Ty21a: Difference between revisions

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{{Short description|Live attenuated vaccine for typhoid fever}}
== Ty21a Vaccine ==
{{Use dmy dates|date=October 2023}}


'''Ty21a''' is a live attenuated bacterial vaccine used to prevent [[typhoid fever]]. It is marketed under the brand name '''Vivotif'''.
[[File:Vivotif-typhoid-live-oral-vaccine.JPG|thumb|right|Ty21a oral vaccine blister pack]]


==History==
The '''Ty21a vaccine''' is an oral [[vaccine]] used to prevent [[typhoid fever]], a disease caused by the bacterium ''[[Salmonella enterica]]'' serotype [[Typhi]]. It is one of the two main types of typhoid vaccines, the other being the [[Vi capsular polysaccharide vaccine]].
The development of Ty21a began in the 1970s as a response to the need for a more effective and safer vaccine against typhoid fever. The vaccine was developed by chemically mutating the [[Salmonella enterica serovar Typhi]] strain to create a live attenuated form that could be administered orally. It was first licensed for use in Europe in 1983 and later in the United States in 1989.


==Mechanism of action==
== Development ==
Ty21a works by stimulating the body's immune system to recognize and fight the [[Salmonella Typhi]] bacteria. As a live attenuated vaccine, it contains a weakened form of the bacteria that cannot cause disease in healthy individuals. When ingested, the vaccine prompts the immune system to produce antibodies and activate immune cells that provide protection against future infections.


==Administration==
The Ty21a vaccine was developed in the 1970s and 1980s as a live attenuated vaccine. It was designed to provide immunity by mimicking a natural infection without causing the disease. The vaccine strain, Ty21a, is a mutant of ''Salmonella Typhi'' that lacks the ability to produce certain enzymes necessary for its virulence.
The vaccine is administered orally in the form of enteric-coated capsules. The standard regimen consists of three or four doses taken on alternate days. It is recommended for individuals traveling to areas where typhoid fever is endemic, as well as for people who may be at increased risk of exposure to the bacteria.


==Efficacy==
== Administration ==
Clinical trials have demonstrated that Ty21a provides significant protection against typhoid fever. The vaccine's efficacy varies depending on the population and the level of exposure to the bacteria, but it generally offers protection for several years. Booster doses may be required for continued immunity.


==Safety==
The Ty21a vaccine is administered orally in the form of enteric-coated capsules. The standard regimen consists of three to four doses taken on alternate days. It is recommended for travelers to areas where typhoid fever is endemic, as well as for people living in such areas.
Ty21a is considered safe for most individuals, including children over the age of six. Common side effects are mild and may include gastrointestinal discomfort. The vaccine is contraindicated in individuals with compromised immune systems and those with a history of severe allergic reactions to any component of the vaccine.
 
== Mechanism of Action ==
 
The vaccine works by stimulating the body's [[immune system]] to recognize and fight the ''Salmonella Typhi'' bacterium. Upon ingestion, the attenuated bacteria in the vaccine colonize the gut, prompting an immune response that includes the production of [[antibodies]] and activation of [[T cells]].
 
== Efficacy ==
 
The Ty21a vaccine has been shown to provide moderate protection against typhoid fever. Its efficacy varies depending on the population and the level of exposure to the bacterium. Protection typically lasts for about five years, after which a booster dose may be required.
 
== Safety ==
 
The Ty21a vaccine is generally well-tolerated. Common side effects include mild gastrointestinal symptoms such as nausea and abdominal discomfort. Serious adverse reactions are rare.
 
== Related Pages ==


==Related pages==
* [[Typhoid fever]]
* [[Typhoid fever]]
* [[Salmonella enterica]]
* [[Salmonella enterica]]
* [[Vi capsular polysaccharide vaccine]]
* [[Vaccination]]
* [[Vaccination]]
==References==
* Levine, M. M., et al. (1987). "Safety, immunogenicity, and efficacy of Ty21a, a live oral typhoid vaccine derived from Salmonella typhi strain Ty2." Journal of Infectious Diseases, 155(3), 553-560.
* "Typhoid Vaccines: WHO Position Paper." Weekly Epidemiological Record, 2018.


[[Category:Vaccines]]
[[Category:Vaccines]]
[[Category:Typhoid fever]]
[[Category:Typhoid fever]]
[[Category:Live vaccines]]

Latest revision as of 05:40, 16 February 2025

Ty21a Vaccine[edit]

Ty21a oral vaccine blister pack

The Ty21a vaccine is an oral vaccine used to prevent typhoid fever, a disease caused by the bacterium Salmonella enterica serotype Typhi. It is one of the two main types of typhoid vaccines, the other being the Vi capsular polysaccharide vaccine.

Development[edit]

The Ty21a vaccine was developed in the 1970s and 1980s as a live attenuated vaccine. It was designed to provide immunity by mimicking a natural infection without causing the disease. The vaccine strain, Ty21a, is a mutant of Salmonella Typhi that lacks the ability to produce certain enzymes necessary for its virulence.

Administration[edit]

The Ty21a vaccine is administered orally in the form of enteric-coated capsules. The standard regimen consists of three to four doses taken on alternate days. It is recommended for travelers to areas where typhoid fever is endemic, as well as for people living in such areas.

Mechanism of Action[edit]

The vaccine works by stimulating the body's immune system to recognize and fight the Salmonella Typhi bacterium. Upon ingestion, the attenuated bacteria in the vaccine colonize the gut, prompting an immune response that includes the production of antibodies and activation of T cells.

Efficacy[edit]

The Ty21a vaccine has been shown to provide moderate protection against typhoid fever. Its efficacy varies depending on the population and the level of exposure to the bacterium. Protection typically lasts for about five years, after which a booster dose may be required.

Safety[edit]

The Ty21a vaccine is generally well-tolerated. Common side effects include mild gastrointestinal symptoms such as nausea and abdominal discomfort. Serious adverse reactions are rare.

Related Pages[edit]