title: Boosting effect of purified chick embryo cell rabies vaccine using the intradermal route in persons previously immunized by the intramuscular route or vice versa.
abstract: BACKGROUND
  At present, in the event of re-exposure to rabies, 2 booster doses are recommended for people who have been previously vaccinated with cell culture rabies vaccines by the conventional intramuscular route. As the intradermal route of vaccination is likely to be introduced in the future, we investigated the immune response to a cell culture rabies vaccine after crossing over from the intramuscular to the intradermal route and vice versa.
  
  
  METHODS
  Twenty healthy adult volunteers who had received a primary course of rabies vaccination with purified chick embryo cell rabies vaccine by either the intramuscular (n = 10) or intradermal (n = 10) route received booster vaccination with the same vaccine by the alternative route. The regimen used was 0.1 ml of vaccine by the intradermal route at two sites (deltoid area) for the intramuscular group, or 1 ml of vaccine by the intramuscular route (deltoid muscle) to the intradermal group on days 0 and 3.
  
  
  RESULTS
  There was a 15-fold rise in the rabies virus neutralizing antibody response both by the intradermal and intramuscular routes of booster vaccination (p < 0.0001). Thus, the change of route of purified chick embryo cell booster vaccination did not alter the anamnestic immune response to the vaccine. No side-effects were observed after vaccination with either of the routes.
  
  
  CONCLUSIONS
  Purified chick embryo cell vaccine was found to be safe and immunologically efficacious following booster vaccination after cross-over from the intradermal to the intramuscular route and vice versa.
authors.affiliation: Department of Community Medicine, Kempegowda Institute of Medical Sciences, K.R. Road, V.V. Puram, Bangalore 560004, Karnataka, India. mksudarshan@vsnl.com
authors.forename: M K
authors.initials: MK
authors.lastname: Sudarshan
authors.forename: S N
authors.initials: SN
authors.lastname: Madhusudana
authors.forename: B J
authors.initials: BJ
authors.lastname: Mahendra
authors.forename: D H Ashwath
authors.initials: DH
authors.lastname: Narayana
authors.forename: M S Ananda
authors.initials: MS
authors.lastname: Giri
authors.forename: K
authors.initials: K
authors.lastname: Muhamuda
authors.forename: H S
authors.initials: HS
authors.lastname: Ravish
authors.forename: G M
authors.initials: GM
authors.lastname: Venkatesh
mesh_terms: D000328:Adult; D000818:Animals; D000914:Antibodies, Viral / Q000097:blood; D002642:Chick Embryo; D018592:Cross-Over Studies; D005260:Female; D006801:Humans; D007117:Immunization, Secondary; D007271:Injections, Intradermal; D007273:Injections, Intramuscular; D008297:Male; D011819:Rabies Vaccines / Q000008:administration & dosage* / Q000276:immunology
chemical_list: D000914:Antibodies, Viral; D011819:Rabies Vaccines