Evidence map›Paper›PMID 34526295›Full record

Observational studyArchives of disease in childhood2022

Pertussis seroprevalence in mother-infant pairs from India: role of maternal immunisation.

Rajlakshmi Viswanathan, Sanjay Bafna, Kalyani Patil, Santoshkumar Jadhav, Savita Katendra, Shweta Mishra, Shradha Maheshwari, Hemant Damle

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Archives of disease in childhood, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 38% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
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

8 authors at 3 institutions in 1 country.

Rajlakshmi ViswanathanBacteriology Group, ICMR-National Institute of Virology, Pune, Maharashtra, India rupamicro11@gmail.com.ORCID 0000-0002-1517-0454
Sanjay BafnaPaediatrics, Jehangir Hospital, Pune, Maharashtra, India.
Kalyani PatilPaediatrics, Jehangir Hospital, Pune, Maharashtra, India.
Santoshkumar JadhavBioinformatics and Data Management Group, ICMR-National Institute of Virology, Pune, Maharashtra, India.
Savita KatendraBacteriology Group, ICMR-National Institute of Virology, Pune, Maharashtra, India.
Shweta MishraObstertrics & Gynaecology, Smt Kashibai Navale Medical College and General Hospital, Pune, Maharashtra, India.
Shradha MaheshwariBacteriology Group, ICMR-National Institute of Virology, Pune, Maharashtra, India.
Hemant DamleObstertrics & Gynaecology, Smt Kashibai Navale Medical College and General Hospital, Pune, Maharashtra, India.
ICMR-National Institute of Virology · INJehangir Hospital · INSmt. Kashibai Navale Medical College and General hospital · IN

Funding

DBT-Wellcome Trust India Alliance IA/CPHI/18/1/503936Wellcome Trust
6 · The paper itself

Abstract

objectiveTo evaluate pertussis antibody status of pregnant women and their newborns, and the impact of antenatal immunisation.

designObservational study.

settingHospitals in urban western India.

participantsPregnant women and their newborns.

methodsPertussis antibody titres in mothers and their newborns were determined. Vaccinated and unvaccinated mothers and their newborns were compared for baseline characteristics, geometric mean titres (GMTs) and placental transfer ratio of antibodies. Multivariate logistic regression was performed to understand the influence of different factors on protective antibody titres.

resultsOf 284 mother-infant pairs, 75 mothers and 73 of their newborns were seropositive for anti-pertussis toxin (PT) IgG antibodies. 94 women were vaccinated in pregnancy; 51 (54.3%) of these mothers and newborns were PT IgG positive, compared with 24 (12.3%) of the women (and 22 newborns) not vaccinated in pregnancy. Women vaccinated in pregnancy and their newborns had higher GMT (30.88 and 32.54 IU/mL), compared with women who were not vaccinated (12.63%, 2.24 IU/mL) and their newborns (11.58%, 2.53 IU/mL). Placental transfer ratios in newborns of mothers vaccinated in pregnancy and those who had childhood immunisation or natural immunity were similar (1.05 and 1.12, respectively). Protective titres of antibodies at birth (>20 IU/mL) were observed in 72.3% vs 21% of newborns of vaccinated and unvaccinated pregnant women, respectively; influenced by mother's vaccination status and seropositivity.

conclusionProtection against pertussis is low in newborns of mothers who are only immunised during childhood. Vaccination early in pregnancy boosts maternal and neonatal immunity.

Indexed as

Whooping CoughAntibodies, BacterialFemaleHumansImmunoglobulin GInfantInfant, NewbornMaleMothersPertussis ToxinPlacentaPregnancySeroepidemiologic StudiesVaccinationAntibodies, BacterialImmunoglobulin GPertussis Toxinmicrobiologyneonatology

Identifiers

PMID34526295
PMCPMC9046734
OpenAlexW3201136625

What OpenQuestion holds

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Registered trials

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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.