A comparison of booster immunisation with a combination DTPa-IPV vaccine or DTPa plus IPV in separate injections when

H Marshall1, T Nolan, D Roberton

  • 1Department of Paediatrics, Children's Youth and Women's Health Service and University of Adelaide, SA, Australia. helen.marshall@adelaide.edu.au

Vaccine
|July 11, 2006
PubMed

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Area of Science:

  • Pediatric Vaccinology
  • Immunology
  • Public Health

Background:

  • Childhood immunization schedules typically include boosters for diphtheria, tetanus, acellular pertussis, and poliovirus.
  • The second dose of the measles, mumps, and rubella (MMR) vaccine is usually administered between 4-6 years of age.
  • Evaluating combined vaccine administration is crucial for optimizing vaccination schedules and reducing patient burden.

Purpose of the Study:

  • To assess the immunogenicity and reactogenicity of a combined diphtheria, tetanus, acellular pertussis, and inactivated poliovirus (DTPa-IPV) vaccine.
  • To compare this combined vaccine with separate DTPa and IPV injections when co-administered with the MMR vaccine.
  • To determine if the combined DTPa-IPV vaccine impacts the immunogenicity of the MMR vaccine.

Main Methods:

  • A randomized study involving 362 children aged 4-6 years, previously primed with DTPa, OPV, and MMR vaccines.
  • Participants received either a combined DTPa-IPV vaccine or separate DTPa and IPV injections, both concomitantly with the MMR vaccine.
  • Antibody levels were measured before and one month after vaccination to assess immunogenicity.

Main Results:

  • Both vaccine regimens induced seroprotective antibody levels against diphtheria, tetanus, and poliovirus.
  • High vaccine responses were observed for pertussis antigens (PT, FHA, PRN) and seropositivity for measles, mumps, and rubella.
  • Local reactions, such as swelling, were common but the DTPa-IPV combination did not increase adverse events compared to separate injections.
  • The immunogenicity of the MMR vaccine was unaffected by the co-administration of either DTPa-IPV or DTPa+IPV.

Conclusions:

  • The combined DTPa-IPV vaccine is immunogenic as a booster dose in children aged 4-6 years.
  • It demonstrates a similar reactogenicity profile to the DTPa vaccine when administered separately.
  • Co-administration of the DTPa-IPV vaccine with the MMR vaccine does not compromise the immunogenicity of either vaccine.

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