[Side effects of cellular and acellular DPT vaccine in children aged from 3 months to 5 years]
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Published on: August 11, 2018
Smajil Durmisević1, Jasminka Durmisevict-Serdarević
1Kantonalni zavod zajavno zdravstvo, Zenica. smaildur@bih.net.ba
Insights
Acellular DTPa vaccines show significantly fewer local and systemic reactions in infants compared to whole-cell DTPw vaccines. This study indicates DTPa vaccines are safer for infant immunization, with reduced adverse events like fever and crying.
Area of Science:
- Pediatric immunology
- Vaccinology
- Public health
Context:
- Postvaccination reactions are a concern in infant immunization schedules.
- Comparing the safety profiles of different DTP vaccine formulations is crucial for public health recommendations.
Purpose:
- To compare the incidence of local and systemic adverse reactions between acellular (DTPa) and whole-cell (DTPw) pertussis vaccines in children aged three months to five years.
Summary:
- A study of 940 children found DTPa vaccines resulted in significantly fewer adverse reactions (1.64%) compared to DTPw vaccines (5.4%).
- Specific reactions like fever over 38.5°C, vomiting, swelling, redness, prolonged crying, convulsions, and collapse were less frequent with DTPa.
- Convulsions and collapse were not observed in infants receiving DTPa, highlighting its improved safety profile.
Impact:
- The findings support the use of acellular DTPa vaccines as a safer alternative for infant immunization.
- Reduced adverse reactions can improve vaccine acceptance and adherence to immunization schedules.
- This research contributes to evidence-based guidelines for pediatric vaccination strategies.
Introduction:
Both mild and severe local and systemic postvaccination reactions are seen more rarely in infants immunized with DTPa than in those immunized with DTPw vaccine.
Material And Methods:
By analysis of medical records and follow-up of patients, the authors serched for sings of adverse effects of DPT vaccines, comparing cellular and acelhular vaccines in children aged from three months to five years. The results of investigation were analyzed using X2.
Results:
Out of the total number of 940 applied vaccines, 329 were cellular and 611 were acellular. Body temperature over 38.5 degrees C occurred in 3% of children immunized with cellular DTPw, and vomitting occurred in 0.8% of those immunized with acellular DTPa vaccine. Vomiting occurred (more than five times) in 0.9% of children immunized with DPTw and in 0.32% of children immunnized with DPTa. Other undesirable symptoms like swelling, redness and pain in the arm were found in 0.6% of children immunized with DPTw, and in 0.32% of children immunized with DPTa; prolonged crying (three hours or longer) was registered in 0.3% of cases inzmmt- nized with DPTw, and in 0.16% of immunized with DPTa vaccine. Convulsions and collapse appeared only in 0.3% of children immunized with DPTw.
Discussion:
Our investigation shows that local and generalized undesirable postvaccination reactions occurred in 5.4% of children immunized with DPTw and in 1.64 of children immunized with DPTa. The latest clinical investigations show that acellular pertussis vaccines are successful in prevention of pertussis and that they are quite safe for infants: in our investigations, local and generalized reactions were markedly rare in children immunized with DPTa.
Conclusion:
Undesirable postvaccinaition reactions after application of acellular DPT vaccines are less frequent than it is described in relevant references. The most frequent postvaccination reactions was raised body temperature (38.5 degrees C). Convulsions and collapses were not registered in children immnunized with DPTa vaccine. This investigation points to significantly rarer unwanted postvcaccinationl reactions of acellular DPT vaccine in comparison with DPTGw (p < 0.01).
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