Sequential and Combined Use of Inactivated and Oral Poliovirus Vaccines: Dolj District, Romania, 1992-1994

Autor: Floares Toma, Nicolae Ion-Nedelcu, Ana Persu, Sanda Biberi-Moroeanu, Peter M. Strebel, Roland W. Sutter, Andre Aubert-Combiescu, Stanley A. Plotkin, Mariana Combiescu
Rok vydání: 1997
Předmět:
Zdroj: Journal of Infectious Diseases. 175:S241-S246
ISSN: 1537-6613
0022-1899
DOI: 10.1093/infdis/175.supplement_1.s241
Popis: To determine the feasibility of a vaccination strategy that would reduce the risk of vaccine-associated paralysis while retaining a barrier against the spread of wild poliovirus, a 2-year project was undertaken using enhanced-potency inactivated poliovirus vaccine (IPV) administered at 2 and 3 months of age followed by doses of both IPV and oral poliovirus vaccine (OPV) administered at 4 and 9 months of age. Vaccination coverage by 12 months of age with three or more doses of IPV and two doses of OPV among 16,566 infants eligible for vaccination was > 95% and > 80%, respectively. Among 51 children from whom blood samples were obtained 45 days after their third dose of IPV and first dose of OPV, 100% had serum neutralizing antibodies (reciprocal titer > or = 10) to all three poliovirus types. No cases of paralytic poliomyelitis due to either wild or vaccine-related strains were reported. The project demonstrated the feasibility, safety, and high immunogenicity of sequential use of IPV followed by OPV in Romania.
Databáze: OpenAIRE