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Vaccinia immune globulin : ウィキペディア英語版 | Vaccinia immune globulin Vaccinia immune globulin (VIG) is made from the pooled blood of individuals who have been inoculated with the smallpox vaccine. The antibodies these individuals developed in response to the smallpox vaccine are removed and purified. This results in VIG. It can be administered intravenously. It is used to treat individuals who have developed progressive vaccinia after smallpox vaccination. It was also used along with cidofovirinfor the 2003 Midwest monkeypox outbreak as concomitant therapy to reduce the serious side effects of smallpox vaccine.〔CDC. Recommendations for using smallpox vaccine in the pre-event vaccination program: Supplemental recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Healthcare Infection Control Practices Advisory Committee (HICPAC). MMWR 2003; 52 (RR07); 1-16.〕〔Dana A. Shea, Frank gottron, Holly Harvey. Monkeypox Technical Background and Outbreak Implications for Bioterrorism Preparedness. Congressional Research Service, Report for Congress. 〕 ==Adverse effects of smallpox vaccine==
For a small percentage of the population, the smallpox vaccine either doesn't "take" or it produces adverse events. These include postvaccinial central nervous system disease, progressive vaccinia, eczema vaccinatum, accidental implantations, “generalized vaccinia,” and the common erythematous and/or urticarial rashes. 〔J.Michael Lane, MD, MPH,aJoel Goldstein, MD, FAAPaAdverse events occurring after smallpox vaccination. Seminars in Pediatric Infectious Diseases. Volume 14, Issue 3, July 2003, Pages 189–195〕〔Frelinger JA, Garba ML. Responses to smallpox vaccine. N Engl J Med. 2002;347:689–90. DOI PubMed 〕〔Moller-Larsen A, Haahr S. Humoral and cell-mediated immune responses in humans before and after revaccination with vaccinia virus. Infect Immun. 1978;19:34–9.PubMed • Cohen J. Smallpox vaccinations: how much protection remains? Science. 2001;294:985. DOI PubMed 〕
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