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The Relation of the Typhoidin Skin Reaction to Immunity in Typhoid Fever

机译:伤寒患者皮肤中伤寒素与免疫反应的关系

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1. 1. While the bactericidal power of human sera over B. typhosus is increased in a proportion of persons following typhoid fever or active immunization with a vaccine, there is no direct relation between the typhoidin skin reaction and the results of bactericidal tests in vitro .2. 2. Agglutinins or complement-fixing antibodies or both are present in the blood serum of the majority of persons reacting positively in the skin test and particularly among those actively immunized, but there is no definite relation between these as either may be in evidence in the absence of the other.3. 3. Powdered typhoidin and its control produces severe reactions when injected intracutaneously in doses of 0.0005 to 0.001 mgm.; these reactions and particularly that produced by the control, render the reading and interpretation of the test quite difficult and subject to much error.4. 4. Cutaneous anaphylaxis to typhoidin was found apparently to persist for a longer time among those who have had typhoid fever than among those actively immunized with the vaccine. Among the latter the highest percentage of reactions was found during the first year following immunization.5. 5. While the typhoidin reaction indicates sensitization to typhoid protein, there is not yet sufficient evidence to warrant its acceptance as an index of immunity in typhoid fever.
机译:1. 1.虽然在伤寒或通过疫苗主动免疫后,一部分人的血清对伤寒杆菌的杀菌力有所提高,但伤寒性皮肤反应与体外杀菌试验结果之间没有直接关系.2。 2.凝集素或补体固定抗体或两者均存在于皮肤测试中呈阳性反应的大多数人的血清中,特别是在主动免疫的人群中,但两者之间没有确定的关系,因为两者之间可能存在明显的关系。没有其他3。 3.伤寒粉末及其对照品以0.0005至0.001 mgm的剂量皮内注射时会产生严重反应。这些反应,尤其是控件产生的反应,使测试的阅读和解释变得相当困难,并且容易出错。4。 4.与伤风疫苗积极免疫的人群相比,伤寒患者的皮肤对伤寒的过敏反应持续时间更长。在后者中,在免疫后的第一年内发现反应的百分比最高。5。 5.虽然伤寒反应表明对伤寒蛋白敏感,但尚无足够证据证明其可作为伤寒免疫的指标。

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