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  Vol. 264 No. 2, July 11, 1990 TABLE OF CONTENTS
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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.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

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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