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...
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Format: | Article |
Language: | English |
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Taylor & Francis Group
2020-02-01
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Series: | Human Vaccines & Immunotherapeutics |
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Online Access: | http://dx.doi.org/10.1080/21645515.2019.1656483 |
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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 |
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