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Measles seroepidemiology and decay rate of vaccine-induced measles IgGtiters in Taiwan, 1995-1997

机译:1995-1997年台湾的麻疹血清流行病学和疫苗诱导的麻疹IgG滴度的衰减率

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Community-based seroepidemiologic studies were conducted to monitor the effectiveness of measles immunization programmes and to estimate the decay rate of vaccine-induced measles IgG titres. Sera collected from a mountain (792 sera), rural (875 sera) and urban (894 sera) populations in 1995-1997 were available. Measles IgG was quantified using a commercial EIA kit. Measles JOG seroprevalence and geometric mean titre (GMT) were calculated by setting the cut-off titre at 50 mIU/ml. The decay rate of measles IgG titres was estimated by assuming that the measles IgG titres, without exposing to wild measles virus, decay exponentially and constantly after 1 year post vaccination. The half-life of measles IgG titres was calculated from the corresponding decay rate. Measles Ig-G seroprevalences in these three populations have reached > 95% in school children (7-18 years old) and > 98% in young adults (19-25 years old) but varied from 87 to 96% in pre-school children (4-6 years old). Two-dose vaccinees, comparing with 1-dose vaccinees, had a significantly higher seroprevalence (98 versus 92%, P < 0.01) and a slightly longer half-life of measles IgG titres (61 versus 27 months, P = 0.08) but the measles IgG GMT in the two groups did not differ significantly (675 versus 618 mIU/ml, P = 0.78).
机译:开展了基于社区的流行病学研究,以监测麻疹免疫计划的有效性,并估计疫苗诱导的麻疹IgG滴度的衰减率。 1995-1997年可从山区(792个)血清,农村(875个)血清和城市(894个)血清中收集血清。麻疹IgG使用市售EIA试剂盒定量。通过将截止滴度设定为50 mIU / ml来计算麻疹JOG血清阳性率和几何平均滴度(GMT)。通过假定在接种疫苗后1年后未暴露于野生麻疹病毒的情况下,麻疹IgG滴度呈指数级且持续衰减,来估算麻疹IgG滴度的衰减率。从相应的衰减率计算出麻疹IgG滴度的半衰期。这三个人群中的麻疹Ig-G血清阳性率在学龄儿童(7-18岁)中达到> 95%,在青年成年人(19-25岁)中> 98%,但学龄前儿童从87%到96%不等(4-6岁)。与一剂疫苗相比,两剂疫苗的血清阳性率显着更高(98比92%,P <0.01),麻疹IgG滴度的半衰期稍长(61比27个月,P = 0.08),但是两组的麻疹IgG GMT差异无统计学意义(675对618 mIU / ml,P = 0.78)。

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