Long-term immune responses to vaccination in HIV-infected patients: a systematic review and meta-analysis
Résumé
Vaccine-induced antibodies may wane more quickly in persons living with HIV than in healthy individuals. Here, we reviewed the literature on vaccines routinely recommended in HIV-infected patients to estimate how seroprotection decreases over time in those who initially responded to immunization. For each study retrieved from the literature, the decrease of seroprotection was modeled with a log binomial generalized linear model, and data were pooled in a meta-analysis in order to provide estimates of seroprotection two and five years after last vaccine administration. Our analyses confirmed that duration of seroprotection was shorter in HIV-infected patients, and that with current guidelines, a substantial proportion of patients would have lost protective antibodies before being proposed a booster. We therefore discuss the implications on the monitoring of antibody levels and timing of revaccination in these patients.
Domaines
Maladies infectieuses
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KerneisLongtermImmuneResponsestoVaccination (1).pdf (1.57 Mo)
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cit937supp_new.pdf (994.88 Ko)
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Origine | Fichiers produits par l'(les) auteur(s) |
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