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Serologic Response of 2 Versus 3 Doses and Intradermal Versus Intramuscular Administration of a Licensed Rabies Vaccine for Preexposure Prophylaxis.
- Source :
-
The Journal of infectious diseases [J Infect Dis] 2020 Apr 07; Vol. 221 (9), pp. 1494-1498. - Publication Year :
- 2020
-
Abstract
- Background: The World Health Organization recommends intradermal (ID) administration of rabies vaccine for preexposure prophylaxis.<br />Methods: In a randomized trial in adults assigned to 1 of 6 treatment groups (ID vs intramuscular [IM], 2 vs 3 doses, and controls), rabies neutralizing antibody titers were measured to 1 year postvaccination.<br />Results: ID vaccination produced acceptable antibody levels in all subjects (2- and 3-dose groups). At day 365, acceptable levels were 40% for IM and 50% for ID 2-dose schedule, and 70% for IM and 60% for ID 3-dose schedule.<br />Conclusions: ID rabies vaccination induces acceptable antibody titers at a fraction of the dose.<br />Clinical Trials Registration: NCT02374814.<br /> (© The Author(s) 2019. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.)
- Subjects :
- Adolescent
Adult
Antibodies, Viral immunology
Female
Humans
Immunization Schedule
Immunization, Secondary
Injections, Intradermal
Injections, Intramuscular
Linear Models
Male
Middle Aged
Post-Exposure Prophylaxis
Pre-Exposure Prophylaxis methods
Rabies Vaccines adverse effects
Rabies virus immunology
Vaccination
Young Adult
Antibodies, Neutralizing blood
Immunogenicity, Vaccine
Rabies prevention & control
Rabies Vaccines administration & dosage
Rabies Vaccines immunology
Subjects
Details
- Language :
- English
- ISSN :
- 1537-6613
- Volume :
- 221
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- The Journal of infectious diseases
- Publication Type :
- Academic Journal
- Accession number :
- 31802120
- Full Text :
- https://doi.org/10.1093/infdis/jiz645