关键词: Immunogenicity Inactivated poliovirus vaccines Oral poliovirus vaccines sequential schedule vaccination

Mesh : Antibodies, Viral / blood Humans Immunization Schedule Immunogenicity, Vaccine Infant Poliomyelitis / etiology prevention & control Poliovirus / immunology Poliovirus Vaccine, Inactivated / administration & dosage adverse effects Poliovirus Vaccine, Oral / administration & dosage adverse effects Seroconversion Vaccination / adverse effects methods

来  源:   DOI:10.1080/21645515.2018.1489188   PDF(Pubmed)

Abstract:
The emergence of vaccine-associated paralytic poliomyelitis has become an ongoing burden of poliomyelitis. During this special period from OPV to IPV-only immunization schedule, we did a meta-analysis to compare the immunogenicity of sequential IPV and OPV versus IPV alone in healthy infants.
This systematic review and meta-analysis was registered at international prospective register of systematic reviews (PROSPERO), and the number was CRD42017054889. We performed it as described.
Finally, 6 articles were qualified for our review. The results showed that seroconversion rates against all 3 serotype polioviruses were non-inferior and Geometric mean antibody titers (GMTs) were superior in sequential schedules compared with IPV-only schedule. Thus, the sequential vaccination schedules could induce a stronger immunogenicity.
To decrease vaccine-associated and vaccine-derived poliomyelitis, it is a reasonable option to select sequential schedules during this special transition from OPV to IPV-only immunization schedule, which coincides with the current WHO recommendations.
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