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发表于 2025-10-10 23:12:50
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Analysis of Neutralizing Antibody Titers within One Year After Treatment for 282 Category Ⅲ Rabies Exposed Patients+ A$ { c; r7 p. q& k- [
Jie Yang, Anna Yang, Deqin Pang, Guangming Zhang, Shengli Meng, Jing Guo5 G2 X7 u9 I6 D4 m8 J3 f
: G$ [4 c, k* K! e3 a! OAbstract6 L; O4 `: `% Y( }
1 V0 r: Z* F& i0 @The Rabies Virus (RABV), a member of the Lyssavirus genus within the Rhabdoviridae family, is a significant zoonotic pathogen that causes fatal encephalitis in mammals. Although rabies is incurable, the disease can be prevented through effective post-exposure prophylaxis (PEP). This study investigates the effects of rabies immunoglobulin (RIG) or/and vaccine administration on the production of RABV neutralizing antibodies in patients following exposure to RABV. We analyzed 282 patients who experienced grade three exposures to RABV due to incidents involving dogs, cats, or other animals between January 2019 and December 2023. Patients received either RIG or vaccination, and blood samples were collected within one-year post-treatment to assess the presence of RABV neutralizing antibodies. Our findings indicated a 100% seroconversion rate among patients. The geometric mean concentration (GMC) of neutralizing antibodies varied significantly across different age groups, with children and adolescents demonstrating higher GMC compared to adults. Notably, patients who received both RIG and multiple vaccine doses exhibited elevated GMC levels compared to those receiving a single vaccine dose. Timely PEP with RIG or/and vaccination following RABV exposure is effective in inducing seroconversion. This study highlights the influence of age on the immune response and underscores the importance of optimized PEP, particularly for high-risk populations. Further research is warranted to determine the long-term protective effects of PEP and its role in rabies prevention strategies.
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& g' r9 u( G1 f. kRabies Virus; Post-Exposure Prophylaxis; Rabies Immunoglobulin; Neutralizing Antibodies; Zoonotic Disease! L* i7 w9 Y2 e) M, Z- V
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