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[Pertussis vaccination in pregnancy: Security and effectiveness in the protection of the infant]
Rodolfo Villena1, Pamela Vidal2, Felipe Carrillo1
1Facultad de Medicina, Universidad de Chile, Chile.
Insights
Antenatal vaccination with the Tdap vaccine safely protects infants from whooping cough (pertussis) by transferring antibodies. This maternal immunization strategy significantly reduces infant pertussis incidence and mortality.
Area of Science:
- Immunology
- Vaccinology
- Public Health
Background:
- Whooping cough (pertussis) remains a significant threat, especially to infants under six months.
- Current infant immunization schedules do not fully prevent early-life pertussis, leading to high mortality rates.
- Outbreaks occur globally despite existing vaccination programs.
Purpose of the Study:
- To review and discuss the benefits of antenatal vaccination using the acellular pertussis component (Tdap) vaccine.
- To evaluate the safety and efficacy of maternal Tdap immunization.
- To assess its impact on reducing infant pertussis incidence and mortality.
Main Methods:
- Literature review and discussion of existing studies on antenatal Tdap vaccination.
- Analysis of data regarding antibody transfer from mother to infant.
- Examination of adverse effect profiles in pregnant women receiving Tdap.
Main Results:
- Antenatal Tdap vaccination effectively transfers high antibody levels to infants.
- This strategy reduces the incidence of pertussis in infants by 85%.
- No increased incidence of adverse effects was observed in vaccinated pregnant women.
Conclusions:
- Maternal immunization with Tdap is a safe and effective strategy.
- Promoting antenatal Tdap vaccination is crucial for preventing pertussis infection and mortality in infants under six months.
- This approach offers significant public health benefits by protecting vulnerable newborns.
Abstract:
Whooping cough is an immune preventable disease that can be life threatening. Despite infant immunization starting at 2 month of age, there are many cases and outbreaks in our country and also around the world, with a high risk of mortality specially in infants under 6 month of age. It has been proposed that antenatal vaccination with acellular pertussis component (Tdap) would be useful, safe and effective since it transfers a high antibody rate to the child, reducing the incidence of pertussis in this group by 85%. No higher incidence of adverse effects has been found in pregnant women with this vaccine. This strategy has been implemented in several developed and Latin American countries. The purpose of this manuscript is to review and discuss the benefits of antenatal vaccination with Tdap. It was concluded that maternal immunization with Tdap vaccine should be promoted to prevent infection and associated mortality in the less than 6 months of age by Bordetella pertussis.
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