Evidence map›Paper›PMID 25941309›Full record

ArticlePediatrics2015

Tdap vaccine effectiveness in adolescents during the 2012 Washington State pertussis epidemic.

Anna M Acosta, Chas DeBolt, Azadeh Tasslimi, Melissa Lewis, Laurie K Stewart, Lara K Misegades, Nancy E Messonnier, Thomas A Clark, Stacey W Martin, Manisha Patel

Open access · bronzeAbstract readEvaluation Study
In one paragraph

Article in Pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 4 pooled it
14.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 4 syntheses or guidelines pooled it, 106 citations in OpenAlex.

  1. Vaccine-Preventable Infections in Childcare Workers.Deutsches Arzteblatt international · 2020
    Pooled it
  2. Guideline
  3. Prevention of Pertussis, Tetanus, and Diphtheria with Vaccines in the United States: Recommendations of the Advisory Committee on Immunization Practices (ACIP).MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2018
    Guideline
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Review
  9. Pertussis vaccines, epidemiology and evolution.Nature reviews. Microbiology · 2024
    Review
  10. Assessing the Impact of the 2020 Council of State and Territorial Epidemiologists Case Definition for Pertussis on Reported Pertussis Cases.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
  11. Controlled Human Infection with Bordetella pertussis.Current topics in microbiology and immunology · 2024
    Review
  12. Article
  13. Article
  14. Review
  15. Pertussis (Whooping Cough).The Journal of infectious diseases · 2021
    Article
  16. Article
  17. Toward a Controlled Human Infection Model of Pertussis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  18. Article
  19. Article
  20. Successful Vaccines.Current topics in microbiology and immunology · 2020
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Anna M AcostaEpidemic Intelligence Service, Scientific Education and Professional Development Program Office, Meningitis and Vaccine Preventable Disease Branch, Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, and amacosta@cdc.gov.
Chas DeBoltCommunicable Disease Epidemiology, Washington State Department of Health, Shoreline, Washington.
Azadeh TasslimiCommunicable Disease Epidemiology, Washington State Department of Health, Shoreline, Washington.
Melissa LewisBiostatistics Office, Division of Bacterial Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; and.
Laurie K StewartCommunicable Disease Epidemiology, Washington State Department of Health, Shoreline, Washington.
Lara K MisegadesMeningitis and Vaccine Preventable Disease Branch, Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, and.
Nancy E MessonnierMeningitis and Vaccine Preventable Disease Branch, Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, and.
Thomas A ClarkMeningitis and Vaccine Preventable Disease Branch, Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, and.
Stacey W MartinMeningitis and Vaccine Preventable Disease Branch, Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, and.
Manisha PatelMeningitis and Vaccine Preventable Disease Branch, Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, and.
National Center for Immunization and Respiratory Diseases · USWashington State Department of Health · USCenters for Disease Control and Prevention · USEpidemic Intelligence Service · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundAcellular pertussis vaccines replaced whole-cell vaccines for the 5-dose childhood vaccination series in 1997. A sixth dose of pertussis-containing vaccine, tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis, adsorbed (Tdap), was recommended in 2005 for adolescents and adults. Studies examining Tdap vaccine effectiveness (VE) among adolescents who have received all acellular vaccines are limited.

methodsTo assess Tdap VE and duration of protection, we conducted a matched case-control study during the 2012 pertussis epidemic in Washington among adolescents born during 1993-2000. All pertussis cases reported from January 1 through June 30, 2012, in 7 counties were included; 3 controls were matched by primary provider clinic and birth year to each case. Vaccination histories were obtained through medical records, the state immunization registry, and parent interviews. Participants were classified by type of pertussis vaccine received on the basis of birth year: a mix of whole-cell and acellular vaccines (1993-1997) or all acellular vaccines (1998-2000). We used conditional logistic regression to calculate odds ratios comparing Tdap receipt between cases and controls.

resultsAmong adolescents who received all acellular vaccines (450 cases, 1246 controls), overall Tdap VE was 63.9% (95% confidence interval [CI]: 50% to 74%). VE within 1 year of vaccination was 73% (95% CI: 60% to 82%). At 2 to 4 years postvaccination, VE declined to 34% (95% CI: -0.03% to 58%).

conclusionsTdap protection wanes within 2 to 4 years. Lack of long-term protection after vaccination is likely contributing to increases in pertussis among adolescents.

Indexed as

Diphtheria-Tetanus-acellular Pertussis VaccinesDisease OutbreaksAdolescentCase-Control StudiesChildFemaleHumansMaleWashingtonWhooping CoughDiphtheria-Tetanus-acellular Pertussis Vaccinesadolescentdiphtheria-tetanus-acellular pertussis vaccinediphtheria-tetanus-pertussis vaccinewhooping cough

Identifiers

PMID25941309
PMCPMC5736389
OpenAlexW1767444863

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.