The response to Hepatitis B virus vaccine in HIV-infected patients (HIV/AIDS counseling and care center in Kermanshah)

Background and Objective: HBV infection is preventable by effective vaccination in general population, but response to vaccine among HIV infected people seems to be low. Methods: In this prospective study, 48 HIV position patients with anti HBs-Ab and HBs Ag had hepatitis B vaccination (0, 1, 6 mont...

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Autores principales: K Alaei, SD Mansoori, A Alaei
Formato: article
Lenguaje:EN
FA
Publicado: Babol University of Medical Sciences 2004
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spelling oai:doaj.org-article:02e94a464d464fcd9eefe339cb8deeba2021-11-10T09:16:04ZThe response to Hepatitis B virus vaccine in HIV-infected patients (HIV/AIDS counseling and care center in Kermanshah)1561-41072251-7170https://doaj.org/article/02e94a464d464fcd9eefe339cb8deeba2004-04-01T00:00:00Zhttp://jbums.org/article-1-2713-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170Background and Objective: HBV infection is preventable by effective vaccination in general population, but response to vaccine among HIV infected people seems to be low. Methods: In this prospective study, 48 HIV position patients with anti HBs-Ab and HBs Ag had hepatitis B vaccination (0, 1, 6 months). Anti-HBs levels were measured two months after the last dose by ELISA method. Cellular immunity was evaluated by flowcytometry. Findings: Only 14 (29.1%) of vaccinated HIV-infected patients had positive anti-HBs titers (11 males, 3 females). Among them, 4 (28.6%) were over 40 years and from 34 HIV positive patients who did not respond to hepatitis B vaccine, 10 (29.4%) were over 40 years old. The mean number of CD4+ T lymphocytes was 352.5 in responders and 283.9 in non-responders. 2 (17.6%) of 17 HIV positive patients with CD4+ T <200 AND 6 (31.5%) of 19 HIV positive patients with 200<CD4<500 and 3 (42.8%) of 7 HIV positive with CD4>500 responded to hepatitis B vaccine. Conclusion: Hepatitis B vaccination is better to be administered at the early stage of HIV infection. Conventional dose HIV vaccine is not enough for immunity. Therefore, it is recommended two-fold dose and repeated conventional dose or increasing interval administration of hepatitis B vaccine.K AlaeiSD MansooriA AlaeiBabol University of Medical Sciencesarticlehiv/aidshepatitis b vaccinecd<sub>4</sub>+ t lymphocytesMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 6, Iss 2, Pp 46-51 (2004)
institution DOAJ
collection DOAJ
language EN
FA
topic hiv/aids
hepatitis b vaccine
cd<sub>4</sub>+ t lymphocytes
Medicine
R
Medicine (General)
R5-920
spellingShingle hiv/aids
hepatitis b vaccine
cd<sub>4</sub>+ t lymphocytes
Medicine
R
Medicine (General)
R5-920
K Alaei
SD Mansoori
A Alaei
The response to Hepatitis B virus vaccine in HIV-infected patients (HIV/AIDS counseling and care center in Kermanshah)
description Background and Objective: HBV infection is preventable by effective vaccination in general population, but response to vaccine among HIV infected people seems to be low. Methods: In this prospective study, 48 HIV position patients with anti HBs-Ab and HBs Ag had hepatitis B vaccination (0, 1, 6 months). Anti-HBs levels were measured two months after the last dose by ELISA method. Cellular immunity was evaluated by flowcytometry. Findings: Only 14 (29.1%) of vaccinated HIV-infected patients had positive anti-HBs titers (11 males, 3 females). Among them, 4 (28.6%) were over 40 years and from 34 HIV positive patients who did not respond to hepatitis B vaccine, 10 (29.4%) were over 40 years old. The mean number of CD4+ T lymphocytes was 352.5 in responders and 283.9 in non-responders. 2 (17.6%) of 17 HIV positive patients with CD4+ T <200 AND 6 (31.5%) of 19 HIV positive patients with 200<CD4<500 and 3 (42.8%) of 7 HIV positive with CD4>500 responded to hepatitis B vaccine. Conclusion: Hepatitis B vaccination is better to be administered at the early stage of HIV infection. Conventional dose HIV vaccine is not enough for immunity. Therefore, it is recommended two-fold dose and repeated conventional dose or increasing interval administration of hepatitis B vaccine.
format article
author K Alaei
SD Mansoori
A Alaei
author_facet K Alaei
SD Mansoori
A Alaei
author_sort K Alaei
title The response to Hepatitis B virus vaccine in HIV-infected patients (HIV/AIDS counseling and care center in Kermanshah)
title_short The response to Hepatitis B virus vaccine in HIV-infected patients (HIV/AIDS counseling and care center in Kermanshah)
title_full The response to Hepatitis B virus vaccine in HIV-infected patients (HIV/AIDS counseling and care center in Kermanshah)
title_fullStr The response to Hepatitis B virus vaccine in HIV-infected patients (HIV/AIDS counseling and care center in Kermanshah)
title_full_unstemmed The response to Hepatitis B virus vaccine in HIV-infected patients (HIV/AIDS counseling and care center in Kermanshah)
title_sort response to hepatitis b virus vaccine in hiv-infected patients (hiv/aids counseling and care center in kermanshah)
publisher Babol University of Medical Sciences
publishDate 2004
url https://doaj.org/article/02e94a464d464fcd9eefe339cb8deeba
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