CHU Yan;CHAI Wen-qing;CHEN Dan-dan;Shanghai Institute of Biological Products Co.,Ltd.;Objective To evaluate the immunogenicity and safety of live attenuated varicella vaccine by a two-dose schedule in healthy children. Methods Healthy children at ages of 2 ~ 7 years,who have been inoculated with one dose of varicella vaccine,were inoculated with freeze-dried live attenuated varicella vaccine 1,3 and 5 years after primary immunization respectively. Serum samples were collected before as well as 4 weeks and one year after immunization and determined for antibody by ELISA,based on which the geometric mean concentration(GMC)and positive rate of antibody were calculated. Adverse reactions were observed after immunization,of which the incidence was calculated. Results In the children immunized with two doses of live attenuated varicella vaccine at an interval of one year,the antibody positive rates before,one month and one year after the second immunization were 73. 68%,98. 25% and 94. 74%,while the GMCs were 211. 27,201. 30 and 500. 15 m Iu/m L,respectively. In the children immunized at an interval of3 years,the antibody positive before,one month and one year after the second immunization were 65. 22%,98. 55% and89. 86%,while the GMCs were 182. 28,1 642. 35 and 365. 77 m Iu/m L,respectively. However,in the children immunized at an interval of 5 years,the antibody positive rates before,one month and one year after the second immunization were 71. 70%,100. 00% and 92. 45%,while the GMCs were 288. 99,1 923. 73 and 504. 93 m Iu/m L,respectively. In general,the GMCs and positive rates of antibody one month and one year after the second immunization in children immunized with two doses at various intervals showed significant difference with those before the second immunization(P < 0. 05). However,in the children immunized with two doses at an interval of 5 years,the GMC of antibody one year after the second immunization showed no significant difference with that before the second immunization(P > 0. 05). A total of 431 children were immunized,in whom systemic adverse reactions were observed in 74 ones,indicating a adverse reaction rate of 17. 17%,most of which were reactions of grade Ⅰ. Only one case of local reaction appeared,which was expressed as transiently local pain. Conclusion The two-dose immunization strategy of freeze-dried live attenuated varicella vaccine may enhance the protective effect of vaccine significantly,by which the protective rate one year after the second immunization reached about 90%. A booster immunization with varicella vaccine one year after primary immunization may be served as a optimal strategy.
2018 05 v.31 [Abstract][OnlineView][Download 271K]