Evidence map›Paper›PMID 27838673›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2016

The Effect of Maternal Pertussis Immunization on Infant Vaccine Responses to a Booster Pertussis-Containing Vaccine in Vietnam.

Kirsten Maertens, Thi Thu Ha Hoang, Trung Dac Nguyen, Raïssa Nadège Caboré, Thi Hong Duong, Kris Huygen, Niel Hens, Pierre Van Damme, Duc Anh Dang, Elke Leuridan

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Seroepidemiological Assessment ofHealth care science · 2025
    Article
  9. Article
  10. Antibody persistence to diphtheria toxoid, tetanus toxoid,Human vaccines & immunotherapeutics · 2024
    Article
  11. Article
  12. Safety and Clinical Benefits of AdacelInfectious diseases and therapy · 2023
    Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Maternal vaccination: a review of current evidence and recommendations.American journal of obstetrics and gynecology · 2022
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Kirsten MaertensCentre for the Evaluation of Vaccination, Vaccine and Infectious Diseases Institute, University of Antwerp, Belgium.
Thi Thu Ha HoangBacteriology Department, National Institute of Hygiene and Epidemiology, Hanoi, Vietnam.
Trung Dac NguyenBacteriology Department, National Institute of Hygiene and Epidemiology, Hanoi, Vietnam.
Raïssa Nadège CaboréNational Reference Centre Bordetella, National Reference Centre Toxigenic Corynebacteria, Service Immunology, Scientific Institute of Public Health, Brussels.
Thi Hong DuongBacteriology Department, National Institute of Hygiene and Epidemiology, Hanoi, Vietnam.
Kris HuygenNational Reference Centre Bordetella, National Reference Centre Toxigenic Corynebacteria, Service Immunology, Scientific Institute of Public Health, Brussels.
Niel HensInteruniversity Institute for Biostatistics and Statistical Bioinformatics, Hasselt University.
Pierre Van DammeCentre for the Evaluation of Vaccination, Vaccine and Infectious Diseases Institute, University of Antwerp, Belgium.
Duc Anh DangBacteriology Department, National Institute of Hygiene and Epidemiology, Hanoi, Vietnam.
Elke LeuridanCentre for the Evaluation of Vaccination, Vaccine and Infectious Diseases Institute, University of Antwerp, Belgium.
National Institute Of Hygiene And Epidemiology · VNUniversity of Antwerp · BEInstitut Scientifique de Santé Publique · BEHasselt University · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaternal vaccination with an acellular pertussis (aP)-containing vaccine is a recommended strategy in a growing number of industrialized countries, to protect young infants from disease. Little is known on the effect of this strategy in low- and middle-income countries. Following a previous report on the effect of adding a pertussis and diphtheria component to the tetanus vaccination program in pregnant women in Vietnam, we report on infant immune responses to a booster aP vaccine dose in this randomized controlled clinical trial.

methodsThirty infants of Tdap (tetanus, diphtheria, and acellular pertussis)-vaccinated pregnant women and 37 infants of women vaccinated with a tetanus-only vaccine received a fourth aP-containing vaccine dose in the second year of life. Blood was taken 1 month after the fourth infant dose. Immunoglobulin G (IgG) antibodies against pertussis toxin (PT), filamentous hemagglutinin (FHA), pertactin (Prn), tetanus toxoid (TT), and diphtheria toxoid (DT) were measured using commercially available enzyme-linked immunosorbent assays (ELISA).

resultsOne month after the booster dose, significantly lower antibody titers were measured in the Tdap group for anti-TT IgG (P < .001) only. Anti-DT IgG, anti-PT IgG, anti-Prn IgG, and anti-FHA IgG antibody titers were comparable for both groups. A rise in antibody concentrations was elicited for all (except DT) antigens after boosting.

conclusionsThe present results indicate that the blunting of infant pertussis responses induced by maternal immunization, measured after a primary series of aP vaccines, was resolved with the booster aP vaccine dose. These results add to the evidence for national and international decision makers on maternal immunization as a vaccination strategy for protection of young infants against infectious diseases.

Indexed as

Immunization, SecondaryMaternal ExposurePrenatal Exposure Delayed EffectsVaccinationAdultAntibodies, BacterialFemaleHumansImmunoglobulin GInfantInfant, NewbornMalePertussis VaccinePopulation SurveillancePregnancyVietnamAntibodies, BacterialImmunoglobulin GPertussis Vaccinematernal antibodiespertussisvaccination in pregnancy

Identifiers

PMID27838673
PMCPMC5106623
OpenAlexW2557227619

What OpenQuestion holds

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LicenceCC BY
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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.