Source:http://linkedlifedata.com/resource/pubmed/id/12439800
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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
2002-11-19
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pubmed:abstractText |
Hepatitis B vaccine is a key tool for the prevention of hepatitis B infection. Age-associated changes in immune function may contribute to decreased vaccine efficacy in older individuals, although research related to this topic has yielded contradictory findings. We performed a meta-analysis of 24 published trials and studies that evaluated the association of age with response to hepatitis B vaccine, using a random-effects model. Pooling of study results suggested a significantly increased risk of nonresponse to hepatitis B vaccine among older individuals (relative risk [RR], 1.76; 95% confidence interval [CI], 1.48-2.10). An elevated risk of nonresponse persisted even after exclusion of poor-quality studies (RR, 1.63; 95% CI, 1.23-2.15) and adjustment for publication bias (RR, 1.52; 95% CI, 1.26-1.83), and it was present even when "older" individuals were defined as being as young as 30 years. These findings have important implications for individuals at risk for hepatitis B infection, including health care workers and travelers.
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pubmed:language |
eng
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pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:author | |
pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1368-75
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pubmed:dateRevised |
2004-11-17
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pubmed:articleTitle |
The effect of age on immunologic response to recombinant hepatitis B vaccine: a meta-analysis.
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pubmed:affiliation |
City of Hamilton Social and Public Health Services Department, Hamilton, Ontario, Canada. dfisman@city.hamilton.on.ca
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