| Autor: |
Gross, Peter A., Ennis, Francis A., Gaerlan, Pureza F., Denson, Lawrence J., Denning, Carolyn R., Schiffman, Donald |
| Zdroj: |
The Journal of Infectious Diseases; November 1977, Vol. 136 Issue: 5 p623-623, 1p |
| Abstrakt: |
A double-blind randomized study with bivalent influenza virus vaccines was conducted to compare the local and systemic reactions and immunogenicity of a whole-virus vaccine and a split-product vaccine in children. Fevers of >100 F were more frequent after vaccination with whole-virus than split-product vaccine especially in children one to four years old (69% vs. 22%; P < 0.01). Fevers of = 103 F did not occur in children who previously had been given influenza virus vaccine, even in the absence of preexisting homologous serum antibody. The immune response to the A/Port Chalmers/1/73 antigen in the vaccine was similar after administration of either whole-virus or split-product vaccine. However, split-product vaccine induced significantly less hemagglutination-inhibiting antibody to B/Hong Kong/5/72 virus in children younger than 10 years who had not been previously immunized; only 43% developed detectable antibody vs. 100% of those vaccinated with whole-virus vaccine (P < 0.01). These studies indicate that (1) in young children whole-virus vaccine causes fever more frequently than split-product vaccine; (2) young children previously vaccinated with influenza virus vaccine are unlikely to experience fever subsequent to immunization with a related antigen; and (3) split-product vaccine induces less antibody to B/Hong Kong/5/72 virus than whole-virus vaccine in immunologically unprimed young children. |
| Databáze: |
Supplemental Index |
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