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pubmed-article:7751994pubmed:dateCreated1995-6-19lld:pubmed
pubmed-article:7751994pubmed:abstractTextTo evaluate the long-term protection afforded by the vaccine, recombinant hepatitis B (HB) vaccine was given to 171 infants born to hepatitis B e antigen-positive carrier mothers. Group A (53 infants) and group B (57 infants) received four doses of HB vaccine at birth and at 1, 2, and 12 months of age, with a dose of 20 micrograms in group A and 10 micrograms in group B. Group C (61 infants) received three 20 micrograms doses of HB vaccine at birth and at 1 and 6 months of age. These children were followed up annually up to 5 years of age. Six children (4%) became HB carriers before 1 year of age, and the carrier state persisted to the end of follow-up. The overall seropositive rate of HB surface antibody (anti-HBs) dropped from 99% at 1 year of age to 83% at 5 years of age. Among 548 serum pairs taken at 1-year intervals from children negative for HB surface antigen (HBsAg), a fourfold rise of anti-HBs titer was noted in 58 (11%) and a 10-fold rise of anti-HBs was noted in 17 (3%). Maternal HB core antibody disappeared in most children (151/152, 99%) before 2 years of age. Natural infections, as judged by persistence or reappearance of HB core antibody, occurred in 19 of 163 (12%) HBsAg-negative children. None of these episodes was associated with HBsAg positivity. We conclude that the long-term protection afforded by recombinant HB vaccine is satisfactory and that a further booster dose before 5 years of age is not necessary.lld:pubmed
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pubmed-article:7751994pubmed:authorpubmed-author:LeeC YCYlld:pubmed
pubmed-article:7751994pubmed:authorpubmed-author:ChangM HMHlld:pubmed
pubmed-article:7751994pubmed:authorpubmed-author:GeeG KGKlld:pubmed
pubmed-article:7751994pubmed:authorpubmed-author:HuangL MLMlld:pubmed
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pubmed-article:7751994pubmed:volume126lld:pubmed
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pubmed-article:7751994pubmed:pagination716-21lld:pubmed
pubmed-article:7751994pubmed:dateRevised2008-11-21lld:pubmed
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pubmed-article:7751994pubmed:articleTitleLong-term efficacy of recombinant hepatitis B vaccine and risk of natural infection in infants born to mothers with hepatitis B e antigen.lld:pubmed
pubmed-article:7751994pubmed:affiliationDepartment of Pediatrics, National Taiwan University Hospital, Taipei, Republic of China.lld:pubmed
pubmed-article:7751994pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:7751994pubmed:publicationTypeClinical Triallld:pubmed
pubmed-article:7751994pubmed:publicationTypeControlled Clinical Triallld:pubmed
pubmed-article:7751994pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed
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