Conjugate pneumococcal vaccine in HIV-infected Ugandans and the effect of past receipt of polysaccharide vaccine

被引:37
作者
Miiro, G
Kayhty, H
Watera, C
Tolmie, H
Whitworth, JAG
Gilks, CF
French, N
机构
[1] Malawi Liverpool Wellcome Trust Labs, Blantyre, Malawi
[2] Med Res Council Programme AIDS, Entebbe, Uganda
[3] Natl Publ Hlth Inst, Helsinki, Finland
[4] Univ Liverpool, Liverpool Sch Trop Med, Liverpool L3 5QA, Merseyside, England
[5] London Sch Hyg & Trop Med, London WC1, England
[6] Univ London Imperial Coll Sci Technol & Med, London, England
基金
英国惠康基金;
关键词
D O I
10.1086/497144
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We investigated the immunogenicity of a 7-valent conjugate pneumococcal vaccine (CPV) in human immunodeficiency virus - infected Ugandan adults and measured the effect of past pneumococcal polysaccharide vaccine (PPV) receipt given as part of a controlled trial. Two doses of CPV, 4 weeks apart, were given to 54 past PPV recipients and 55 past placebo recipients (84% female; median CD4 cell count, 251 cells/mu L [range, 1 - 936 cells/mu L]). Postvaccination anticapsular immunoglobulin G (IgG) concentrations were directly correlated with CD4 cell count (P < .01 for all serotypes). There were significant increases in anticapsular IgG concentrations for all serotypes after the first dose (P < .01) and for all serotypes except 14 and 9V after the second dose. Past receipt of PPV did not affect vaccine response.
引用
收藏
页码:1801 / 1805
页数:5
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