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  Vol. 273 No. 23, June 21, 1995 TABLE OF CONTENTS
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Intramuscular vs Intradermal Hepatitis B Vaccination: A 6-Year Follow-up

Johan Wiström, MD, PhD
University Hospital of Umeå Umeå, Sweden

JAMA. 1995;273(23):1835-1836.

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

To the Editor.

—We previously reported1 the results of a randomized trial evaluating the immunogenicity of a DNA-recombinant hepatitis B (HB) vaccine (Recombivax-HB, Merck Sharp & Dohme, West Point, Pa) administered intradermally (ID) at a dose of 2 µg or intramuscularly (IM) at a dose of 10 µg to 80 healthy adults at 0,1, and 6 months. Twelve months after the first vaccination, the number of responders (vaccinees with anti-hepatitis B surface antigen [anti-HBsAg] levels ≥ 10 IU/L) was found to be significantly higher (P<.0001, {chi}2) in the IM group (36/37, 97%) than in the ID group (21/38, 55%).

Six years (mean, 72 months; range, 66 to 78 months) after initiation of vaccination, we obtained serum from 53 (33 women and 20 men; mean age, 36 years; range, 26 to 61 years) of those 68 vaccinees who initially had anti-HBsAg levels greater than 1 IU/L. Twenty subjects . . . [Full Text PDF of this Article]



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