Diphtheria, Inflammatory Bowel Diseases
Conditions
Brief summary
Assessment of the immunogenicity and safety of booster immunization against diphtheria in children with inflammatory bowel disease.
Interventions
Participants received intramuscularly in the deltoid muscle one dose of the trivalent vaccine against diphtheria, tetanus and acellular pertussis
Sponsors
Study design
Eligibility
Inclusion criteria
* diagnosis of Crohn's disease or ulcerative colitis based on standard clinical, endoscopic, histologic and radiographic criteria (Porto criteria), * vaccination, as a part of the basic vaccination course, with five doses of diphtheria, tetanus and whole-cell pertussis vaccine, without booster dose after the age of 6, * written consent of the patient's legal guardians and the patient himself if he/she turns 16 years of age.
Exclusion criteria
* serious exacerbation of inflammatory bowel disease defined as Paediatric Ulcerative Colitis Activity Index (PUCAI) \> 65 points for patients with ulcerative colitis or Pediatric Crohn's Disease Activity Index (PCDAI) \> 40 points for patients with Crohn's disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Achieving seroprotective antibody concentration | after 4-8 weeks | Antibody concentrations ≥0.1 IU/ml indicated protection against diphtheria, while levels ≥1.0 IU/ml were considered to ensure long-term protection. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Booster response | after 4-8 weeks | Booster response was defined as a post-vaccination antibody concentration ≥0.4 IU/mL in initially seronegative subjects or as a fourfold increase of antibody concentration in initially seropositive ones. |
| Adverse effects | 3 days | Evaluation of adverse effects after vaccination. |
| Inflammatory bowel disease exacerbation occurrence. | after 4-8 weeks | Disease exacerbation assessed according to the Paediatric Ulcerative Colitis Activity Index (PUCAI) for patients with ulcerative colitis or Pediatric Crohn's Disease Activity Index (PCDAI) for patients with Crohn's disease. |