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Hepatitis B booster shots may be unnecessary according to OU College of Medicine study
OU researchers find hepatitis B vaccinations given early in life still provide protection even in the teen years.
Posted: Thursday, July 31, 2014 4:00 pm
by Aaron Howell
An OU researcher found that infants vaccinated for hepatitis B at birth are protected throughout adolescence and may not need the recommended booster shot.
Amy Middleman, chief of adolescent medicine at OU College of Medicine, was the principal investigator in a study funded by the CDC with collaboration from colleagues in Texas.
Hepatitis B is a serious liver infection that is more likely to develop in infants and children. While there is not a cure for hepatitis B, there is a vaccine that can prevent the onset of the disease and is given to children and infants within their first year of life.
As child grows into adolescence the teen typically receives a booster shot of the vaccine because doctors would test antibody levels and find them drastically low prompting a booster shot. However, Middleman's study suggests that adolescents are, in fact, still protected.
The study focused on 420 teenagers who had all received the recommended three doses of the hepatitis B vaccine before the age of one.
Researchers tested the teens’ levels of antibodies, which are Y-shaped protein found in plasma and essential for the immune system to fight off infection, before conducting the research.
Middleton said the majority of the teens, 76 percent, showed antibody levels lower than what is thought necessary to protect against the hepatitis B infection.
Researchers then administered a challenge dose of hepatitis B to test the levels of the patients’ antibodies before and after the challenge to see if there was a change signifying the need for a booster.
“Even among the adolescents who had zero or low levels of hepatitis B antibodies, they were still capable of mounting an immune response,” Middleman said.
Middleton said that after the challenge dose, 92 percent of the teens’ antibody levels; including the 76 percent of participants who were previously not thought to be protected, exceeded the level needed for protection.
“If a patient has been fully vaccinated, they are likely fully protected,” Middleton said.
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