Immunogenicity of Heptavalent Conjugate Vaccine Against Streptococcus pneumoniae in Premature Babies with Low Birth Weight

There are few studies about immunogenicity and safety of heptavalent pneumococcal-CRM197 conjugate vaccine (PCV7) in low birth weight infants. Objective: Assessment of immunogenicity following administration of PCV7 in low birth weight children. Methods: The PCV7 vaccine was administered to 60 infan...

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Main Authors: Ewa Szynczewska, Danuta Chlebna-Sokół
Format: Article
Language:English
Published: Elsevier 2014-04-01
Series:Pediatrics and Neonatology
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Online Access:http://www.sciencedirect.com/science/article/pii/S187595721300140X
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author Ewa Szynczewska
Danuta Chlebna-Sokół
author_facet Ewa Szynczewska
Danuta Chlebna-Sokół
author_sort Ewa Szynczewska
collection DOAJ
description There are few studies about immunogenicity and safety of heptavalent pneumococcal-CRM197 conjugate vaccine (PCV7) in low birth weight infants. Objective: Assessment of immunogenicity following administration of PCV7 in low birth weight children. Methods: The PCV7 vaccine was administered to 60 infants divided into two groups: 23 children with birth weight <1000 g (Group I); and 37 children with birth weight ≥1000 g (Group II). Serum was collected four times. Results: Birth weight of children included in the study ranged from 480 g to 2450 g. The primary immunization caused an increase in the average concentration of antibodies for all serotypes in most of the participants, with no significant differences between the groups. However, there were some differences between various serotypes. Group serotypes 6B and 23F were the least immunogenic (≥0.35 μg/mL, Group I vs. Group II – 6B: 78.3% vs. 67,6% p = 0.371 and 23F: 87% vs. 83.8% p = 0.738). Prior to the administration of a booster dose, a significant decrease in antibody titer was observed in all children. The last vaccination resulted in an increased concentration of antibodies in all children in both groups, and the results were significantly higher compared to those measured following administration of three doses of the vaccine. Conclusion: PCV7 is immunogenic in children with low, very low, and extremely low birth weight. Serotypes 6B and 23F were the least immunogenic, and serotype 14 proved to be the most immunogenic.
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spelling doaj-art-881af129bbea433a976a4cabb3babac52025-08-20T02:11:00ZengElsevierPediatrics and Neonatology1875-95722014-04-0155210110710.1016/j.pedneo.2013.06.005Immunogenicity of Heptavalent Conjugate Vaccine Against Streptococcus pneumoniae in Premature Babies with Low Birth WeightEwa SzynczewskaDanuta Chlebna-SokółThere are few studies about immunogenicity and safety of heptavalent pneumococcal-CRM197 conjugate vaccine (PCV7) in low birth weight infants. Objective: Assessment of immunogenicity following administration of PCV7 in low birth weight children. Methods: The PCV7 vaccine was administered to 60 infants divided into two groups: 23 children with birth weight <1000 g (Group I); and 37 children with birth weight ≥1000 g (Group II). Serum was collected four times. Results: Birth weight of children included in the study ranged from 480 g to 2450 g. The primary immunization caused an increase in the average concentration of antibodies for all serotypes in most of the participants, with no significant differences between the groups. However, there were some differences between various serotypes. Group serotypes 6B and 23F were the least immunogenic (≥0.35 μg/mL, Group I vs. Group II – 6B: 78.3% vs. 67,6% p = 0.371 and 23F: 87% vs. 83.8% p = 0.738). Prior to the administration of a booster dose, a significant decrease in antibody titer was observed in all children. The last vaccination resulted in an increased concentration of antibodies in all children in both groups, and the results were significantly higher compared to those measured following administration of three doses of the vaccine. Conclusion: PCV7 is immunogenic in children with low, very low, and extremely low birth weight. Serotypes 6B and 23F were the least immunogenic, and serotype 14 proved to be the most immunogenic.http://www.sciencedirect.com/science/article/pii/S187595721300140Xadverse eventsimmunogenicitylow birth weightpneumococcal-CRM197 conjugate vaccineprematurityStreptococcus pneumoniae
spellingShingle Ewa Szynczewska
Danuta Chlebna-Sokół
Immunogenicity of Heptavalent Conjugate Vaccine Against Streptococcus pneumoniae in Premature Babies with Low Birth Weight
Pediatrics and Neonatology
adverse events
immunogenicity
low birth weight
pneumococcal-CRM197 conjugate vaccine
prematurity
Streptococcus pneumoniae
title Immunogenicity of Heptavalent Conjugate Vaccine Against Streptococcus pneumoniae in Premature Babies with Low Birth Weight
title_full Immunogenicity of Heptavalent Conjugate Vaccine Against Streptococcus pneumoniae in Premature Babies with Low Birth Weight
title_fullStr Immunogenicity of Heptavalent Conjugate Vaccine Against Streptococcus pneumoniae in Premature Babies with Low Birth Weight
title_full_unstemmed Immunogenicity of Heptavalent Conjugate Vaccine Against Streptococcus pneumoniae in Premature Babies with Low Birth Weight
title_short Immunogenicity of Heptavalent Conjugate Vaccine Against Streptococcus pneumoniae in Premature Babies with Low Birth Weight
title_sort immunogenicity of heptavalent conjugate vaccine against streptococcus pneumoniae in premature babies with low birth weight
topic adverse events
immunogenicity
low birth weight
pneumococcal-CRM197 conjugate vaccine
prematurity
Streptococcus pneumoniae
url http://www.sciencedirect.com/science/article/pii/S187595721300140X
work_keys_str_mv AT ewaszynczewska immunogenicityofheptavalentconjugatevaccineagainststreptococcuspneumoniaeinprematurebabieswithlowbirthweight
AT danutachlebnasokoł immunogenicityofheptavalentconjugatevaccineagainststreptococcuspneumoniaeinprematurebabieswithlowbirthweight