[Low response rate to a vaccination against hepatitis B in patients with end-stage liver disease]

Autor: Luděk, Rožnovský, Irena, Orságová, Lenka, Petroušová, Josef, Tvrdík, Libuše, Kabieszová, Martin, Rydlo, Ivo, Lochman, Alena, Kloudová
Jazyk: čeština
Rok vydání: 2010
Předmět:
Zdroj: Klinicka mikrobiologie a infekcni lekarstvi. 16(5)
ISSN: 1211-264X
Popis: Hepatitis B vaccination was started in 41 patients with end-stage liver disease who were liver transplant candidates. Patients received three 20 microg or, starting from 1999, 40 microg doses of recombinant vaccine at 0, 2 and 4 weeks. Blood samples were obtained 4 weeks after vaccination or each revaccination; patients without protective hepatitis B surface antibodies (anti-HBs) were once or repeatedly revaccinated. Thirty-eight patients received at least 3 doses of vaccine. Protective anti-HBs level (≥ 10 IU/l) was detected in 17 of 34 patients (50 %) after the third up to eight dose. No case of chronic HBsAg carrier status was detected. Immunisation against hepatitis B in persons with liver cirrhosis is associated with a poor response and new vaccines should be considered for these patients.
Databáze: OpenAIRE