Changes in Antibody Titers of Measles, Mumps, Rubella, and Hepatitis B Virus AftEr Bone Marrow Transplantation in Korea: A Preliminary Report.
- Author:
Seong Hee LEE
1
;
Su Mi CHOI
;
Yoon Hee PARK
;
Sung Gyoo PARK
;
Yong Jae KIM
;
Myung Sun CHUNG
;
Jung Hyun CHOI
;
Jin Hong YOO
;
Wan Shik SHIN
;
Woo Sung MIN
;
Chun Choo KIM
;
Dong Jip KIM
Author Information
1. Department of Internal Medicine, The Catholic University of Korea, College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
MMR;
HBV;
Bone marrow transplantation
- MeSH:
Antibodies;
Appointments and Schedules;
Bone Marrow Transplantation*;
Bone Marrow*;
Consensus;
Fluorescent Antibody Technique;
Hematologic Neoplasms;
Hepatitis B virus*;
Hepatitis B*;
Hepatitis*;
Humans;
Immunization, Secondary;
Immunoassay;
Immunoenzyme Techniques;
Immunoglobulin G;
Korea*;
Luminescence;
Measles*;
Mumps*;
Rubella*;
Vaccination
- From:Korean Journal of Infectious Diseases
1998;30(6):558-563
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Bone marrow transplantation (BMT) has become a significant treatment modality for hematopoietic and solid organ malignancy. Recipients of BMTs lose immunity to measles-mumps-rubella (MMR) and hepatitis B infections which are preventable with vaccination. There is no consensus regarding a vaccination schedule after BMT and time of vaccination is variable according to each institution. We analyzed sequential changes in antibody titers of MMR and hepatitis B during the first year after BMT in an attempt to identify the time, dose, and needs for revaccination. METHODS: Total 20 patients with hematologic malignancies were studied. Serum levels of IgG antibodies of MMR and hepatitis B virus (HBV) were determined every three months post-BMT by enzyme immunoassay (EIA), chemical luminescence immunoassay (CLIA) and immunofluorescence assay (IFA). RESULTS: IgG antibody levels of measles, rubella, HBV were 1:746, 80 85 IU/mL, 214 343 IU/L before BMT, declined to 1:633, 18 11 IU/mL, 4 6 IU/L one year after BMT, respectively. All the antibody levels were still above cut-off value for positive immunity. Mumps antibody titers were 1:62 before BMT, declined to 1:25 significantly from 6 months after BMT, but the antibody level was still above cut-off value. CONCLUSION: Antibody titers of MMR and hepatitis B decline during the first year after BMT, but the levels are still above cut-off value. Thus, the timing of revaccination should be after the first year post-transplantation. Long-term studies are needed to determine the optimal time for revaccination.