
Intradermal vs Intramuscular Hepatitis B Vaccinations-Reply
Jessica Anne Clarke, MD, PhD
University of California at Davis Medical Center Sacramento, Calif
F. Blaine Hollinger, MD
Baylor College of Medicine Houston, Tex
JAMA. 1990;264(2):182.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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In Reply.—
We applaud the well-designed study by Wiström et al that demonstrates that low-dose ID inoculation of adults with three 2-µg doses of a recombinant hepatitis B vaccine (Recombivax-HB, Merck Sharp & Dohme) results in lower seroconversion rates and reduced levels of antibody to HBsAg compared with three 10-µg IM injections of the same product.
These results are not unexpected. There is a positive correlation between dose and immune response regardless of the type of product used.1 In our ID study we were able to use the more immunogenic plasma-derived Hepta
. . . [Full Text PDF of this Article]
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