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Evaluation of a single dose of diphtheria toxoid among adults in the Republic of Georgia, 1995: immunogenicity and adverse reactions.
Khetsuriani, N; Music, S; Deforest, A; Sutter, R W.
Afiliación
  • Khetsuriani N; Tbilisi Office of the US Centers for Disease Control and Prevention, Tbilisi, Georgia and National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. nck7@cdc.gov
J Infect Dis ; 181 Suppl 1: S208-12, 2000 Feb.
Article en En | MEDLINE | ID: mdl-10657216
To determine the immunogenicity and safety of a single dose of diphtheria toxoid among adults, blood samples for detecting serum antitoxin levels were obtained from 18- to 59-year-old subjects (n=248) before and 30 days after immunization with Td (tetanus-diphtheria toxoids; manufactured by Serum Institute of India). By day 30, the seroprevalence of antitoxin levels >/=0.1 IU/mL increased from 22.6% to 81.5%; median antitoxin levels increased from 0.01 to 4.0 IU/mL. These parameters were lowest among subjects who were 40-59 years old, especially among those 40-49 years old. Adverse reactions (local redness, swelling, induration, fever>39 degrees C) were reported by 5.3% of participants. Our findings suggest that, in general, one dose of the Indian-produced Td vaccine is efficacious and safe in inducing an adequate immune response against diphtheria in adults; however, in Georgia, persons 40-59 years old, especially those 40-49 years old, will require additional doses of toxoid to achieve protective levels of antitoxin.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Toxoide Diftérico / Vacunación / Difteria Tipo de estudio: Diagnostic_studies / Evaluation_studies Límite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: J Infect Dis Año: 2000 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Toxoide Diftérico / Vacunación / Difteria Tipo de estudio: Diagnostic_studies / Evaluation_studies Límite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: J Infect Dis Año: 2000 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos