Varicella Vaccine: The American Experience

Live attenuated varicella vaccine is safe and effective in preventing chickenpox. The best immune responses occur in healthy children. Leukemic children have a 50% incidence of mild-tomoderate adverse effects but have a high degree of protection once immune reactions to varicella-zoster virus (VZV)...

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Veröffentlicht in:The Journal of infectious diseases 1992-08, Vol.166 (Supplement-1), p.S63-S68
Hauptverfasser: Gershon, Anne A., LaRussa, Philip, Hardy, lain, Steinberg, Sharon, Silverstein, Saul
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container_end_page S68
container_issue Supplement-1
container_start_page S63
container_title The Journal of infectious diseases
container_volume 166
creator Gershon, Anne A.
LaRussa, Philip
Hardy, lain
Steinberg, Sharon
Silverstein, Saul
description Live attenuated varicella vaccine is safe and effective in preventing chickenpox. The best immune responses occur in healthy children. Leukemic children have a 50% incidence of mild-tomoderate adverse effects but have a high degree of protection once immune reactions to varicella-zoster virus (VZV) have developed. Adult vaccinees have a lower degree of protection (70%) than children. Vaccinees who develop breakthrough varicella usually have a modified infection. Another significant advantage of vaccination is that in leukemic children it leads to a lower incidence of zoster than after natural chickenpox. It is possible to differentiate between vaccine-type and wild-type VZV using a combination of polymerase chain reaction and restriction endonuclease digestion. A new assay for antibodies to VZV measured by latex agglutination reveals that 8–10 years after vaccination antibodies are detectable in >90% of leukemic children who have not had breakthrough varicella.
doi_str_mv 10.1093/infdis/166.Supplement_1.S63
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source MEDLINE; Jstor Complete Legacy
subjects Adult
Antibodies
Antibodies, Viral - biosynthesis
Chickenpox
Chickenpox - prevention & control
Chickenpox Vaccine
Child
Children
Exanthema
Herpes zoster
Herpes Zoster - prevention & control
Herpesvirus 3, Human - immunology
Humans
Immunity
Leukemia - complications
Leukemia - immunology
Pediatrics
United States
Vaccination
Vaccines, Attenuated - adverse effects
Vaccines, Attenuated - immunology
Viral Vaccines - adverse effects
Viral Vaccines - immunology
Viruses
title Varicella Vaccine: The American Experience
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