title: Immunogenicity and reactogenicity of HbOC vaccine administered simultaneously with acellular pertussis vaccine (DTaP) into either arms or thighs of infants.
abstract: To evaluate the reactogenicity and immunogenicity of a Haemophilus influenzae type b conjugate vaccine (HbOC) and of a tricomponent acellular pertussis vaccine (DTaP) when injected simultaneously into either contralateral arms or into contralateral thighs, 110 infants were enrolled to receive three doses of DTaP at 3, 4, and 5 months and two HbOC doses at 3 and 5 months of age. Administration of either of the two vaccines into arms was associated with significantly more local side effects than administration into thighs. There was no difference in geometric mean concentration (GMC) values for any of the four vaccine antigens between subjects who had been vaccinated into arms or thighs. After immunization, all children had protective antibody titers to diphtheria toxin. While post vaccination the mean anti-tetanus toxoid GMC was > or = 1.25 IU/ml, there was no significant rise as compared to the GMC before vaccination. GMCs of antibodies against the various pertussis antigens were similar to those observed before with the same DTaP vaccine. The simultaneous administration of DTaP and HbOC was safe and immunogenic irrespective of the site of vaccine administration, but significantly more local reactions occurred when vaccines were injected into arms.
authors.affiliation: Kinderklinik der Johannes Gutenberg Universität Mainz, Germany.
authors.forename: H J
authors.initials: HJ
authors.lastname: Schmitt
authors.forename: C H
authors.initials: CH
authors.lastname: Wirsing von König
authors.forename: F
authors.initials: F
authors.lastname: Zepp
authors.forename: J
authors.initials: J
authors.lastname: Huff
authors.forename: K
authors.initials: K
authors.lastname: Jahn
authors.forename: P
authors.initials: P
authors.lastname: Schmidtke
authors.forename: C
authors.initials: C
authors.lastname: Meyer
authors.forename: P
authors.initials: P
authors.lastname: Habermehl
authors.forename: R
authors.initials: R
authors.lastname: Uhlenbusch
authors.forename: P
authors.initials: P
authors.lastname: Angersbach
mesh_terms: D000907:Antibodies, Bacterial / Q000097:blood; D016667:Bacterial Capsules; D005260:Female; D018073:Haemophilus Vaccines / Q000008:administration & dosage / Q000009:adverse effects / Q000276:immunology*; D006801:Humans; D007223:Infant; D008297:Male; D010567:Pertussis Vaccine / Q000008:administration & dosage / Q000009:adverse effects / Q000276:immunology*; D011135:Polysaccharides, Bacterial / Q000008:administration & dosage / Q000009:adverse effects / Q000276:immunology*; D018074:Vaccines, Conjugate / Q000009:adverse effects / Q000276:immunology
chemical_list: D000907:Antibodies, Bacterial; D018073:Haemophilus Vaccines; C044237:Haemophilus influenzae type b polysaccharide vaccine; D010567:Pertussis Vaccine; D011135:Polysaccharides, Bacterial; D018074:Vaccines, Conjugate