Resumen

PEDROSO FLAQUET, Plácido; DIAZ GONZALEZ, Manuel  y  RODRIGUEZ LAY, Licel. Protective efficacy of Heberbiovac HB^® at different dosage in physically and mentally-handicapped children. Rev Cubana Med Trop [online]. 2010, vol.62, n.1, pp. 82-92. ISSN 1561-3054.

INTRODUCTION: the protective efficacy follow-up studies in high risk groups for hepatitis B virus infection, which were inoculated with recombinant hepatitis B vaccines, are limited and the duration of protection is yet to be determined in those vaccinated people. OBJECTIVES: to determine the protective efficacy of Heberbiovac HB^® vaccine at different dosage in physically and mentally-handicapped children after 14 years of the primary vaccination schedule. METHODS: in 1991, an effectiveness study of vaccine Heberbiovac HB^® was conducted in 2 groups of physically and mentally-handicapped (A=10 µg y B= 5 µg). The study was approved by the Committees of Medical Ethics and Revision of "Pedro Kourí" Tropical Medicine Institute and of the Center of Genetic Engineering and Biotechnology of the City of Havana; good clinical practice were followed and the ethical principles of Helsinki Declaration were respected for. The vaccination schedule at 0, 1 and 6 months was used in which children negative to hepatitis B virus surface antigen and to hepatitis B virus surface antigen antibody were included. The subjects were studied from the clinical and serological viewpoints up to 14 years after the implementation of the aforementioned vaccine schedule. RESULTS: one year after the beginning of the vaccination, there was full seroprotection in both groups. After 14 years of follow-up, none of the subjects was positive to hepatitis B virus surface antigen, neither were they affected by acute hepatitis B, which meant 100 % individual protection. CONCLUSIONS: the immunogenic power of Heberbiovac HB^® vaccine was high and its protective efficacy was 100 % in physically and mentally-handicapped children according to the results of the clinical and serological follow-up extending up to 14 years after the implementation of the primary vaccination schedule. These results are achieved for the first time for this kind of vaccine.

Palabras clave : physically and mentally-handicapped; Herberbiovac HB^®; protective anti-HBs; protective efficacy.

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