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为了解新生儿乙型肝炎(乙肝)疫苗全程免疫后抗-HBs低应答者的再感染情况和转归,为免疫预防措施提供依据,选取乙肝疫苗全程免疫后抗-HBs低应答者28例进行长期血清流行病学随访.结果有12例(42.86%)仍是HBsAg、抗-HBs和抗-HBc三项全阴性,也未发现HBV感染指征;5例(17.86%)出现了单项抗-HBsS/N值≥10.0以上的应答;11例(36.4%)发生HBV感染,其中4例(36.4%)变为持续阳性者,有1例为HBsAg阳性可能仍属母婴阻断失败者。表明抗-HBs低应答是个暂时现象,多数有潜伏感染,但预后是好的.
In order to understand the re-infection status and prognosis of anti-HBs low responders after immunization of neonatal Hepatitis B (HB) vaccine and to provide evidence for immunoprophylaxis, we selected 28 patients with anti-HBs low responders after full vaccination of Hepatitis B vaccine Long-term serum epidemiological follow-up. Results 12 cases (42.86%) were still HBsAg, all-negative for anti-HBs and anti-HBc and no indication for HBV infection. A single anti-HBsS / N In 11 (36.4%) cases of HBV infection, 4 (36.4%) became persistent and 1 had HBsAg-positive and still failed maternal-infant blockage By. The low anti-HBs response is transient and most have latent infection, but the prognosis is good.