Evidence map›Paper›PMID 29028938›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2017

Impact of the US Maternal Tetanus, Diphtheria, and Acellular Pertussis Vaccination Program on Preventing Pertussis in Infants <2 Months of Age: A Case-Control Evaluation.

Tami H Skoff, Amy E Blain, James Watt, Karen Scherzinger, Melissa McMahon, Shelley M Zansky, Kathy Kudish, Paul R Cieslak, Melissa Lewis, Nong Shang and 1 more

2 registry-linked trialsOpen access · hybridAbstract readEvaluation Study
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 75 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 3 pooled it
10.0field-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.

NCT03973905 completednot on this mapstarted 2019, after this paper: background citation

Effectiveness of Maternal Immunization With Boostrix at Preventing Pertussis Among Infants <2 Months Old in the United States: Analysis of a Dataset From a Case-control Study

TypeobservationalSponsorGlaxoSmithKlineRan2019 to 2019Enrolled290ConditionsWhooping CoughArmsNot applicable / dataset analysis
NCT05040802 completednot on this mapstarted 2021, after this paper: background citation

Effectiveness of Adacel Vaccination in Pregnancy at Preventing Pertussis in Infants < 2 Months of Age in the United States (US)

TypeobservationalSponsorSanofi Pasteur, a Sanofi CompanyRan2021 to 2021Enrolled462ConditionsPertussis (Whooping Cough)ArmsNot applicable / dataset analysis
3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 3 syntheses or guidelines pooled it, 171 citations in OpenAlex.

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  13. Inclusion of Women, Children, the Elderly, and Individuals With Underlying Medical Conditions: Prioritizing Vulnerable Populations in Clinical Research.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
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  17. Pertussis vaccines, epidemiology and evolution.Nature reviews. Microbiology · 2024
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15 more citing papers are in PubMed but not listed here.

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

11 authors at 7 institutions in 1 country.

Tami H SkoffCenters for Disease Control and Prevention, Atlanta, Georgia.
Amy E BlainCenters for Disease Control and Prevention, Atlanta, Georgia.
James WattCalifornia Emerging Infections Program, Oakland.
Karen ScherzingerNew Mexico Department of Health, Santa Fe.
Melissa McMahonMinnesota Department of Health, Saint Paul.
Shelley M ZanskyNew York State Department of Health, Albany.
Kathy KudishConnecticut Department of Public Health, Hartford.
Paul R CieslakOregon Health Authority, Portland.
Melissa LewisCenters for Disease Control and Prevention, Atlanta, Georgia.
Nong ShangCenters for Disease Control and Prevention, Atlanta, Georgia.
Stacey W MartinCenters for Disease Control and Prevention, Atlanta, Georgia.
Centers for Disease Control and Prevention · USConnecticut Department of Public Health · USIbis Reproductive Health · USMinnesota Department of Health · USNew Mexico Department of Health · USNew York State Department of Health · USOregon Health Authority · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundInfants aged <1 year are at highest risk for pertussis-related morbidity and mortality. In 2012, Tdap (tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis) vaccine was recommended for women during each pregnancy to protect infants in the first months of life; data on effectiveness of this strategy are currently limited.

methodsWe conducted a case-control evaluation among pertussis cases <2 months old with cough onset between 1 January 2011 and 31 December 2014 from 6 US Emerging Infection Program Network states. Controls were hospital-matched and selected by birth certificate. Mothers were interviewed to collect information on demographics, household characteristics, and healthcare providers. Provider-verified immunization history was obtained on mothers and infants. Mothers were considered vaccinated during pregnancy if Tdap was received ≥14 days before delivery; trimester was calculated using Tdap date, infant's date of birth, and gestational age. Odds ratios were calculated using multivariable conditional logistic regression; vaccine effectiveness (VE) was estimated as (1 - odds ratio) × 100%.

resultsA total of 240 cases and 535 controls were included; 17 (7.1%) case mothers and 90 (16.8%) control mothers received Tdap during the third trimester of pregnancy. The multivariable VE estimate for Tdap administered during the third trimester of pregnancy was 77.7% (95% confidence interval [CI], 48.3%-90.4%); VE increased to 90.5% (95% CI, 65.2%-97.4%) against hospitalized cases.

conclusionsVaccination during pregnancy is an effective way to protect infants during the early months of life. With a continuing resurgence in pertussis, efforts should focus on maximizing Tdap uptake among pregnant women.

Indexed as

Immunization ProgramsMothersCase-Control StudiesDiphtheriaDiphtheria-Tetanus-acellular Pertussis VaccinesFemaleHumansImmunization ScheduleInfantParturitionPregnancyPregnancy Trimester, ThirdPregnant PeopleTetanusUnited StatesVaccinationDiphtheria-Tetanus-acellular Pertussis Vaccinesinfantmaternal immunizationpertussisTdap

Identifiers

PMID29028938
PMCPMC5754921
OpenAlexW2759536015

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.