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Immunogenicity of a locally produced hepatitis B vaccine with the birth dose stored outside the cold chain in rural Vietnam

Authors :
David B. Hipgrave
Hoang Thuy Long
Nguyen Thu Van
Nguyen Tuyet Nga
James E. Maynard
Vu Minh Huong
Trung Nam Tran
Do Tuan Dat
Beverley-Ann Biggs
Source :
The American journal of tropical medicine and hygiene. 74(2)
Publication Year :
2006

Abstract

The heat stability of hepatitis B vaccine (HepB vaccine) should enable its storage outside the cold chain (OCC), increasing access to the birth dose in areas lacking refrigeration. We compared the immunogenicity of a locally produced vaccine among infants who received three doses stored within the cold chain (n = 358) or for whom the first dose was stored OCC for up to one month (n = 748). Serum was collected from these infants at age 9-18 months. The vaccine was protective in 80.3% of all infants. There were no differences in the prevalence of a protective level of antibody or antibody titer among groups of infants according to storage strategy. Differences in antibody titer between certain groups of infants could be explained by different vaccination schedules. Where birth dose coverage will be improved, HepB vaccine can be taken OCC for up to one month without affecting its immunogenicity.

Details

ISSN :
00029637
Volume :
74
Issue :
2
Database :
OpenAIRE
Journal :
The American journal of tropical medicine and hygiene
Accession number :
edsair.doi.dedup.....9d2532f38b229f2a334a60cf8e377efa