metricas
covid
Buscar en
Enfermedades Infecciosas y Microbiología Clínica
Toda la web
Inicio Enfermedades Infecciosas y Microbiología Clínica Vacunas antimeningocócicas
Información de la revista
Vol. 26. Núm. S1.
Vacunas: presente y futuro
Páginas 20-28 (enero 2008)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 26. Núm. S1.
Vacunas: presente y futuro
Páginas 20-28 (enero 2008)
Vacunas: presente y futuro
Acceso a texto completo
Vacunas antimeningocócicas
Vaccines against Neisseria meningitidis
Visitas
2720
José Antonio Navarro-Alonso
Autor para correspondencia
josea.navarro2@carm.es

Correspondencia: Dr. J.A. Navarro-Alonso. Servicio de Prevención. Consejería de Sanidad. Ronda de Levante, 11. 30008 Murcia. España.
Servicio de Prevención. Consejería de Sanidad. Murcia. España
Este artículo ha recibido
Información del artículo
Resumen
Bibliografía
Descargar PDF
Estadísticas

Se revisa la situación actual de las vacunas antimeningocócicas. Por una parte, las vacunas polisacáridas simples frente a los serogrupos A, C, Y y W-135 y, por otra, las polisacáridas conjugadas a distintos transportadores proteicos, monovalentes o multivalentes. Respecto a las vacunas frente a Neisseria meningitidis serogrupo B, se analizan las experiencias basadas en las proteínas de membrana externa y su uso en el control de brotes epidémicos, y las expectativas de una vacuna universal que se podrían alcanzar con las técnicas de vacunología inversa.

Palabras clave:
Meningococo
Vacunas
Polisacáridos
Proteínas externas
Vacunología inversa

The present article reviews the state of the art on vaccines against Neisseria meningitidis, from plain polysaccharide to mono- and multivalent protein-polysaccharide conjugate vaccines targeting A, C, Y and W-135 serogroups. We also review immunization against serogroup B Neisseria meningitidis using protein-based vaccines composed of outer membrane vesicles and their use in the control of epidemic outbreaks, as well as expectations of a universal vaccine, which could be achieved with reverse vaccinology techniques.

Key words:
Meningococcus
Vaccines
Polysaccharides
Outer proteins
Reverse vaccinology
El Texto completo está disponible en PDF
Bibliografía
[1.]
C. Trotter, N. Gay, W. Edmunds.
The natural history of meningococcal carriage and disease.
Epidemiol Infect, 134 (2006), pp. 556-566
[2.]
L. Harrison.
Prospects for vaccine prevention of meningococcal infection.
Clin Microbiol Rev, 19 (2006), pp. 142-164
[3.]
World Health Organization.
Risk of epidemic meningitis in Africa: a cause of concern.
Wkly Epidemiol Rec, 82 (2007), pp. 79-88
[4.]
M. Girard, M. Preziosi, M. Aguado, M. Kieny.
A review of vaccine research and development: meningococcal disease.
Vaccine, 24 (2006), pp. 4692-4700
[5.]
J. Lingappa, A. Al-Rabeah, R. Hajjeh, T. Mustafa, A. Fatani, T. Al-Bassam, et al.
Serogroup W-135 meningococcal disease during the Hajj, 2000.
Emerg Infect Dis, 9 (2003), pp. 665-671
[6.]
J. Mueller, S. Yaro, Y. Traoré, L. Sangaré, Z. Tarnagda, L. Njanpop-Lafourcade, et al.
Neisseria meningitidis serogoups A and W-135: carriage and immunity in Burkina Faso, 2003.
J Infect Dis, 193 (2006), pp. 812-820
[7.]
Centers for Disease Control and Prevention.
Prevention and control of meningococcal disease. Recommendations of the Advisory Committee on Immunization Practices (ACIP).
MMWR, 54 (2005), pp. 2
[8.]
M. Artenstein, R. Gold, J. Zimmerly, F. Wyle, H. Schneider, C. Harkins.
Prevention of meningococcal disease by group C polysaccharide vaccine.
N Eng J Med, 282 (1970), pp. 417-420
[9.]
M. Wahdan, F. Rizk, A. El-Akkad, A. el-Ghoroury, R. Hablas, N. Girgis, et al.
A controlled field trial of a serogroup A meningococcal polysaccharide vaccine.
Bull WHO, 48 (1973), pp. 667-673
[10.]
I. Espín, A. García, J. Navarro, J. Vázquez, T. Rodríguez, C. Navarro.
Seroconversion and duration of immunity after vaccination against group C meningococcal infection in young children.
Vaccine, 18 (2000), pp. 2656-2660
[11.]
H. Jokhdar, R. Borrow, A. Sultan, M. Adi, Ch. Riley, E. Fuller, et al.
Immunologic hyporesponsiveness to serogroup C but not serogroup A following repeated meningococcal A/C polysaccharide vaccination in Saudi Arabia.
Clin Diagn Lab Immunol, 11 (2004), pp. 83-88
[12.]
R. Borrow, H. Joseph, N. Andrews, M. Acuna, E. Longworth, et al.
Reduced antibody response to revaccination with meningococcal serogroup A polysaccharide vaccine in adults.
Vaccine, 19 (2001), pp. 1129-1132
[13.]
M. Birmingham, R. Lewis, W. Perea, C. Nelson, A. Kabore, D. Tarantola.
Routine vaccination with polysaccharide meningococcal vaccines is an ineffective and possibly harmful strategy.
Bull WHO, 81 (2003), pp. 751-752
[14.]
World Health Organization.
Meningococcal vaccines: polysaccharide and polysaccharide conjugate vaccines. WHO Position Paper.
Wkly Epidemiol Rec, 77 (2002), pp. 331-339
[15.]
K. Zangwill, R. Stout, G. Carlone, L. Pais, H. Harekeh, S. Mitchell, et al.
Duration of antibody response after meningococcal polysaccharide vaccination in US Air Forces personnel.
J Infect Dis, 169 (1994), pp. 847-852
[16.]
P. De Wals, G. Deceuninck, G. Serres, J. Boivin, B. Duval, et al.
Effectiveness of serogroup C meningococcal polysaccharide vaccine: results from a casecontrol study in Quebec.
Clin Infect Dis, 40 (2005), pp. 1116-1122
[17.]
L. Salleras, A. Domínguez, G. Prats, I. Parron, P. Muñoz.
Dramatic decline of serogroup C meningococcal disease incidence in Catalonia (Spain) 24 months after a mass vaccination programme of children and young people.
J Epidemiol Community Health, 55 (2001), pp. 283-287
[18.]
National Advisory Committee on Immunisation.
Statement on recommended use of meningococcal vaccines.
Canada Communicable Disease Report, 27 (2001), pp. 1-36
[19.]
K. Ahmad.
WHO places order for meningitis vaccine.
Lancet Infect Dis, 3 (2003), pp. 676
[20.]
C. Nelson, M. Birmingham, A. Costa, J. Daviaud, W. Perea, M. Kieni, et al.
Public-private partnership to develop an affordable vaccine for an emergent threat: the trivalent Neisseria meningitidis ACW135 polisaccharide vaccine.
Am J Public Health, 97 (2007), pp. 15-22
[21.]
World Health Organization.
Meeting of the immunization Strategic Advisory Group of Experts, April 2007. Conclusions and recommendations.
Wkly Epidemiol Rec, 82 (2007), pp. 181-193
[22.]
A. Bentsi-Enchill, I. Zongo, S. Khamassi, R. Pless, R. Thombiano, S. Tiéndrebéogo, et al.
Monitoring of adverse events during the 2003 mass vaccination campaign with a trivalent A/C/W135 polysaccharide vaccine in Burkina Faso, 2003.
Vaccine, 25 (2007), pp. S72-S78
[23.]
M. Soriano-Gabarró, L. Toé, R. Silvestre, S. Tiéndrebéogo, C. Nelson, M. Dabal, et al.
Effectiveness of a trivalent serogroup A/C/W135 meningococcal polysaccharide vaccine in Burkina Faso, 2003.
Vaccine, 25 (2007), pp. S92-S96
[24.]
D. Chandramohan, A. Hodgson, P. Coleman, R. Baiden, K. Asante, E. Awine, et al.
An evaluation of the immunogenicity and safety of a new trivalent meningococcal polysaccharide vaccine.
Vaccine, 25 (2007), pp. S83-S91
[25.]
Y. Al-Mazrou, M. Khalil, R. Borrow, P. Balmer, J. Bramwell, G. Lal, et al.
Serologic responses to ACYW135 polysaccharide meningococcal vaccine in Saudi children under 5 years of age.
Infect Immunol, 73 (2005), pp. 2932-2939
[26.]
World Health Organization.
Meningococcal meningitis.
Wkly Epidemiol Rec, 78 (2003), pp. 294-296
[27.]
World Health Organization.
Health conditions for travellers to Saudi Arabia for the pilgrimage to Mecca (Hajj).
Wkly Epidemiol Rec, 81 (2006), pp. 422-423
[28.]
Ministry of Hajj. Kingdom of Saudi Arabia. Saudi Ministry of Health Requirements [citado 13 Mar 2007]. Disponible en: http://www.hajinformation.com/main/p3001.htm
[29.]
S. Kimmel.
Prevention of meningococcal disease.
Am Fam Physician, 72 (2005), pp. 2049-2056
[30.]
R. Borrow, E. Miller.
Long-term protection in children with meningococcal C conjugate vaccination: lessons learned.
Expert Rev Vaccines, 5 (2006), pp. 851-857
[31.]
C. Auckland, S. Gray, R. Borrow, N. Andrews, D. Goldblatt, M. Ramsay, et al.
Clinical and immunological risk factors for meningococcal C conjugate vaccine failure in the United Kingdom.
J Infect Dis, 194 (2006), pp. 1745-1752
[32.]
A. Riddell, J. Buttery, J. Mc Vernon, T. Chantler, L. Lane, J. Bowen-Morris, et al.
A randomized study comparing the safety and immunogenicity of a conjugate vaccine combination containing meningococcal group C and pneumococcal capsular polysaccharide-CRM197 with a meningococcal group C conjugate vaccine in healthy infants: challenge phase.
Vaccine, 25 (2007), pp. 3906-3912
[33.]
L. Jódar, M. LaForce, C. Ceccarini, T. Aguado, D. Granoff.
Meningococcal conjugate vaccine for Africa: a model for development of new vaccines for the poorest countries.
Lancet, 361 (2003), pp. 1902-1904
[34.]
K. Ahmad.
Meningitis A conjugate vaccine comes on stream.
Lancet Infect Dis, 3 (2003), pp. 263
[35.]
M. Das.
India leads meningitis A vaccine development.
Lancet Infect Dis, 4 (2004), pp. 478
[36.]
N. Kshirsagar, N. Mur, U. Thatte, N. Gogtav, S. Viviani, M. Préziosi, et al.
Safety, immunogenicity, and antibody persistence of a new meningococcal group A conjugate vaccine in healthy Indian adults.
Vaccine, 25 (2007), pp. S101-S107
[37.]
Meningitis Vaccine Project. Improved meningitis vaccine for Africa could signal eventual end to deadly scourge [citado 8 Jun 2007]. Disponible en: http://www.meningvax.org/
[38.]
World Health Organization.
Improved meningitis vaccine for Africa could signal eventual end to deadly scourge.
Wkly Epidemiol Rec, 82 (2007), pp. 222-224
[39.]
M. Ramsay, N. Andrews, E. Kaczmarski, E. Miller.
Efficacy of meningococcal serogroup C conjugate vaccine in teenagers and toddlers in England.
[40.]
J.A. Navarro Alonso.
La inmunización frente a Neisseria meningitidis serogrupo C con vacuna conjugada: siete años de experiencia.
Rev Pediatr Aten Primaria, 8 (2006), pp. 65-86
[41.]
N. Andrews, J. Stowe, E. Miller, B. Taylor.
Post-licensure safety of the meningococcal group C conjugate vaccine.
Human Vaccines, 3 (2007), pp. 59-63
[42.]
P. Richmond, R. Borrow, D. Goldblatt, J. Findlow, S. Martin, R. Morris, et al.
Ability of 3 different meningococcal C conjugate vaccines to induce immunologic memory after a single dosis in UK toddlers.
J Infect Dis, 183 (2001), pp. 160-163
[43.]
N. Kitchin, J. Southern, S. Morris, F. Hemme, S. Thomas, M. Watson, et al.
Evaluation of a diphtheria-tetanus-acellular pertussis-inactivated poliovirus-Heamophilus influenzae type b vaccine given concurrently with meningococcal group C conjugate vaccine at 2, 3 and 4 months of age.
Arch Dis Child, 92 (2006), pp. 11-16
[44.]
A. Larrauri, R. Cano, M. García, S. de Mateo.
Impact and effectiveness of meningococcal C conjugate vaccine following its introduction in Spain.
Vaccine, 23 (2005), pp. 4097-4100
[45.]
C. Trotter, N. Andrews, E. Kaczmarski, E. Miller, M. Ramsay.
Effectiveness of meningococcal serogroup C conjugate vaccine 4 years after introduction.
[46.]
Agencia Española de Medicamentos y Productos Sanitarios. Ministerio de Sanidad y Consumo. Ficha técnica de Meningitec. Julio 2005 [citado 21 Mar 2007]. Disponible en: https://sinaem4.agemed.es/consaem/fichasTecnicas.do?metodo=buscar
[47.]
C. Trotter, N. Gay, J. Edmunds.
Dynamic models of meningococcal carriage, disease, and the impact of serogroup C conjugate vaccination.
Am J Epidemiol, 162 (2005), pp. 89-100
[48.]
S. De Greef, H. de Melker, L. Spanjaard, L. Schouls, A. van DerEnde.
Protection from routine vaccination at the age of 14 months with meningococcal serogroup C conjugate vaccine in the Netherlands.
Pediatr Infect Dis J, 25 (2006), pp. 79-80
[49.]
M. Snape, D. Kelly, P. Salt, S. Green, C. Snowden, L. Diggle, et al.
Serogroup C meningococcal glycoconjugate vaccine in adolescents: persistence of bactericidal antibodies and kinetics of the immune response to a booster vaccine more than 3 years after immunization.
Clin Infect Dis, 43 (2006), pp. 1387-1394
[50.]
R. Borrow, D. Goldblatt, A. Finn, J. Southern, L. Ashton, N. Andrews, et al.
Immunogenicity of, and immunologic memory to, a reduced primary schedule of meningococcal C-tetanus toxoid conjugate vaccine in infants in the United Kingdom.
Infect Immun, 71 (2003), pp. 5549-5555
[51.]
K. Fairley, N. Begg, R. Borrow, A. Fox, D. Jones, K. Cartwright.
Conjugate meningococcal serogroup A and C vaccine: reactogenicity and immunogenicity in United Kingdom infants.
J Infect Dis, 174 (1996), pp. 1360-1363
[52.]
J. Lieberman, S. Chiu, V. Wong, S. Partidge, S. Chang, C. Chiu, et al.
Safety and immunogenicity of a serogroups A/C Neisseria meningitidis oligosaccharide-protein conjugate vaccine in young children: a randomized controlled trial.
JAMA, 275 (1996), pp. 1499-1503
[53.]
A. Leach, P. Twumasi, S. Kumah, W. Banya, S. Jaffar, B. Forrest, et al.
Induction of immunologic memory in Gambian children by vaccination in infancy with a group A plus C meningococcal polysaccharide-protein conjugate vaccine.
J Infect Dis, 175 (1997), pp. 200-204
[54.]
R. Borrow, A. Fox, P. Richmond, S. Clark, F. Sadler, J. Findlow, et al.
Induction of immunological memory in UK infants by a meningococcal A/C conjugate vaccine.
Epidemiol Infect, 124 (2000), pp. 427-432
[55.]
H. Joseph, R. Ryall, M. Bybel, Th. Papa, J. MacLennan, J. Buttery, et al.
Immunogenicity and immunological priming of the serogroup A portion of a bivalent meningococcal A/C conjugate vaccine in 2-year-old children.
J Infect Dis, 187 (2003), pp. 1142-1146
[56.]
Q. Zhang, R. Lakshman, R. Burkinshaw, S. Choo, J. Everard, S. Akhtar, et al.
Primary and booster mucosal immune responses to meningococcal group A and C conjugate and polysaccharide vaccines administered to university students in the United Kingdom.
Infect Immun, 69 (2001), pp. 4337-4341
[57.]
GlaxoSmithKline. GlaxoSmithKline files meningococcal conjugate vaccine [citado 3 Abr 2007]. Disponible en: http://www.gsk.com/ControllerServlet?appId=4&pageId=402≠wsid=1006
[58.]
J. Campbell, R. Edelman, J. King, T. Papa, R. Ryall, M. Rennels.
Safety, reactogenicity, and immunogenicity of a tetravalent meningococcal polysaccaharide-diphteria toxoid conjugate vaccine given to healthy adults.
J Infect Dis, 186 (2002), pp. 1848-1851
[59.]
M. Rennels, J. King, R. Ryall, S. Manoff, Th. Papa, A. Weddle, et al.
Dose escalation, safety and immunogenicity study of a tetravalent meningococcal polysaccharide diphtheria conjugate vaccine in toddlers.
Pediatr Infect Dis J, 21 (2002), pp. 978-979
[60.]
U.S. Food and Drug Administration. Center for Biologics Evaluation and Research. Product Approval Information. Meningococcal polysaccharide (Serogroups A, C, Y and W-135) diptheria toxoid conjugate vaccine. 1/14/2005. [citado 28 Mar 2007]. Disponible en: http://www.fda.gov/cber/products/mpdtave011405.htm
[61.]
National Advisory Committee on Immunization.
Statement on conjugate meningococcal vaccine for serogroups A, C, Y and W135.
Can Commun Dis Report, 33 (2007), pp. 1-24
[62.]
Centers for Disease Control and Prevention. Prevention and control of meningococcal disease.
Recommendations of the Advisory Committee on Immunization Practices.
MMWR, 54 (2005), pp. 1-17
[63.]
Centers for Disease Control and Prevention.
Recommended childhood and adolescent immunization schedule-United States, 2006.
MMWR, 54 (2006), pp. 1Q-4Q
[64.]
D. Vu, J. Welsch, P. Zuno-Mitchell, J. de la Cruz, D. Granoff.
Antibody persistence 3 years after immunization of adolescents with quadrivalent meningococcal conjugate vaccine.
J Infect Dis, 193 (2006), pp. 821-828
[65.]
H. Keyserling, Th. Papa, K. Koranyi, R. Ryall, E. Bassily, M. Bybel, et al.
Safety, immunogenicity, and immune memory of a novel meningococcal (groups A, C, Y, and W-135) polysaccharide diphtheria toxoid conjugate vaccine (MCV-4) in healthy adolescents.
Arch Pediatr Adolesc Med, 159 (2005), pp. 907-913
[66.]
U.S. Food and Drug Administration. FDA News. FDA and CDC issue alert on Menactra meningococcal vaccine and Guillain-Barre Syndrome. 09/30/2005 [citado 28 Mar 2007]. Disponible en: http://www.fda.gov/bbs/topics/NEWS/2005/NEW01238.html
[67.]
Centers for Disease Control and Prevention.
Guillain-Barré Síndrome among recipients of Menactra meningococcal conjugate vaccine: United States, June-July 2005.
MMWR, 54 (2005), pp. 1023-1025
[68.]
Centers for Disease Control and Prevention.
Update: Guillain-Barré Síndrome among recipients of Menactra meningococcal conjugate vaccine: United States, October 2005-February 2006.
MMWR, 55 (2006), pp. 364-366
[69.]
Centers for Disease Control and Prevention.
Update: Guillain-Barré syndrome among recipients of Menactra meningococcal conjugate vaccine: United Status, June 2005-September 2006.
MMWR, 55 (2006), pp. 1120-1123
[70.]
National Immunization Program. Vaccine Information Statement. Meningococcal vaccines. 11/16/06 [citado 28 Mar 2007]. Disponible en: http://www.cdc.gov/nip/publications/vis/vis-mening.pdf
[71.]
Davis R. February 2007 ACIP Meeting Presentation Slides. Immunization safety. Update: Guillain-Barré syndrome in recipients of MCV4 [citado 28 Mar 2007]. Disponible en: http://www.cdc.gov/nip/ACIP/slides/feb07/07-iz-safety-1-davis.pdf
[72.]
W. Zollinger, R. Mandrell.
Importance of the complement source in bactericidal activity of human antibody and murine model to meningococcal group B polysaccharide.
Infect Immunol, 40 (1983), pp. 257-264
[73.]
J. Finne, M. Leinonen, P. Mäkelä.
Antigenic similarities between brain components and bacteria causing meningitis. Implications for vaccine development and pathogenesis.
Lancet, 2 (1983), pp. 355-356
[74.]
F. Wyle, B. Artenstein, B. Brandt, E. Tramont, D. Kasper, P. Altieri, et al.
Immunologic response of man to group B meningococcal polysaccharide vaccines.
J Infect Dis, 126 (1972), pp. 514-521
[75.]
M. Lifely, S. Roberts, W. Shepperd, J. Esdaille, S. Wang, A. Cleverly, et al.
Immunogenicity in adult males of a Neisseria meningitidis group B vaccine composed of polysaccharide complexed with outer membrane proteins.
Vaccine, 9 (1991), pp. 60-66
[76.]
J. Bruge, N. Bouveret-Le Cam, B. Danve, G. Rougon, D. Schulz.
Clinical evaluation of a group B meningococcal N-propionated polysaccharide conjugate vaccine in adult, male volunteers.
Vaccine, 22 (2004), pp. 1087-1096
[77.]
C. Trotter, M. Ramsay.
Vaccination against meningococcal disease in Europe: review and recommendations for the use of conjugate vaccines.
FEMS Microbiol, 31 (2007), pp. 101-107
[78.]
J.A. Navarro-Alonso.
La inmunización activa frente a Neisseria meningitidis serogrupo B.
Enf Infecc Microbiol Clin, 21 (2003), pp. 513-519
[79.]
C. Noronha, C. Struchiner, E. Halloran.
Assesment of the direct effectiveness of BC meningococcal vaccine in Rio de Janeiro, Brazil: a case-control study.
Int J Epidemiol, 24 (1995), pp. 1050-1057
[80.]
J. Boslego, J. García, C. Cruz, W. Zollinger, B. Brandt, S. Ruiz, et al.
Efficacy, safety, and immunogenicity of a meningococcal group B (15:P1.3) outer membrane protein vaccine in Iquique, Chile.
Vaccine, 13 (1995), pp. 821-829
[81.]
D. Boutriau, J. Poolman, R. Borrow, J. Findlow, J. Díez-Domingo, J. Puig-Barbera, et al.
Immunogenicity and safety of three doses of a bivalent (B:4:P1.19,15 and B:4:P1.7-2, 4) meningococcal outer membrane vesicle vaccine in healthy adolescents.
Clin Vaccine Immunol, 14 (2007), pp. 65-73
[82.]
G. Bjune, E. Hoiby, J. Gronnesby, O. Arnesen, J. Frediksen, A. Hlastenten, et al.
Effect of outer membrane vesicle vaccine against group B meningococcal disease in Norway.
Lancet, 338 (1991), pp. 1093-1096
[83.]
J. O’Hallahan, D. Lennon, Ph. Oster, R. Lane, S. Reid, K. Mulholland, et al.
From secondary prevention to primary prevention: a unique strategy that gives hope to a country ravaged by meningococcal disease.
Vaccine, 23 (2005), pp. 2197-2201
[84.]
J. Holst, B. Feiring, L. Naess, G. Norhein, P. Kristiansen, E. Hoiby, et al.
The concept of «tailor-made», protein-based, outer membrane vesicle vaccines against meningococcal disease.
Vaccine, 23 (2005), pp. 2202-2205
[85.]
P. Oster, D. Lennon, J. O’Hallahan, K. Mulholland, S. Reid, D. Martin.
MenZB: a safe and highly immunogenic tailor-made vaccine against the New Zealand Neisseria meningitidis serogroup B disease epidemic strain.
Vaccine, 23 (2005), pp. 2191-2196
[86.]
Immunisation Advisory Centre. University of Auckland. New Zealand National Immunisation Schedule from 1 February 2006 [citado 29 Mar 2007]. Disponible en: http://www.immune.org.nz/site_resources/Professionals/Immunisation%20Schedule/National_Immunisation_Schedule_Table_2006__IMAC_Feb_2006.pdf
[87.]
V. Thornton, D. Lennon, K. Rasanathan, J. O’Hallahan, P. Oster, J. Stewart, et al.
Safety and immunogenicity of New Zealand strain meningococcal serogroup B OMV vaccine in healthy adults: beginning of epidemic control.
Vaccine, 24 (2006), pp. 1395-1400
[88.]
P. Oster, J. O’Hallahan, I. Aaberge, S. Tilman, E. Ypma, D. Martin.
Immunogenicity and safety of a strain-specific MenB OMV vaccine delivered to under 5-year olds in New Zealand.
Vaccine, 25 (2007), pp. 3075-3079
[89.]
S. Wong, D. Lennon, J. Stewart, R. Stewart, S. Crengle, S. Tilman, et al.
New Zealand epidemic strain meningococcal B outer membrane vesicle vaccine in children aged 16-24 months.
Pediatr Infect Dis J, 26 (2007), pp. 345-350
[90.]
H. Nokleby, A. Aavitsland, J. O’Hallahan, B. Feiring, S. Tilman, P. Oster.
Safety review: two outer membrane vesicle (OMV) vaccines against systemic Neisseria meningitidis serogroup B disease.
Vaccine, 25 (2007), pp. 3080-3084
[91.]
O’Hallahan J. Hacia el control de la meningitis B en Nueva Zelanda. Resultados finales del programa de vacunación. VII Symposium Esteve de Avances en Vacunas. Bilbao, 2 de marzo de 2007.
[92.]
National Institute for Public Health and the Environment. The National Immunisation Programme in the Netherlands. Development in 2006. RIVM Report 210021006/2007:60 [citado 11 Jun 2007]. Disponible en: http://www.rivm.nl/bibliotheek/rapporten/210021006.html
[93.]
P. Rouaud, A. Perrocheau, M. Taha, C. Sesboué, A. Forgues, I. Parent du Châtelet, et al.
Prolonged outbreak of B meningococcal disease in the Seine-Maritime department, France, January 2003 to June 2005.
Euro Surveill, 11 (2006), pp. 178-181
[94.]
M. Taha, M. Zarantonelli, J. Alonso, L. Narres, J. Holst, B. Feiring, et al.
Use of available outer membrane vesicle vaccines to control serogroup B meningococcal outbreaks.
Vaccine, 25 (2007), pp. 2537-2538
[95.]
Institut de Vieille Sanitaire. Situation épidémiologique des infections invasives à méningocoques dans le département de Seine-Maritime et dans la zone de Dieppe au cours de 52 dernières semaines. Mis à jour le 04/03/2007. [citado 31 Mar 2007]. Disponible en: http://www.invs.sante.fr/presse/2007/le_point_sur/iim_040307/iim_040307.pdf
[96.]
Conseil Supérieur d’Hygiène Publique. Circulaire NDGS/DÉSUS n.° 2006-48 relative a la prophylaxie des infections invasives à méningocoque B:14:P1-7,16 [citado 31 Mar 2007]. Disponible en: http://www.sante.gouv.fr/adm/dagpb/bo/2006/06-06/a0060031.htm
[97.]
Institut de Vieille Sanitaire. Situation épidémiologique des infections invasives à méningocoques dans le département de Seine-Maritime et dans la zone de Dieppe. Mis à jour le 21/06/2007 [citado 26 Jun 2007]. Disponible en: http://www.invs.sante.fr/presse/2007/le_point_sur/iim_210607/iim_210607.pdf
[98.]
G. Van den Dobbelsteen, H. Van Dijken, S. Pillai, L. Van Alphen.
Immunogenicity of a combination vaccine containing pneumococcal conjugates and meningococcal PorA OMVs.
Vaccine, 25 (2007), pp. 2491-2496
[99.]
H. Tettelin, N. Saunders, J. Heildeberg, A. Jeffries, K. Nelson, J. Eisen, et al.
Complete genome sequence of Neisseria meningitidis serogroup B strain MC58.
Science, 287 (2000), pp. 1809-1815
[100.]
M. Giuliani, J. Adu-Bobie, M. Comanducci, B. Aricò, S. Savino, L. Santini, et al.
A universal vaccine for serogroup B meningococcus.
Proc Nat Acad Sci, 103 (2006), pp. 10834-10839
Copyright © 2008. Elsevier España S.L.. Todos los derechos reservados
Descargar PDF
Opciones de artículo
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos