of Medicine and Pediatrics, School of Medicine, Johns Hopkins University, Baltimore, Bethesda, Maryland, Nashville, Tennessee</affiliation>
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<affiliation>Center for Immunization Research, Department of International Health, School of Public Health, and Departments of Medicine and Pediatrics, School of Medicine, Johns Hopkins University, Baltimore, Bethesda, Maryland, Nashville, Tennessee</affiliation>
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<namePart type="given">Peter F.</namePart>
<namePart type="family">Wright</namePart>
<affiliation>Center for Immunization Research, Department of International Health, School of Public Health, and Departments of Medicine and Pediatrics, School of Medicine, Johns Hopkins University, Baltimore, Bethesda, Maryland, Nashville, Tennessee</affiliation>
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<abstract>The immunogenicity of vaccines can be modified in infancy by maternal antibodies and other immunizations. Hence, the safety and immunogenicity of two doses of 107 TCID50 of live, attenuated cold-adapted (ca) influenza A/Kawasaki/86 (H1N1) reassortant virus vaccine given with or apart from childhood immunizations were evaluated in infants, starting at 2, 4, or >6 months of age, in randomized, double-blind trials. The ca vaccine was safe and did not significantly reduce the immunogenicity of the childhood vaccines in these infants. Infectivity of ca virus (virus shedding, ⩾4-fold rise in serum hemagglutination inhibition antibody titer, or both) was affected by age, quantity of ca virus given, and prior ca virus infection. Two doses of 107 TCID50 of ca influenza virus infected all infants, indicating that both doses are probably needed to achieve immunity against influenza in infants <6 months of age.</abstract>
<note type="author-notes">Reprints or correspondence: Dr. Mary Lou Clements, Johns Hopkins University Center for Immunization Research, Hampton House 125, 624 N. Broadway, Baltimore, MD 21205.</note>
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<identifier type="ISSN">0022-1899</identifier>
<identifier type="eISSN">1537-6613</identifier>
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<date>1996</date>
<detail type="volume">
<caption>vol.</caption>
<number>173</number>
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<caption>no.</caption>
<number>1</number>
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<identifier type="DOI">10.1093/infdis/173.1.44</identifier>
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