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Conjugate Pneumococcal Vaccine in HIV‐Infected Ugandans and the Effect of Past Receipt of Polysaccharide Vaccine
Author(s) -
George Miiro,
Helena Käyhty,
Christine Watera,
Helen Tolmie,
James Whitworth,
Charles F. Gilks,
Neil French
Publication year - 2005
Publication title -
the journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.69
H-Index - 252
eISSN - 1537-6613
pISSN - 0022-1899
DOI - 10.1086/497144
Subject(s) - immunogenicity , pneumococcal conjugate vaccine , serotype , virology , pneumococcal polysaccharide vaccine , pneumococcal vaccine , immunology , medicine , pneumococcal infections , streptococcus pneumoniae , antibody , biology , microbiology and biotechnology , antibiotics , pneumococcal disease
We investigated the immunogenicity of a 7-valent conjugate pneumococcal vaccine (CPV) in human immunodeficiency virus-infected Ugandan adults and measured the effect of past pneumococcal polysaccharide vaccine (PPV) receipt given as part of a controlled trial. Two doses of CPV, 4 weeks apart, were given to 54 past PPV recipients and 55 past placebo recipients (84% female; median CD4 cell count, 251 cells/ microL [range, 1-936 cells/ microL]). Postvaccination anticapsular immunoglobulin G (IgG) concentrations were directly correlated with CD4 cell count (P < .01 for all serotypes). There were significant increases in anticapsular IgG concentrations for all serotypes after the first dose (P < .01) and for all serotypes except 14 and 9V after the second dose. Past receipt of PPV did not affect vaccine response.

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