Safety and immunogenicity of a haemophilus influenzae type b conjugate vaccine in a high risk american indian population

Mathuram Santosham, Janne Hill, Mark Wolff, Raymond Reid, Linda Lukacs, Vincent Ahonkhai

Research output: Contribution to journalArticle

Abstract

The safety and immunogenicity of a Haemophilus influenzae type b polysaccharide conjugate vaccine linked to the outer membrane protein complex of Neisseria meningitidis (Hib-OMP) were evaluated among Apache and Navajo infants and children. One dose of the Hib-OMP was given to 42 children who were from 12 and 60 months of age. Ninety-two infants 6 to 8 weeks old were given one dose of Hib-OMP at the time of enrollment. A subsequent dose of the vaccine was given 2 months later and a third dose was offered between 12 and 15 months of age. All the 12− to 60-month-old children achieved a protective antibody concentration (>1 μg/ml) 1 month postvaccination. Among the 6− to 8-week-old infants only 11% of the Apaches and 8% of Navajos had a protective anti-PRP antibody concentration prevaccination. One month post vaccination 68% of the Apaches and 69% of the Navajos had protective anti-PRP antibody concentrations. One month after the second immunization 67% of the Apaches and 75% of Navajos had protective anti-PRP concentrations. Among the infants that received the third (booster) immunization (N = 28) 74% had protective anti-PRP antibody titers just before the booster immunization. One month after the booster immunization all of the infants had protective concentrations of anti-PRP antibody. We conclude that the Hib-OMP is safe and highly immunogenic among Apache and Navajo infants and children.

Original languageEnglish (US)
Pages (from-to)113-117
Number of pages5
JournalPediatric Infectious Disease Journal
Volume10
Issue number2
DOIs
StatePublished - Feb 1991

Keywords

  • American indians
  • Haemophilus influenzae
  • Vaccine

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Microbiology (medical)
  • Infectious Diseases

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