Immunization of Children With Acute Lymphoblastic Leukemia With Live Attenuated Varicella Vaccine Without Complete Suspension of Chemotherapy

Autor: Allan M. Arbeter, Linda Granowetter, Stuart E. Starr, Beverly Lange, Robert Wimmer, Stanley A. Plotkin
Rok vydání: 1990
Předmět:
Zdroj: Pediatrics. 85:338-344
ISSN: 1098-4275
0031-4005
DOI: 10.1542/peds.85.3.338
Popis: A total of 44 children with acute lymphoblastic leukemia were immunized against chickenpox with the Oka/Merck strain live attenuated varicella vaccine. Of these children, 24 continued oral chemotherapy with 6-mercaptopurine during the immunization period and 20 had suspension of all chemotherapy for 1 week before and 1 week after the vaccine. Seroconversion, as determined by the detection of fluorescent antibody to membrane antigens, occurred in 91% and did not differ between patients continuing 6-mercaptopurine from those in whom chemotherapy was suspended. Fever and/or rash occurred in less than one third of vaccinated children. Unexpected reactions occurred in two vaccinated children, one from each group, both of whom had low absolute lymphocyte counts (
Databáze: OpenAIRE