Evidence map›Paper›PMID 31983584›Full record

ArticleVaccine2020

Use of tetanus-diphtheria (Td) vaccine in children 4-7 years of age: World Health Organization consultation of experts.

Shalini Desai, Heather M Scobie, Thomas Cherian, Tracey Goodman, Expert Group on the Use of Td vaccine in Childhood

Open access · hybridAbstract read
In one paragraph

Article in Vaccine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Diphtheria in the WHO European Region, 2010 to 2019.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2022
    Article
  6. Article
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

5 authors at 2 institutions in 2 countries.

Shalini DesaiWorld Health Organization, 20 Appia Avenue, Geneva, Switzerland. Electronic address: sdesai@who.int.
Heather M ScobieGlobal Immunization Division, Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta GA, USA. Electronic address: hscobie@cdc.gov.
Thomas CherianMMGH Consulting GmbH, Kuerbergstrasse 1, 8049 Zurich, Switzerland. Electronic address: cheriant@mmglobalhealth.org.
Tracey GoodmanWorld Health Organization, 20 Appia Avenue, Geneva, Switzerland. Electronic address: goodmant@who.int.
Expert Group on the Use of Td vaccine in Childhood
World Health Organization · CHCenters for Disease Control and Prevention · US

Funding

Intramural CDC HHS CC999999World Health Organization 001
6 · The paper itself

Abstract

For lifetime protection against diphtheria and tetanus, the World Health Organization (WHO) recommends six doses of diphtheria and tetanus containing vaccines. Td (reduced diphtheria toxoid, ≥2-5 IU) vaccines are currently licensed for ages 7 years and older, but use of Td vaccine for ages 4 years and older would have advantages for immunization programs in many low- and middle-income countries. For this reason, WHO convened an expert consultation to review the currently available evidence for the use of Td vaccine from 4 to 7 years of age which concluded: (1) no relevant biological difference in immune response in the relevant age group compared with children over 7 years of age; (2) adequate seroprotection in several studies with Td vaccine in the 4-7 age group and many studies using combination vaccines; (3) durable and protective response of at least 9-11 years duration in several longitudinal and modelling studies, (4) less reactogenicity compared with use of full-dose diphtheria vaccine, potentially improving the vaccination experience; and (5) adequate control of diphtheria in several countries using Td-containing combination vaccines in 4-7 year old children. On this basis, the experts concluded that from a programmatic perspective, Td vaccine given in ages 4-7 years, as a second booster dose in a six-dose series, would provide adequate protection against diphtheria and tetanus and recommended steps to include this change in age extension listed in the package insert.

Indexed as

DiphtheriaTetanusWorld Health OrganizationAntibodies, BacterialChildChild, PreschoolDiphtheria-Tetanus-Pertussis VaccineDiphtheria-Tetanus VaccineHumansImmunization, SecondaryAntibodies, BacterialDiphtheria-Tetanus-Pertussis VaccineDiphtheria-Tetanus VaccineBoostersChildhoodDiphtheriaLife-courseTetanusVaccine

Identifiers

PMID31983584
PMCPMC7286697
OpenAlexW3001402585

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.