[Efficacy of intradermal regimen using Japanese rabies vaccine for pre-exposure prophylaxis]. 2010

Seiji Shiota, and Kamruddin Ahmed, and Kumato Mifune, and Akira Nishizono
Department of Microbiology, Faculty of Medicine, Oita University.

In Japan, only one vaccine is commercially available for rabies (Chemo-Sero-Therapeutic Institute (Kaketsuken), Kumamoto, Japan). It is a tissue-cultured inactivated vaccine made using purified chick embryo cells (PCEC-K) and administered subcutaneously using a schedule differing from that recommended by the World Health Organization (WHO). The current regimen of pre-exposure prophylaxis for rabies in Japan consists of three subcutaneous administrations of PCEC-K vaccine at 0, 28, and 180 days, requiring 6 months to complete. With the exception of a few imported cases, Japan is rabies-free and rabies vaccine production is small. Globalization should trigger rabies re-emergence in Japan, however, we would have to determine whether PCEC-K vaccine is effective through intradermal administration following the WHO-recommended regimen. In a study of 50 healthy volunteers without a history of rabies vaccination and all of whom provided, PCEC-K vaccine (0.1 mL, 2 sites) was administered intradermal by on days 0, 7, and 28, and the viral neutralizing antibody level (VNA) against rabies virus was tested using the rapid fluorescent focus-inhibiting test (RFFIT) on days 0, 14, 28, 42, 56, 84, and 208. On day 42, all individuals showed adequate VNA (GMT: 3.21 IU /mL), maintained for 84 days. VNA acquisition differed slightly with the PCEC-K vaccine lot and local adverse effects were minor. The intradermal PCEC-K regimen was found to be safe and effective in inducing adequate VNA using a smaller amount of vaccine within a shorter period.

UI MeSH Term Description Entries
D007115 Immunization Schedule Schedule giving optimum times usually for primary and/or secondary immunization. Immunization Schedules,Schedule, Immunization,Schedules, Immunization
D007271 Injections, Intradermal The forcing into the skin of liquid medication, nutrient, or other fluid through a hollow needle, piercing the top skin layer. Intradermal Injections,Injection, Intradermal,Intradermal Injection
D008297 Male Males
D011818 Rabies Acute VIRAL CNS INFECTION affecting mammals, including humans. It is caused by RABIES VIRUS and usually spread by contamination with virus-laden saliva of bites inflicted by rabid animals. Important animal vectors include the dog, cat, bat, fox, raccoon, skunk, and wolf. Encephalitic Rabies,Furious Rabies,Hydrophobia,Paralytic Rabies,Lyssa,Furious Raby,Lyssas,Rabies, Encephalitic,Rabies, Furious,Raby, Furious
D011819 Rabies Vaccines Vaccines or candidate vaccines used to prevent and treat RABIES. The inactivated virus vaccine is used for preexposure immunization to persons at high risk of exposure, and in conjunction with rabies immunoglobulin, for postexposure prophylaxis. Rabies Human Diploid Cell Vaccine,Rabies Vaccine,Vaccine, Rabies,Vaccines, Rabies
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014611 Vaccination Administration of vaccines to stimulate the host's immune response. This includes any preparation intended for active immunological prophylaxis. Immunization, Active,Active Immunization,Active Immunizations,Immunizations, Active,Vaccinations
D055815 Young Adult A person between 19 and 24 years of age. Adult, Young,Adults, Young,Young Adults

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