CHU Yan,LU Yu-zhong,TAO Hong,WANG Biao,WANG Yan,WANG Shu-qiao,QIN Jie,XU Wen-qing(Shanghai Institute of Biological Products,Shanghai 200052,China)Objective To observe the safety and immunogenicity of domestic combined live attenuated measles,mumps and rubella(MMR) vaccine.Methods A total of 765 healthy children unimmunized with MMR previously,aged 8 ~ 15 months,were randomly divided into HG,HD and control groups and immunized with MMR vaccines with high and low mumps virus titers manufactured by Shanghai Institute of Biological Products and domestic MMR vaccine as control respectively,then observed for safety and immunogenicity.The IgG levels against measles,mumps and rubella in sera of the children were determined by ELISA.Results The systemic and local adverse reaction rates of the 765 immunized children were 18.95% and less than 0.4% respectively.The positive conversion rates of antibody against measles in HG,HD and control groups were 97.34%,97.18% and 95.04%,while those against mumps were 94.68%,89.83% and 76.60%,and those against rubella were 94.68%,94.35% and 91.49%,respectively.The geometric mean concentrations(GMCs) of antibody against measles in the three groups were 6 221.57,5 766.34 and 5 056.75 mIU/ml respectively,which increased by about 200 folds in average;while those against mumps were 381.33,308.46 and 207.01 U/ml,which increased by about 26,22 and 17 folds in average respectively;and those against rubella were 81.77,77.61 and 81.49 IU/ml respectively,which increased by about 23 folds in average.No significant differences were observed in the positive conversion rates,GMCs as well as their mean increasing folds of antibodies against measles and rubella in various groups(P > 0.05).However,the indexes were significantly higher in HG and HD groups than in control group(P < 0.05),while showed no significant differences in HG and HD groups(P > 0.05).Conclusion All the three kinds of MMR vaccines showed high safety,of which the immunogenicity to measles and rubella were similar while those to mumps showed significant difference.However,the antibody positive conversion rates induced by high and low titer MMR vaccines manufactured by Shanghai Institute of Biological Products showed no significant difference.
2011 06 v.24 [Abstract][OnlineView][Download 192K]