Significance of anti-HB levels below 10 IU/L after vaccination against hepatitis B in infancy or adolescence: an update in relation to sex

Hepatitis B vaccination (three-dose series) induces long-term immunity, but it is not uncommon to find antibody levels below 10 IU/L long after vaccination. However, the majority of the subjects with low antibody levels have a prompt response to a booster dose. A population of 10,294 students at Pad...

Full description

Bibliographic Details
Main Authors: Andrea Trevisan, Clara Frasson, Davide De Nuzzo, Annamaria Nicolli, Maria Luisa Scapellato
Format: Article
Language:English
Published: Taylor & Francis Group 2020-02-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2019.1656483
_version_ 1797677356904611840
author Andrea Trevisan
Clara Frasson
Davide De Nuzzo
Annamaria Nicolli
Maria Luisa Scapellato
author_facet Andrea Trevisan
Clara Frasson
Davide De Nuzzo
Annamaria Nicolli
Maria Luisa Scapellato
author_sort Andrea Trevisan
collection DOAJ
description Hepatitis B vaccination (three-dose series) induces long-term immunity, but it is not uncommon to find antibody levels below 10 IU/L long after vaccination. However, the majority of the subjects with low antibody levels have a prompt response to a booster dose. A population of 10,294 students at Padua University Medical School, who were subjected to hepatitis B vaccination during infancy or adolescence according to the law, was tested for the presence of anti-HBs, usually during the first year of matriculation. Among the students offered a booster dose, 1,030 were vaccinated, and the antibody titre was re-tested. The present research provides further evidence from a larger number of students (1,030) that an anti-HB level higher than 2 IU/L is predictive of a prompt response to a booster. There are also differences related to sex. The results clearly confirm that an antibody titre equal to or greater than 2 IU/L is enough to prompt a response after a booster dose, even several years after the initial vaccination cycle, and to predict effective immune protection. The length of the interval between the booster/post-booster analyses increases the probability of finding a low response to the booster; furthermore, females show a more rapid response to the booster than males. The importance for healthcare workers of measuring the antibody titre four weeks after a booster is highlighted, and the results suggest that females have a better response than males to booster vaccination.
first_indexed 2024-03-11T22:43:53Z
format Article
id doaj.art-9593df82ffd5486281d7ed169edd75a7
institution Directory Open Access Journal
issn 2164-5515
2164-554X
language English
last_indexed 2024-03-11T22:43:53Z
publishDate 2020-02-01
publisher Taylor & Francis Group
record_format Article
series Human Vaccines & Immunotherapeutics
spelling doaj.art-9593df82ffd5486281d7ed169edd75a72023-09-22T08:45:33ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2020-02-0116246046410.1080/21645515.2019.16564831656483Significance of anti-HB levels below 10 IU/L after vaccination against hepatitis B in infancy or adolescence: an update in relation to sexAndrea Trevisan0Clara Frasson1Davide De Nuzzo2Annamaria Nicolli3Maria Luisa Scapellato4University of PadovaUniversity of PadovaUniversity of PadovaUniversity of PadovaUniversity of PadovaHepatitis B vaccination (three-dose series) induces long-term immunity, but it is not uncommon to find antibody levels below 10 IU/L long after vaccination. However, the majority of the subjects with low antibody levels have a prompt response to a booster dose. A population of 10,294 students at Padua University Medical School, who were subjected to hepatitis B vaccination during infancy or adolescence according to the law, was tested for the presence of anti-HBs, usually during the first year of matriculation. Among the students offered a booster dose, 1,030 were vaccinated, and the antibody titre was re-tested. The present research provides further evidence from a larger number of students (1,030) that an anti-HB level higher than 2 IU/L is predictive of a prompt response to a booster. There are also differences related to sex. The results clearly confirm that an antibody titre equal to or greater than 2 IU/L is enough to prompt a response after a booster dose, even several years after the initial vaccination cycle, and to predict effective immune protection. The length of the interval between the booster/post-booster analyses increases the probability of finding a low response to the booster; furthermore, females show a more rapid response to the booster than males. The importance for healthcare workers of measuring the antibody titre four weeks after a booster is highlighted, and the results suggest that females have a better response than males to booster vaccination.http://dx.doi.org/10.1080/21645515.2019.1656483hepatitis bvaccinationimmunological memorybooster doseprotectiongender
spellingShingle Andrea Trevisan
Clara Frasson
Davide De Nuzzo
Annamaria Nicolli
Maria Luisa Scapellato
Significance of anti-HB levels below 10 IU/L after vaccination against hepatitis B in infancy or adolescence: an update in relation to sex
Human Vaccines & Immunotherapeutics
hepatitis b
vaccination
immunological memory
booster dose
protection
gender
title Significance of anti-HB levels below 10 IU/L after vaccination against hepatitis B in infancy or adolescence: an update in relation to sex
title_full Significance of anti-HB levels below 10 IU/L after vaccination against hepatitis B in infancy or adolescence: an update in relation to sex
title_fullStr Significance of anti-HB levels below 10 IU/L after vaccination against hepatitis B in infancy or adolescence: an update in relation to sex
title_full_unstemmed Significance of anti-HB levels below 10 IU/L after vaccination against hepatitis B in infancy or adolescence: an update in relation to sex
title_short Significance of anti-HB levels below 10 IU/L after vaccination against hepatitis B in infancy or adolescence: an update in relation to sex
title_sort significance of anti hb levels below 10 iu l after vaccination against hepatitis b in infancy or adolescence an update in relation to sex
topic hepatitis b
vaccination
immunological memory
booster dose
protection
gender
url http://dx.doi.org/10.1080/21645515.2019.1656483
work_keys_str_mv AT andreatrevisan significanceofantihblevelsbelow10iulaftervaccinationagainsthepatitisbininfancyoradolescenceanupdateinrelationtosex
AT clarafrasson significanceofantihblevelsbelow10iulaftervaccinationagainsthepatitisbininfancyoradolescenceanupdateinrelationtosex
AT davidedenuzzo significanceofantihblevelsbelow10iulaftervaccinationagainsthepatitisbininfancyoradolescenceanupdateinrelationtosex
AT annamarianicolli significanceofantihblevelsbelow10iulaftervaccinationagainsthepatitisbininfancyoradolescenceanupdateinrelationtosex
AT marialuisascapellato significanceofantihblevelsbelow10iulaftervaccinationagainsthepatitisbininfancyoradolescenceanupdateinrelationtosex