Using Intradermal Rabies Vaccine to Boost Immunity in People with Low Rabies Antibody Levels
2011

Using Intradermal Rabies Vaccine to Boost Immunity

Sample size: 12 publication Evidence: moderate

Author Information

Author(s): David Brown, Anthony R. Fooks, Martin Schweiger

Primary Institution: Virus Reference Department, Centre for Infections, HPA, London, UK

Hypothesis

Adequate levels of rabies antibodies can be achieved by administering a cumulative dose of 2.0 IU of rabies vaccine intradermally over at least three occasions.

Conclusion

The study found that all participants demonstrated adequate rabies antibody levels after receiving booster doses of the intradermal rabies vaccine.

Supporting Evidence

  • All participants demonstrated post-booster antibody titres higher than the minimum considered consistent with immunity to rabies.
  • No adverse effects of intradermal rabies vaccine boosting were noted.
  • The mean rise in antibody titre was 17.15 IU/mL.

Takeaway

The study shows that giving a special rabies vaccine in small doses can help people who didn't have enough protection before to build up their immunity.

Methodology

Participants received booster doses of intradermal rabies vaccine and blood samples were taken to measure antibody levels before and after vaccination.

Potential Biases

Blood samples were tested in a blinded manner to reduce bias.

Limitations

The small sample size may not represent the broader population's response to the vaccine.

Participant Demographics

The majority of participants were women aged 20 to 71 years.

Statistical Information

P-Value

<0.01

Confidence Interval

CI 0.12–0.25 for pre-booster; CI 1.48–33.19 for post-booster

Statistical Significance

p<0.01

Digital Object Identifier (DOI)

10.4061/2011/601789

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