Seric anti-toxoid tetanus and diphtheria G immunoglobulins in patients treated in the immunogenetics Service
Keywords:
antibodies, immunoglobulin G, tetanus toxoid, diptheria toxoid, vaccinesAbstract
Introduction: The evaluation of antibodies against vaccine antigens allows, at the individual level, to evaluate the competence of the immune system and to know the protection that this individual presents against a certain infectious disease.
Objective: To evaluate the concentrations of anti-tetanus and diphtheric immunoglobulins G in patients treated at immunogenetics service.
Methods: A descriptive study was carried out on 677 patients from specialized immunogenetics clinics of the National Center for Medical Genetics. 457 women and 220 men aged between 1 and 80 years. Serum immunoglobulin G concentrations were determined by an indirect immunozyme assay. Geometric mean concentrations were calculated and antibody responses were classified into unreliable protection, reliable protection, and long-term reliable protection. A paired analysis of individual titers for each antitoxin was performed.
Results: For tetanus toxoid 60.11% of the cases, presented reliable long-term protection and geometric mean concentrations exceeded 1 IU/mL in all age groups. For diphtheria toxoid the long-term protection was 4. 14 % and the geometric mean was less than 0.4 IU/mL. Coupled analysis of individual concentrations for both toxoids showed, in all age groups and sex, a significantly lower concentration of diphtheria antitoxoid.
Conclusions: Low levels of reliable long-term protection against diphtheria pose a risk for the development of cases of this disease and support the need for future re-immunizations.
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