Literature DB >> 8102669

Acute toxicity of vitamin A given with vaccines in infancy.

A de Francisco1, J Chakraborty, H R Chowdhury, M Yunus, A H Baqui, A K Siddique, R B Sack.   

Abstract

A double-blind, randomised, placebo-controlled trial was conducted to evaluate the safety and toxicity of vitamin A supplementation within the Expanded Programme on Immunisation (EPI) in rural Bangladesh. 191 infants received 3 doses of either 50,000 IU of vitamin A or placebo at about 1.5, 2.5, and 3.5 months and were examined on days 1, 2, 3, and 8 after supplementation. 11 infants (11.5%) supplemented with vitamin A had episodes of bulging of the fontanelle as opposed to 1 (1%) in the placebo group. 16 of the 17 events occurred in the vitamin A supplemented group. No other side effects were noted. There was a tendency towards a cumulative effect of toxicity with increasing doses.

Entities:  

Keywords:  Age Factors; Asia; Bangladesh; Biology; Clinical Research; Clinical Trials; Delivery Of Health Care; Demographic Factors; Developing Countries; Double-blind Studies; Food Supplementation; Health; Health Services; Immunization; Infant; Integrated Programs; Nutrition Programs; Organization And Administration; Physiology; Population; Population Characteristics; Primary Health Care; Programs; Research Methodology; Research Report; Southern Asia; Studies; Vaccines; Vitamin A--administraction and dosage; Vitamin A--side effects; Vitamins; Youth

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Substances:

Year:  1993        PMID: 8102669     DOI: 10.1016/0140-6736(93)91648-6

Source DB:  PubMed          Journal:  Lancet        ISSN: 0140-6736            Impact factor:   79.321


  13 in total

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9.  Massive dose vitamin A programme in India--need for a targeted approach.

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10.  Respiratory tract epithelial cells express retinaldehyde dehydrogenase ALDH1A and enhance IgA production by stimulated B cells in the presence of vitamin A.

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