Pertussis re-emergence in the post-vaccination era
Identifieur interne : 000300 ( Main/Exploration ); précédent : 000299; suivant : 000301Pertussis re-emergence in the post-vaccination era
Auteurs : Elena Chiappini [Italie] ; Alessia Stival [Italie] ; Luisa Galli [Italie] ; Maurizio De Martino [Italie]Source :
- BMC Infectious Diseases [ 1471-2334 ] ; 2013.
Abstract
Resurgence of pertussis in the post-vaccination era has been reported in Western countries. A shift of cases from school-age children to adolescents, adults and children under 1 year of age has been described in the last decade, and mortality rates in infants are still sustained. We aimed to review and discuss the possible vaccination strategies which can be adopted in order to improve the pertussis control, by searches of Pubmed, and websites of US and European Centers for Disease Control and Prevention, between 1st January 2002, and 1st March 2013.
The following vaccination strategies have been retrieved and analysed: the cocooning strategy, the immunization of pregnant women and newborns, vaccination programs for preschool children, adolescents, adults and health-care workers. Cost-effectiveness studies provide some contrasting data, mainly supporting both maternal vaccination and cocooning. Adolescent and/or adult vaccination seems to be cost-effective, however data from observational studies suggest that this vaccination strategy, used alone, leads to a reduced pertussis burden globally, but does not affect the disease incidence in infants. Moreover, substantial logistical and economic difficulties have to be overcome to vaccinate the largest number of individuals.
The simultaneous use of more than one strategy, including cocooning strategy plus vaccination of adolescents and adults, seems to be the most reasonable preventive measure. The development of new highly immunogenic and efficacious pertussis vaccines continues to be a primary objective for the control of pertussis.
Url:
DOI: 10.1186/1471-2334-13-151
PubMed: 23530907
PubMed Central: 3623740
Affiliations:
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Sciences, University of Florence, Florence, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Anna Meyer University Hospital, Department of Health Sciences, University of Florence, Florence</wicri:regionArea><wicri:noRegion>Florence</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23530907</idno><idno type="pmc">3623740</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3623740</idno><idno type="RBID">PMC:3623740</idno><idno type="doi">10.1186/1471-2334-13-151</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000262</idno><idno type="wicri:Area/Pmc/Curation">000262</idno><idno type="wicri:Area/Pmc/Checkpoint">000253</idno><idno type="wicri:Area/Ncbi/Merge">000167</idno><idno type="wicri:Area/Ncbi/Curation">000167</idno><idno type="wicri:Area/Ncbi/Checkpoint">000167</idno><idno type="wicri:Area/Main/Merge">000300</idno><idno type="wicri:Area/Main/Curation">000300</idno><idno type="wicri:Area/Main/Exploration">000300</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Pertussis re-emergence in the post-vaccination era</title><author><name sortKey="Chiappini, Elena" sort="Chiappini, Elena" uniqKey="Chiappini E" first="Elena" last="Chiappini">Elena Chiappini</name><affiliation wicri:level="1"><nlm:aff id="I1">Anna Meyer University Hospital, Department of Health Sciences, University of Florence, Florence, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Anna Meyer University Hospital, Department of Health Sciences, University of Florence, Florence</wicri:regionArea><wicri:noRegion>Florence</wicri:noRegion></affiliation></author><author><name sortKey="Stival, Alessia" sort="Stival, Alessia" uniqKey="Stival A" first="Alessia" last="Stival">Alessia Stival</name><affiliation wicri:level="1"><nlm:aff id="I1">Anna Meyer University Hospital, Department of Health Sciences, University of Florence, Florence, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Anna Meyer University Hospital, Department of Health Sciences, University of Florence, Florence</wicri:regionArea><wicri:noRegion>Florence</wicri:noRegion></affiliation></author><author><name sortKey="Galli, Luisa" sort="Galli, Luisa" uniqKey="Galli L" first="Luisa" last="Galli">Luisa Galli</name><affiliation wicri:level="1"><nlm:aff id="I1">Anna Meyer University Hospital, Department of Health Sciences, University of Florence, Florence, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Anna Meyer University Hospital, Department of Health Sciences, University of Florence, Florence</wicri:regionArea><wicri:noRegion>Florence</wicri:noRegion></affiliation></author><author><name sortKey="De Martino, Maurizio" sort="De Martino, Maurizio" uniqKey="De Martino M" first="Maurizio" last="De Martino">Maurizio De Martino</name><affiliation wicri:level="1"><nlm:aff id="I1">Anna Meyer University Hospital, Department of Health Sciences, University of Florence, Florence, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Anna Meyer University Hospital, Department of Health Sciences, University of Florence, Florence</wicri:regionArea><wicri:noRegion>Florence</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Infectious Diseases</title><idno type="eISSN">1471-2334</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Resurgence of pertussis in the post-vaccination era has been reported in Western countries. A shift of cases from school-age children to adolescents, adults and children under 1 year of age has been described in the last decade, and mortality rates in infants are still sustained. We aimed to review and discuss the possible vaccination strategies which can be adopted in order to improve the pertussis control, by searches of Pubmed, and websites of US and European Centers for Disease Control and Prevention, between 1st January 2002, and 1st March 2013.</p></sec><sec><title>Discussion</title><p>The following vaccination strategies have been retrieved and analysed: the cocooning strategy, the immunization of pregnant women and newborns, vaccination programs for preschool children, adolescents, adults and health-care workers. Cost-effectiveness studies provide some contrasting data, mainly supporting both maternal vaccination and cocooning. Adolescent and/or adult vaccination seems to be cost-effective, however data from observational studies suggest that this vaccination strategy, used alone, leads to a reduced pertussis burden globally, but does not affect the disease incidence in infants. Moreover, substantial logistical and economic difficulties have to be overcome to vaccinate the largest number of individuals.</p></sec><sec><title>Summary</title><p>The simultaneous use of more than one strategy, including cocooning strategy plus vaccination of adolescents and adults, seems to be the most reasonable preventive measure. 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Engle</name></author><author><name sortKey="Goldman, We" uniqKey="Goldman W">WE Goldman</name></author><author><name sortKey="Locht, C" uniqKey="Locht C">C Locht</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cornford Nairns, R" uniqKey="Cornford Nairns R">R Cornford-Nairns</name></author><author><name sortKey="Daggard, G" uniqKey="Daggard G">G Daggard</name></author><author><name sortKey="Mukkur, T" uniqKey="Mukkur T">T Mukkur</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Chiappini, Elena" sort="Chiappini, Elena" uniqKey="Chiappini E" first="Elena" last="Chiappini">Elena Chiappini</name></noRegion><name sortKey="De Martino, Maurizio" sort="De Martino, Maurizio" uniqKey="De Martino M" first="Maurizio" last="De Martino">Maurizio De Martino</name><name sortKey="Galli, Luisa" sort="Galli, Luisa" uniqKey="Galli L" first="Luisa" last="Galli">Luisa Galli</name><name sortKey="Stival, Alessia" sort="Stival, Alessia" uniqKey="Stival A" first="Alessia" last="Stival">Alessia Stival</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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