Details:

Alternative Title:
Clin Infect Dis
Personal Author:
Blain, Amy E. ; Lewis, Melissa ; Banerjee, Emily ; Kudish, Kathy ; Liko, Juventila ; ... More +
Blain, Amy E. ; Lewis, Melissa ; Banerjee, Emily ; Kudish, Kathy ; Liko, Juventila ; McGuire, Suzanne ; Selvage, David ; Watt, James ; Martin, Stacey W. ; Skoff, Tami H. Less -
Description:
Background

Infants are at greatest risk for severe pertussis. In 2006, the Advisory Committee on Immunization Practices recommended that adolescents and adults, especially those with infant contact, receive a single dose of Tdap (tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine). To assess the effectiveness of cocooning, we conducted a case-control evaluation of infant close contacts.

Methods

Pertussis cases aged <2 months with onset between 1 January 2011 and 31 December 2011 were identified in Emerging Infections Program Network sites. For each case, we recruited 3 controls from birth certificates and interviewed identified adult close contacts (CCs) or parents of CCs aged <18 years. Pertussis vaccination was verified through medical providers and/or immunization registries.

Results

Forty-two cases were enrolled, with 154 matched controls. Around enrolled infants, 859 CCs were identified (600 adult and 259 nonadult). An average of 5.4 CCs was identified per case and 4.1 CCs per control. Five hundred fifty-four (64.5%) CCs were enrolled (371 adult and 183 non-adult CCs); 119 (32.1% of enrolled) adult CCs had received Tdap. The proportion of Tdap-vaccinated adult CCs was similar between cases and controls (P = .89). The 600 identified adult CCs comprised 172 potential cocoons; 71 (41.3%) potential cocoons had all identified adult CCs enrolled. Of these, 9 were fully vaccinated and 43.7% contained no Tdap-vaccinated adults. The proportion of fully vaccinated case (4.8%) and control (10.0%) cocoons was similar (P = .43).

Conclusions

Low Tdap coverage among adult CCs reinforces the difficulty of implementing the cocooning strategy and the importance of vaccination during pregnancy to prevent infant pertussis.


Subject:
[+]
Adult
Case-Control Studies
Child
Child, Preschool
Diphtheria-Tetanus-Pertussis Vaccine
Female
Humans
Infant
Infant, Newborn
Male
Outcome Assessment (Health Care)
Population Surveillance
Vaccination
Whooping Cough

Source:
Clin Infect Dis. 63(Suppl 4):S221-S226.
Pubmed ID:
27838676
Pubmed Central ID:
PMC5737012
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:fc69f7435f589c8d6835a257f5b2c7bc5a39bc168e0de77132ec27f8fc998714
File Type:

Supporting Files

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