EFFECT OF SECOND DOSE OF MEASLES VACCINE ON MEASLES ANTIBODY STATUS: A RANDOMIZED CONTROLLED TRIAL.

Tuesday, 27th of August 2013

[source]Indian Paediatrics[|source]

This study proves that a second dose of measles vaccine boosts the measles IgG status in the study population as compared to those who received only single dose. The authors also report on the observation that in the control group the proportion of one dose vaccinated children initially increased and then returned to almost the same proportion protected at pre-vaccination levels. This report adds to the body of evidence that justifies the need for a second dose of measles vaccine. More details available at:  http://www.indianpediatrics.net/may2013/473.pdf 

Abstract

OBJECTIVE: To evaluate the effect of the second dose of measles vaccine on measles antibody status during childhood.

SETTING: Immunization centre of Under-five Clinic of the Department of Community Medicine at a tertiary-hospital.

STUDY DESIGN: Randomized Controlled trial.

SUBJECTS: Children from 6 years to 17 year old. 188 with simple obesity, and 431 with obesity and metabolic abnormalities. 274 age and gender-matched healthy children as controls.

METHODS: Blood samples were collected from all subjects for baseline measles serology by heel puncture at 9-12 months of age. All subjects were given the first dose of measels vaccine. At second visit (3-5 months later), after collecting the blood sample from all, half the children were randomized to receive the second dose of measles vaccine (study group), followed by collection of the third sample six weeks later in all the subjects.

RESULTS: A total of 78 children were enrolled and 30 children in each group could be analyzed. 11(36.6%) children in the study group and 13 (43.3%) children in the control group had protective levels of measles IgG at baseline. Around 93.3% of children in the study group had protective measles antibody titers as against 50% in the control group at the end of the trial. The Geometric Mean Titre (GMT) of measles IgG increased from 14.8 NTU/mL to 18.2 NTU/mL from baseline to six weeks following receipt of the second dose of the vaccine in the study group, as compared to a decrease from 16.8 NTU/mL to 12.8 NTU/mL in the control group.

CONCLUSION: A second dose of measles vaccine boosts the measles antibody status in the study population as compared to those who receive only a single dose.