Updated recommendations for use of tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine (Tdap) in pregnant women and persons who have or anticipate having close contact with an infant aged <12 months -- Advisory Committee on Immunization Practices (ACIP), 2011

Details

• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• Corporate Authors:
  United States. Advisory Committee on Immunization Practices.
• Description:
  Compared with older children and adults, infants aged <12 months have substantially higher rates of pertussis and the largest burden of pertussis-related deaths. Since 2004, a mean of 3,055 infant pertussis cases with more than 19 deaths has been reported each year through the National Notifiable Diseases Surveillance System (CDC, unpublished data, 2011). The majority of pertussis cases, hospitalizations, and deaths occur in infants aged ?2 months, who are too young to be vaccinated; therefore, other strategies are required for prevention of pertussis in this age group. Since 2005, the Advisory Committee on Immunization Practices (ACIP) has recommended tetanus toxoid, reduced diphtheria toxoid and acellular pertussis (Tdap) booster vaccines to unvaccinated postpartum mothers and other family members of newborn infants to protect infants from pertussis, a strategy referred to as cocooning. Over the past 5 years, cocooning programs have proven difficult to implement widely. Cocooning programs might achieve moderate vaccination coverage among postpartum mothers but have had limited success in vaccinating fathers or other family members. On June 22, 2011, ACIP made recommendations for use of Tdap in unvaccinated pregnant women and updated recommendations on cocooning and special situations. This report summarizes data considered and conclusions made by ACIP and provides guidance for implementing its recommendations
• Subjects:
  Adolescent Adult Child Diphtheria-Tetanus-acellular Pertussis Vaccines Female Humans Immunity, Maternally-Acquired Immunization, Secondary Immunization Schedule Interpersonal Relations Male Middle Aged Postpartum Period Pregnancy Pregnancy Complications, Infectious Pregnant Women Whooping Cough

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• Source:
  MMWR. Morbidity and mortality weekly report. 2011; 60(41):1424-6.
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Pubmed ID:
  22012116
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Pages in Document:
  3 pdf pages
• Volume:
  60
• Issue:
  41
• Collection(s):
  Guidelines and Recommendations Advisory Committee on Immunization Practices (ACIP) Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:7d43305c0f6b05dc25b1f17846f9306556e0bdac301298ea672b6e4d7deb3b365ca0da92f1b557ab6527bcea8ba0564bcd32510a4470ee3732d4ea3fb2a1d3db
• Download URL:
  https://stacks.cdc.gov/view/cdc/7467/cdc_7467_DS1.pdf
• File Type:
  [PDF - 230.54 KB ]