1. Immunogenicity study to investigate the interchangeability among three different types of polio vaccine
- Author
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Takashi Nakano, Takashi Yokoyama, Motoki Ishibashi, Yuji Yamashita, Yoshio Takasaki, Kazuya Ito, Satoko Ohfuji, Keigo Shibao, Tomomi Tsuru, Shizuo Shindo, Takato Yokoyama, Yoshio Hirota, and Shin Irie
- Subjects
0301 basic medicine ,Pediatrics ,medicine.medical_specialty ,Tetanus ,business.industry ,Poliovirus ,Diphtheria ,030106 microbiology ,Antibody titer ,social sciences ,General Medicine ,medicine.disease_cause ,medicine.disease ,complex mixtures ,Polio Vaccination ,Poliomyelitis ,Vaccination ,03 medical and health sciences ,Polio vaccine ,0302 clinical medicine ,medicine ,030212 general & internal medicine ,business - Abstract
In Japan, the routine immunization program with oral polio vaccine (OPV) has been suspended since September 2012, when a program with 4 doses of inactivated monovalent polio vaccine (IPV) or quadrivalent vaccine against diphtheria, pertussis, and tetanus with IPV (DTaP-IPV) was introduced. The aim of this study was to examine the interchangeability among these 3 types of polio vaccines.We conducted a prospective cohort study at 5 pediatric clinics in Japan. A total of 153 infants were assigned to 1 of the 4 groups by considering the vaccination history of OPV and trivalent vaccine against DTaP. Eleven infants with a history of OPV received 3 doses of DTaP-IPV; 49 infants with a history of OPV and DTaP received 3 doses of IPV; 50 polio vaccine-naive infants received 2 doses of IPV followed by 2 doses of DTaP-IPV; and 43 polio vaccine-naive infants received 2 doses of DTaP-IPV followed by IPV. The immunogenicity after polio vaccination was evaluated among these 4 groups.After 2 doses of polio vaccination, more than 80% of the infants exhibited a neutralization antibody titer ≥1:8 for all Sabin strains and wild strains in all groups. After the third dose, the seroprotection proportion (i.e., a neutralization antibody titer ≥1:8) reached about 100%. After the fourth dose, a neutralization antibody titer exceeded the required protective levels (i.e., a neutralization antibody titer ≥1:8) considerably in all groups.Four doses of polio vaccines induced a sufficient level of immunity in Japanese infants, irrespective of vaccine combinations or order.
- Published
- 2017
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