Abstract
Objective: To determine whether intradermal hepatitis B vaccination is an effective procedure. Design: A study of antibody responses to hepatitis B vaccine in 753 medical students. Setting: Routine vaccination of medical students with intradermal doses of hepatitis B vaccines of various origins. Outcome measures: Rates of seroconversion and geometric mean levels of antibody achieved. Results: Seroconversion rates, indicated by antibody to hepatitis B surface antigen (anti-HBs) levels of 10 mIU/mL or more, varied between 82% and 94.7% with different preparations of the vaccine. With a four-dose intradermal schedule over two successive cohorts, Engerix-B (SmithKline Beecham) gave better responses, in this context, than H-B-Vax II (Merck Sharp and Dohme). Any reactions to the vaccination were mild and local. Conclusion: The intradermal route is a practical method of vaccination against hepatitis B in healthy young adults when the cost of the vaccine is an inhibiting factor.
Original language | English |
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Pages (from-to) | 372-375 |
Number of pages | 4 |
Journal | Medical Journal of Australia |
Volume | 158 |
Issue number | 6 |
Publication status | Published - 1 Jan 1993 |