Active-passive Immunization Effectiveness Against Hepatitis B Virus in Children Born to HBsAg Positive Mothers in Amol, North of Iran

Objectives: HBV infection is a contagious disease that may transmit vertically from mothers to their neonates or horizontally by blood products and body secretions. Over 50�0of Iranian carriers have contracted the infection perinatally, making this the most likely route of transmission of HBV in Ira...

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Bibliographic Details
Format: Article
Language:English
Published: Oman Medical Specialty Board 2011-11-01
Series:Oman Medical Journal
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Online Access:http://journals.indexcopernicus.com/fulltxt.php?ICID=982288
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Summary:Objectives: HBV infection is a contagious disease that may transmit vertically from mothers to their neonates or horizontally by blood products and body secretions. Over 50�0of Iranian carriers have contracted the infection perinatally, making this the most likely route of transmission of HBV in Iran. This study assesses the serologic markers of HBV in children born to HBsAg positive mothers who received HBIG and 3 doses of HBV vaccine. Methods: To evaluate the effectiveness of vaccination against HBV, a study was conducted on 95 Children, born to hepatitis B surface antigen (HBsAg)-positive mothers, who had received Hepatitis B Immune Globulin and HBV vaccines during 2004-2008. All children were tested for the presence of HBsAg, anti-HBs and anti-HB core antigen (anti-HBc). Results: Among an estimated 30000 pregnant women during the five year study, about 130 (0.42�20were HBV carriers. Ninety-five children from these mothers were enrolled in this study. Only one child (1.1�20was HBsAg positive, while 88.4�0of children were Anti-HBs Positive. Eleven children (11.6�20were exposed to HBV as shown by the presence of anti-HBc. A significant difference was observed between the children’s age and Anti-HBs (p=0.0001). Conclusion: Passive-active immunoprophylaxis of high risk babies was highly efficacious in preventing perinatal transmission of the HBV carrier state. Also, evaluation of serologic markers in HBV infected people is important for designing the strategies for disease control.
ISSN:1999-768X
2070-5204