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Short-term immunogenicity of standard and accelerated hepatitis B virus vaccination schedules in healthy adults: a comparative field study in China.
- Source :
-
Bioscience reports [Biosci Rep] 2018 Oct 17; Vol. 38 (5). Date of Electronic Publication: 2018 Oct 17 (Print Publication: 2018). - Publication Year :
- 2018
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Abstract
- World Health Organization recommends hepatitis B virus (HBV) immunization at 0, 1, and 6 months. However, studies have suggested that shortening the interval between the first and last HBV immunization can improve completion rates. Less clear is whether accelerated immunization is as immunogenic as standard immunization. Thus, the present study aimed to compare the short-term immunogenicity of yeast-derived hepatitis B vaccine in healthy adults immunized on an accelerated or standard schedule. Between June 2013 and March 2014, individuals from Jinfeng and Longmen, China were randomly assigned to receive the vaccine on an accelerated schedule (at 0, 1, and 2 months; n =201) or a standard schedule (at 0, 1, and 6 months; n =206). Subjects filled out a questionnaire asking about demographic and other health data, and they underwent physical examination. Blood was assayed for HBV surface antigen and HBV surface antibody (HBsAb) at 1-2 months after the three-dose schedule. Multivariate binary logistic regression was used to determine whether the rate of anti-HBs seroconversion differed with immunization schedule. Covariance analysis was used to compare geometric mean HBsAb concentration between the two schedules. The anti-HBs seroconversion rate was 84.6% in the accelerated group and 90.3% in the standard group. After controlling for several potential confounders, the accelerated schedule was associated with significantly lower anti-HBs seroconversion rate (OR: 0.560, 95% CI: 0.318-0.988). Similarly, the accelerated schedule was associated with significantly lower geometric mean HBsAb concentration. These results suggest that the standard schedule is more likely to lead to anti-HBs seroconversion and higher HBsAb levels in adults.<br /> (© 2018 The Author(s).)
- Subjects :
- Adolescent
Adult
China
Female
Hepatitis B immunology
Hepatitis B Antibodies immunology
Hepatitis B Surface Antigens immunology
Hepatitis B Vaccines immunology
Hepatitis B virus pathogenicity
Humans
Immunization Schedule
Immunogenicity, Vaccine
Male
Middle Aged
Young Adult
Hepatitis B prevention & control
Hepatitis B Vaccines therapeutic use
Hepatitis B virus immunology
Vaccination
Subjects
Details
- Language :
- English
- ISSN :
- 1573-4935
- Volume :
- 38
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Bioscience reports
- Publication Type :
- Academic Journal
- Accession number :
- 30201691
- Full Text :
- https://doi.org/10.1042/BSR20180846