[Comparative immunogenicity of 2 antirabies vaccines in a 2-1-1 post-exposure vaccination schedule]

Praxis (Bern 1994). 1998 Sep 9;87(37):1177-9.
[Article in French]

Abstract

Few trials have compared the Purified Duck Embryo Vaccine (PDEV) and the Human Diploid Cell Vaccine (HDCV) in a post-exposure immunization schedule of 4 shots (2 on day 0 and 1 each on day 7 and 21, or 2-1-1 schedule). A retrospective analysis compared 10 patients with PEDV and 20 with HDCV, who had received the 2-1-1 schedule as well as 20 UI mg/kg of immune globulins on day 0. The median neutralizing antibody titers on day 21 (after 3 doses) and the median of maximum titers until day 90 were higher for HDCV than for PEDV (0.6 IU/ml versus 3.5 IU/ml [p < 0.04] and 2.5 IU/ml versus 5.8 IU/ml [p < 0.03] respectively). Seven patients had not reached the seroconversion titer of 0.5 IU/ml after 3 doses (day 21). These results differ from previous studies showing a 100% seroconversion rate on day 21, and suggest that more studies are required before these 2 vaccines can be used in the 2-1-1 schedule after severe exposure.

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Adult
  • Antibodies, Viral / blood
  • Female
  • Humans
  • Immunization Schedule
  • Male
  • Rabies / immunology
  • Rabies / prevention & control*
  • Rabies Vaccines / administration & dosage
  • Rabies Vaccines / adverse effects
  • Rabies Vaccines / immunology*
  • Rabies virus / immunology
  • Retrospective Studies

Substances

  • Antibodies, Viral
  • Rabies Vaccines