Pertussis immunization in a high-risk postpartum population

被引：52

作者：

Healy, C. Mary ^{[1
,2
]}

Rench, Marcia A.

Castagnini, Luis A. ^{[2
]}

Baker, Carol J. ^{[2
,3
]}

机构：

[1] Baylor Coll Med, Dept Pediat, Infect Dis Sect, Houston, TX 77030 USA

[2] Texas Childrens Hosp, Ctr Vaccine Awareness & Res, Houston, TX 77030 USA

[3] Baylor Coll Med, Dept Mol Virol & Microbiol, Houston, TX 77030 USA

来源：

VACCINE | 2009年 / 27卷 / 41期

关键词：

Postpartum immunization; Tdap; Cocooning; UNITED-STATES; ADVISORY-COMMITTEE; INFLUENZA VACCINATION; BORDETELLA-PERTUSSIS; PREVENTING TETANUS; YOUNG INFANTS; RECOMMENDATIONS; DIPHTHERIA; ADOLESCENTS; ADULTS;

D O I：

10.1016/j.vaccine.2009.07.030

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

We provided CDC recommended postpartum tetanus, diphtheria, acellular pertussis (Tdap) immunization to medically underserved, uninsured women in Houston through a standing order protocol. From January 7-April 30, 2008, 1129 of 1570 (72%) postpartum women (93% Hispanic: 11% <= 19 years) received Tdap before hospital discharge. Tdap uptake was 96.2% in women without self-reported contraindications. Recall of immunization history was inaccurate in 32% of unimmunized women who reported receiving antepartum immunization. Black women refused Tdap more often than other ethnicities (24% versus 8%; P = 0.003). Postpartum Tdap immunization was successfully implemented in a high-risk population through a standing order protocol. Barriers to postpartum immunization include inaccurate immunization history and the need for ongoing targeted education. (c) 2009 Elsevier Ltd. All rights reserved.

引用

页码：5599 / 5602

页数：4

共 22 条

[1] Infant pertussis - Who was the source? [J].