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Measles,mumps,and rubella revaccination in children after completion of chemotherapy and hematopoietic stem cell transplantation:a single-center prospective efficacy and safety analysis

摘要Background Chemotherapy and hematopoietic stem cell transplantation(HSCT)can damage the immune system,and may result in a loss of protection from infectious diseases.This study aimed to evaluate the impact of these treatments on the decrease in antibody titers of the measles,mumps,and rubella(MMR)vaccine and seroconversion post-revaccination of MMR.Methods After completion of treatment for primary diseases,participants received an MMR revaccination.Antibody titers for MMR before revaccination were analyzed for all 110 children.After revaccination,68 participants received a follow-up evaluation of antibody titer and adverse reaction.Results Multivariable analysis showed that therapeutic schedules were the only factor correlated with lack of antibody titers for measles after completing treatment(P=0.008),while for mumps and rubella,no statistically significant difference was observed.Importantly,our study clearly demonstrated positive seroconversion rates for measles(97.5%),mumps(81.0%),and rubella(93.2%),with antibody levels rising across the board and peaking at around 6 months following revaccination.However,6 months after revaccination,a downtrend of antibody titer levels was observed,which is comparatively earlier than the waning immunity observed in healthy children.Furthermore,we found MMR revaccination to be safe,with only a single adverse reaction(local pain at the injection site)reported.Conclusions MMR revaccination is immunogenic for the population.We suggest periodic monitoring of antibody titers,in addition to a booster vaccination,although the optimal timing of booster vaccination remains to be investigated further.

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作者 Min Wang [1] Qing Yuan [1] Peng-Fei Deng [2] Yi Fei [2] Hua Zhang [1] Fen Zhou [1] Wen-Juan Chen [3] Qing Cao [3] Jing Chen [1] Yi-Jin Gao [1] 学术成果认领
作者单位 Department of Hematology and Oncology,Shanghai Children's Medical Center,School of Medicine,Shanghai Jiao Tong University,No.1678 Dongfang Road,Pudong District,Shanghai 200127,China [1] Center for Diseases Control and Prevention,Fudan University Pudong Institute of Preventive Medicine,Shanghai 200136,China [2] Department of Infectious Diseases,Shanghai Children's Medical Center,Shanghai Jiao Tong University School of Medicine,Shanghai,China [3]
栏目名称 Original articles
DOI 10.1007/s12519-023-00721-x
发布时间 2023-12-22
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