A study of anti-HBS titers following pentavalent immunization (DTWP-HBV-HIB) in term normal weight vs low birthweight infants
Journal Title: MedPulse -International Medical Journal - Year 2019, Vol 6, Issue 1
Abstract
Objective: To compare anti-HBs titers between term low birth weight (1800-2499 g) infants and normal birthweight infants, 6 weeks after last dose of primary immunization with pentavalent vaccine, and to study adverse events following immunization (AEFI) with pentavalent vaccine. Participants: 265 low birth weight (1800-2499g) and 265 normal birth weight (2500-4000g) infants. Monovalent Hepatitis B vaccine was admin is tered within 24 hours of birth followed by three primary doses of pentavalent vaccine at 6, 10 and 14 weeks. Anti-HBs titers were estimated after 6 weeks of third dose of pentavalent vaccine. Adverse events following immunization (AEFI) month were observed for a month after eachdose of pentavalent vaccine. Main outcome measures: Anti HB santi body titers after 6 weeks of primary immunization, and AEFI. Result: 443(83.5%) infants (225 lowbirthweightand218normal birthweight infants) completed the follow-up. Seroprotection against hepatitis B virus was achieved in both groups after pentavalent vaccine administration. Anti HBs GMTs in low birth weight infants (194.8mIU/mL) and normal birth weight in fants (204.2mIU/mL)were comparable (P=0.17).No serious adverse events were observed in either group. Conclusion: Three primary doses of pentavalent vaccine administered along with zerodose of Hepatitis Bv accineat birth provide good sero protection. The vaccine appears to be safe in both low birth weight and normal birth weight in fants born atterm.
Authors and Affiliations
Mani Shankar, Ashok Kumar, Hari Shankar Mishra
Serum vitamin D levels in primary hypothyroidism
Introduction: Hypothyroidism is a common endocrine disorder with a prevalence rate of 10.95% in India. Primary hypothyroidism is the dysfunction at the level of thyroid gland, leading to decrease secretion or action of t...
Congenital pulmonary airway malformation – hybrid lesion – a case report
Introduction: Congenital pulmonary airway malformation (CPAM) is a fetal condition usually diagnosed in the early second trimester. This is a mass of lung tissue which has proliferation of bronchial structures. The space...
Schwannoma of cervical vagus nerve – a case report
Schwannoma arising from the cervical vagus is an uncommon benign nerve tumour. This tumour most often presents as a slow growing asymptomatic solitary neck mass which rarely undergoes malignant transformation. Definitive...
A study of identification of poor prognostic factors in metabolic encephalopathy
Introduction: Metabolic encephalopathy is a transient cerebral dysfunction which may cause temporary or permanent damage to the brain due to lack of glucose, oxygen or other metabolic agent. Most of the cases occur when...
A study of anatomical basis of Coraco-Acromial arch impingement
This Study Was carried out to study the morphology of Coraco-Acromial arch and to consider the functional implications of the structure of the arch. For this study 100 Dry Scapulae are taken. Out of which 60 scapulae are...