Hepatitis A vaccine responses in HIV-positive persons with haemophilia

The safety and immunogenicity of subcutaneously (s.c.) administered hepatitis A (HA) vaccine was evaluated in HIV positive and negative patients with haemophilia and healthy male controls. The vaccine was well tolerated. Seroconversion occurred among all controls after one dose of vaccine but was de...

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Veröffentlicht in:Vaccine 1996-08, Vol.14 (11), p.1039-1041
Hauptverfasser: Tilzey, Anthea J., Palmer, Sara J., Harrington, Chris, O'Doherty, Michael J.
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container_end_page 1041
container_issue 11
container_start_page 1039
container_title Vaccine
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creator Tilzey, Anthea J.
Palmer, Sara J.
Harrington, Chris
O'Doherty, Michael J.
description The safety and immunogenicity of subcutaneously (s.c.) administered hepatitis A (HA) vaccine was evaluated in HIV positive and negative patients with haemophilia and healthy male controls. The vaccine was well tolerated. Seroconversion occurred among all controls after one dose of vaccine but was delayed among patients, particularly if HIV-positive—4 of 17 (24%) failed to respond to three doses of vaccine. Following the third dose of vaccine, geometric mean titres were significantly higher among controls (1354) than among HIV infected patients (204) ( P
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The vaccine was well tolerated. Seroconversion occurred among all controls after one dose of vaccine but was delayed among patients, particularly if HIV-positive—4 of 17 (24%) failed to respond to three doses of vaccine. Following the third dose of vaccine, geometric mean titres were significantly higher among controls (1354) than among HIV infected patients (204) ( P&lt;0.05). Non-responders failed to develop an immune response following boosting with high titre vaccine. Patients with haemophilia may be vaccinated against HA s.c. but consideration should be given to ensuring that HIV-positive individuals with haemophilia and other immunosuppressed individuals should have their immune responses checked since additional booster doses or passive prophylaxis may be necessary in such individuals.</description><identifier>ISSN: 0264-410X</identifier><identifier>EISSN: 1873-2518</identifier><identifier>DOI: 10.1016/0264-410X(96)00056-4</identifier><identifier>PMID: 8879099</identifier><identifier>CODEN: VACCDE</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Aged ; AIDS/HIV ; Biological and medical sciences ; Hematologic and hematopoietic diseases ; Hemophilia A - immunology ; Hepatitis A Antibodies ; Hepatitis A vaccine ; Hepatitis A Vaccines ; hepatitis A virus ; Hepatitis Antibodies - biosynthesis ; HIV Infections - immunology ; HIV positive individuals with haemophilia ; human immunodeficiency virus ; Humans ; Immunodeficiencies ; Immunodeficiencies. Immunoglobulinopathies ; Immunopathology ; Injections, Subcutaneous ; Male ; Medical sciences ; Middle Aged ; Other diseases. 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The vaccine was well tolerated. Seroconversion occurred among all controls after one dose of vaccine but was delayed among patients, particularly if HIV-positive—4 of 17 (24%) failed to respond to three doses of vaccine. Following the third dose of vaccine, geometric mean titres were significantly higher among controls (1354) than among HIV infected patients (204) ( P&lt;0.05). Non-responders failed to develop an immune response following boosting with high titre vaccine. Patients with haemophilia may be vaccinated against HA s.c. but consideration should be given to ensuring that HIV-positive individuals with haemophilia and other immunosuppressed individuals should have their immune responses checked since additional booster doses or passive prophylaxis may be necessary in such individuals.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>AIDS/HIV</subject><subject>Biological and medical sciences</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Hemophilia A - immunology</subject><subject>Hepatitis A Antibodies</subject><subject>Hepatitis A vaccine</subject><subject>Hepatitis A Vaccines</subject><subject>hepatitis A virus</subject><subject>Hepatitis Antibodies - biosynthesis</subject><subject>HIV Infections - immunology</subject><subject>HIV positive individuals with haemophilia</subject><subject>human immunodeficiency virus</subject><subject>Humans</subject><subject>Immunodeficiencies</subject><subject>Immunodeficiencies. Immunoglobulinopathies</subject><subject>Immunopathology</subject><subject>Injections, Subcutaneous</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Other diseases. Hematologic involvement in other diseases</subject><subject>subcutaneous route</subject><subject>Vaccines, Inactivated - immunology</subject><subject>Viral Hepatitis Vaccines - administration &amp; dosage</subject><subject>Viral Hepatitis Vaccines - adverse effects</subject><subject>Viral Hepatitis Vaccines - immunology</subject><issn>0264-410X</issn><issn>1873-2518</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1Lw0AQhhdRtH78A4UcRPQQ3U12k-xFKGJtQfCi4m3ZTCZ0JU3iTlrx35vQ0KOehuF93mF4GDsX_FZwkdzxKJGhFPzjWic3nHOVhHKPTUSWxmGkRLbPJjvkiB0TfQ5QLPQhO8yyVHOtJ2w2x9Z2rnMUTIONBXA1Bh6pbWpCClwdzBfvYdtQj2wwaNFTnwTfrlsGS4urpl26ytlTdlDaivBsnCfsbfb4-jAPn1-eFg_T5xCkSLsQudKRUHmkeSRkUmQIZc4TjWVRIigrc-AKrdKpsiXKIsqL2ErgZQEACcbxCbva3m1987VG6szKEWBV2RqbNZk0k1JrLv4FhcqETtKoB-UWBN8QeSxN693K-h8juBk8m0GiGSQa3S-DZyP72sV4f52vsNiVRrF9fjnmlsBWpbc1ONphccSFSrMeu99i2EvbOPSGwGENWDiP0JmicX__8QvMXJov</recordid><startdate>19960801</startdate><enddate>19960801</enddate><creator>Tilzey, Anthea J.</creator><creator>Palmer, Sara J.</creator><creator>Harrington, Chris</creator><creator>O'Doherty, Michael J.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7T5</scope><scope>7U9</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>19960801</creationdate><title>Hepatitis A vaccine responses in HIV-positive persons with haemophilia</title><author>Tilzey, Anthea J. ; Palmer, Sara J. ; Harrington, Chris ; O'Doherty, Michael J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-e059215b2902146d8ecfb069efdfec5a4bc05ea5975afe4d2bd3a4c0fdccc6e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>AIDS/HIV</topic><topic>Biological and medical sciences</topic><topic>Hematologic and hematopoietic diseases</topic><topic>Hemophilia A - immunology</topic><topic>Hepatitis A Antibodies</topic><topic>Hepatitis A vaccine</topic><topic>Hepatitis A Vaccines</topic><topic>hepatitis A virus</topic><topic>Hepatitis Antibodies - biosynthesis</topic><topic>HIV Infections - immunology</topic><topic>HIV positive individuals with haemophilia</topic><topic>human immunodeficiency virus</topic><topic>Humans</topic><topic>Immunodeficiencies</topic><topic>Immunodeficiencies. Immunoglobulinopathies</topic><topic>Immunopathology</topic><topic>Injections, Subcutaneous</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Other diseases. 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The vaccine was well tolerated. Seroconversion occurred among all controls after one dose of vaccine but was delayed among patients, particularly if HIV-positive—4 of 17 (24%) failed to respond to three doses of vaccine. Following the third dose of vaccine, geometric mean titres were significantly higher among controls (1354) than among HIV infected patients (204) ( P&lt;0.05). Non-responders failed to develop an immune response following boosting with high titre vaccine. Patients with haemophilia may be vaccinated against HA s.c. but consideration should be given to ensuring that HIV-positive individuals with haemophilia and other immunosuppressed individuals should have their immune responses checked since additional booster doses or passive prophylaxis may be necessary in such individuals.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>8879099</pmid><doi>10.1016/0264-410X(96)00056-4</doi><tpages>3</tpages></addata></record>
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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Adolescent
Adult
Aged
AIDS/HIV
Biological and medical sciences
Hematologic and hematopoietic diseases
Hemophilia A - immunology
Hepatitis A Antibodies
Hepatitis A vaccine
Hepatitis A Vaccines
hepatitis A virus
Hepatitis Antibodies - biosynthesis
HIV Infections - immunology
HIV positive individuals with haemophilia
human immunodeficiency virus
Humans
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunopathology
Injections, Subcutaneous
Male
Medical sciences
Middle Aged
Other diseases. Hematologic involvement in other diseases
subcutaneous route
Vaccines, Inactivated - immunology
Viral Hepatitis Vaccines - administration & dosage
Viral Hepatitis Vaccines - adverse effects
Viral Hepatitis Vaccines - immunology
title Hepatitis A vaccine responses in HIV-positive persons with haemophilia
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