Persistence of maternal antibody in infants beyond 12 months: mechanism of measles vaccine failure

P Albrecht, FA Ennis, EJ Saltzman, S Krugman - The Journal of pediatrics, 1977 - Elsevier
P Albrecht, FA Ennis, EJ Saltzman, S Krugman
The Journal of pediatrics, 1977Elsevier
A serologic study was made in 34 children immunized against measles at the age of 12
months. Using a sensitive virus neutralization test, it was found that many of the children had
pre-existing maternal antibody to measles virus. Children with high pre-existing antibody
titers failed to seroconvert. Children with lower pre-existing antibody titers seroconverted, but
the resulting antibody titer was significantly lower than in children without pre-existing
antibody titer. The results of this study demonstrate a probable mechanism for measles …
A serologic study was made in 34 children immunized against measles at the age of 12 months. Using a sensitive virus neutralization test, it was found that many of the children had pre-existing maternal antibody to measles virus. Children with high pre-existing antibody titers failed to seroconvert. Children with lower pre-existing antibody titers seroconverted, but the resulting antibody titer was significantly lower than in children without pre-existing antibody titer. The results of this study demonstrate a probable mechanism for measles vaccine failure in 12-month-old children and support the recommendation of the Public Health Service Advisory Committee on Immunization Practices to postpone measles vaccination to 15 months of age.
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