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Immune response to the mumps component of the MMR vaccine in the routine of immunisation services in the Brazilian National Immunisation Program.

Abstract
A non-controlled longitudinal study was conducted to evaluate the combined vaccine against measles, mumps and rubella (MMR) immunogenicity in 150 children vaccinated in the routine of three health units in the city of Rio de Janeiro, Brazil, 2008-2009, without other vaccines administered during the period from 30 days before to 30 days after vaccination. A previous study conducted in Brazil in 2007, in 1,769 children ranging from 12-15 months of age vaccinated against yellow fever and MMR simultaneously or at intervals of 30 days or more between doses, had shown low seroconversion for mumps regardless of the interval between administration of the two vaccines. The current study showed 89.5% (95% confidence interval: 83.3; 94.0) seroconversion rate for mumps. All children seroconverted for measles and rubella. After revaccination, high antibody titres and seroconversion rates were achieved against mumps. The results of this study and others suggest that two MMR doses confer optimal immunoresponses for all three antigens and the possible need for additional doses should be studied taking into account not only serological, but also epidemiological data, as there is no serological correlate of protection for mumps.
AuthorsEliane Matos dos Santos, Gloria Regina da Silva e Sá, Marilda Mendonça Siqueira, Reinaldo de Menezes Martins, Luiz Antonio Bastos Camacho, Vanessa dos Reis von Doellinger, Maria de Lourdes de Sousa Maia
JournalMemorias do Instituto Oswaldo Cruz (Mem Inst Oswaldo Cruz) Vol. 109 Issue 3 Pg. 335-9 (Jun 2014) ISSN: 1678-8060 [Electronic] Brazil
PMID24821058 (Publication Type: Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Antibodies, Viral
  • Measles-Mumps-Rubella Vaccine
Topics
  • Antibodies, Viral (blood, immunology)
  • Brazil
  • Female
  • Humans
  • Immunization Schedule
  • Infant
  • Longitudinal Studies
  • Male
  • Measles (immunology)
  • Measles-Mumps-Rubella Vaccine (administration & dosage, immunology)
  • Mumps (immunology, prevention & control)
  • Rubella (immunology)
  • Seroconversion

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