Evaluation of Immune Response to Hepatitis B Vaccine among Malnourished Children in Yemen

Objectives: To determine the coverage rate of hepatitis B virus (HBV) vaccine and to evaluate the immune response to HBV vaccine by measuring hepatitis B surface antibody (anti-HBs) among malnourished under-five-year old children. Methods: A cross-sectional study was conducted in two tertiary hospi...

Full description

Bibliographic Details
Main Authors: Fuad A. Alsamei, Atif A. Elagib, Najla A. Al-Sonboli, Fawzi A. Alkumaim, Nader S. Alsayaad, Abdulmalik T. Aldobibi
Format: Article
Language:English
Published: University of Science and Technology, Yemen 2015-12-01
Series:Yemeni Journal for Medical Sciences
Subjects:
Online Access:https://journals.ust.edu/index.php/yjms/article/view/863
_version_ 1811334477860831232
author Fuad A. Alsamei
Atif A. Elagib
Najla A. Al-Sonboli
Fawzi A. Alkumaim
Nader S. Alsayaad
Abdulmalik T. Aldobibi
author_facet Fuad A. Alsamei
Atif A. Elagib
Najla A. Al-Sonboli
Fawzi A. Alkumaim
Nader S. Alsayaad
Abdulmalik T. Aldobibi
author_sort Fuad A. Alsamei
collection DOAJ
description Objectives: To determine the coverage rate of hepatitis B virus (HBV) vaccine and to evaluate the immune response to HBV vaccine by measuring hepatitis B surface antibody (anti-HBs) among malnourished under-five-year old children. Methods: A cross-sectional study was conducted in two tertiary hospitals in Yemen; Al-Sabeen Maternity and Child Hospital in Sana’a and the Yemeni-Swedish Hospital in Taiz city in the period from March 2014 to Dec. 2014. The target population was malnourished children aged from 6 to 59 months old with a history of three HBV vaccine doses in infancy. According to the World Health Organization’s definition of malnutrition, 121 malnourished children were enrolled in the study. Data of malnourished children were collected using a pre-designed, pre-tested questionnaire. Two milliliters of venous blood were taken, and anti-HBs was then tested by enzyme linked immunosorbent assay. An anti-HBs level of at least 10 IU/L was considered a successful response to the vaccine. Results: The coverage rate of HBV vaccine among malnourished children was 89.3%, being higher among girls (52.1%) than boys (37.2%). Response to HBV vaccine (≥10 IU/L) was observed in 72.2% (78/108) of children while 27.8% (30/108) of children failed to respond to the vaccine, with a statistically significant difference (p <0.001). Conclusions: A good HBV vaccine coverage rate was found among malnourished Yemeni children, with a moderate rate of protection. Therefore, re-vaccination or administration of booster doses to a substantial proportion of vaccinated children should be considered.
first_indexed 2024-04-13T17:09:28Z
format Article
id doaj.art-fac6e92e94aa48f981a3880a01dfecf1
institution Directory Open Access Journal
issn 2227-9601
2227-961X
language English
last_indexed 2024-04-13T17:09:28Z
publishDate 2015-12-01
publisher University of Science and Technology, Yemen
record_format Article
series Yemeni Journal for Medical Sciences
spelling doaj.art-fac6e92e94aa48f981a3880a01dfecf12022-12-22T02:38:21ZengUniversity of Science and Technology, YemenYemeni Journal for Medical Sciences2227-96012227-961X2015-12-0191142110.20428/YJMS.9.1.3811Evaluation of Immune Response to Hepatitis B Vaccine among Malnourished Children in YemenFuad A. Alsamei0Atif A. Elagib1Najla A. Al-SonboliFawzi A. AlkumaimNader S. AlsayaadAbdulmalik T. AldobibiSudan Academy of Sciences (SAS) Sudan and General Military Hospital , Sana'aNational Center for Research, Khartoum, SudanObjectives: To determine the coverage rate of hepatitis B virus (HBV) vaccine and to evaluate the immune response to HBV vaccine by measuring hepatitis B surface antibody (anti-HBs) among malnourished under-five-year old children. Methods: A cross-sectional study was conducted in two tertiary hospitals in Yemen; Al-Sabeen Maternity and Child Hospital in Sana’a and the Yemeni-Swedish Hospital in Taiz city in the period from March 2014 to Dec. 2014. The target population was malnourished children aged from 6 to 59 months old with a history of three HBV vaccine doses in infancy. According to the World Health Organization’s definition of malnutrition, 121 malnourished children were enrolled in the study. Data of malnourished children were collected using a pre-designed, pre-tested questionnaire. Two milliliters of venous blood were taken, and anti-HBs was then tested by enzyme linked immunosorbent assay. An anti-HBs level of at least 10 IU/L was considered a successful response to the vaccine. Results: The coverage rate of HBV vaccine among malnourished children was 89.3%, being higher among girls (52.1%) than boys (37.2%). Response to HBV vaccine (≥10 IU/L) was observed in 72.2% (78/108) of children while 27.8% (30/108) of children failed to respond to the vaccine, with a statistically significant difference (p <0.001). Conclusions: A good HBV vaccine coverage rate was found among malnourished Yemeni children, with a moderate rate of protection. Therefore, re-vaccination or administration of booster doses to a substantial proportion of vaccinated children should be considered.https://journals.ust.edu/index.php/yjms/article/view/863hepatitis b virushepatitis b vaccinemalnutritionimmune responseyemen
spellingShingle Fuad A. Alsamei
Atif A. Elagib
Najla A. Al-Sonboli
Fawzi A. Alkumaim
Nader S. Alsayaad
Abdulmalik T. Aldobibi
Evaluation of Immune Response to Hepatitis B Vaccine among Malnourished Children in Yemen
Yemeni Journal for Medical Sciences
hepatitis b virus
hepatitis b vaccine
malnutrition
immune response
yemen
title Evaluation of Immune Response to Hepatitis B Vaccine among Malnourished Children in Yemen
title_full Evaluation of Immune Response to Hepatitis B Vaccine among Malnourished Children in Yemen
title_fullStr Evaluation of Immune Response to Hepatitis B Vaccine among Malnourished Children in Yemen
title_full_unstemmed Evaluation of Immune Response to Hepatitis B Vaccine among Malnourished Children in Yemen
title_short Evaluation of Immune Response to Hepatitis B Vaccine among Malnourished Children in Yemen
title_sort evaluation of immune response to hepatitis b vaccine among malnourished children in yemen
topic hepatitis b virus
hepatitis b vaccine
malnutrition
immune response
yemen
url https://journals.ust.edu/index.php/yjms/article/view/863
work_keys_str_mv AT fuadaalsamei evaluationofimmuneresponsetohepatitisbvaccineamongmalnourishedchildreninyemen
AT atifaelagib evaluationofimmuneresponsetohepatitisbvaccineamongmalnourishedchildreninyemen
AT najlaaalsonboli evaluationofimmuneresponsetohepatitisbvaccineamongmalnourishedchildreninyemen
AT fawziaalkumaim evaluationofimmuneresponsetohepatitisbvaccineamongmalnourishedchildreninyemen
AT nadersalsayaad evaluationofimmuneresponsetohepatitisbvaccineamongmalnourishedchildreninyemen
AT abdulmaliktaldobibi evaluationofimmuneresponsetohepatitisbvaccineamongmalnourishedchildreninyemen