Evidence map›Paper›PMID 40597356›Full record

ArticleBMC research notes2025

Protective antibodies against diphtheria, tetanus, and pertussis following revaccination in children and young adults having undergone haematopoietic stem cell transplantation.

Ravipreeya Sukswadi Na Ayudhya, Chanya Pongpatipat, Usanarat Anurathapan, Samart Pakakasama, Suradej Hongeng, Chompunuch Klinmalai, Nopporn Apiwattanakul

Abstract read
In one paragraph

Article in BMC research notes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

7 authors.

Ravipreeya Sukswadi Na AyudhyaDepartment of Paediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Bangkok, 10400, Thailand.ORCID http://orcid.org/0009-0008-2624-6398
Chanya PongpatipatDepartment of Paediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Bangkok, 10400, Thailand.ORCID http://orcid.org/0009-0009-2904-0181
Usanarat AnurathapanDepartment of Paediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Bangkok, 10400, Thailand.ORCID http://orcid.org/0000-0002-2791-7471
Samart PakakasamaDepartment of Paediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Bangkok, 10400, Thailand.ORCID http://orcid.org/0000-0001-8118-163X
Suradej HongengDepartment of Paediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Bangkok, 10400, Thailand.ORCID http://orcid.org/0000-0002-7376-9393
Chompunuch KlinmalaiDepartment of Paediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Bangkok, 10400, Thailand.ORCID http://orcid.org/0000-0002-6290-3032
Nopporn ApiwattanakulDepartment of Paediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Bangkok, 10400, Thailand. nopporn.api@mahidol.ac.th.ORCID http://orcid.org/0000-0003-1833-5127

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHaematopoietic stem cell transplantation (HSCT) eliminates pre-existing immunity, necessitating revaccination. This study aimed to assess the prevalence of protective antibody titres against diphtheria, pertussis, and tetanus in pediatric and young adult HSCT recipients at least four years post-revaccination.

resultsA cross-sectional study was conducted in 94 post-HSCT patients (aged 5-25 years) who completed a three-dose DTP series at least four years prior. Protective anti-tetanus and anti-diphtheria antibody titres were detected in 93.6% and 81.9% of participants, respectively, at least four years post-revaccination. However, only 9.4% had protective anti-pertussis titres, which remained low within five years of revaccination. Factors associated with protective anti-tetanus included higher absolute lymphocyte counts (ALC) 1-year post-revaccination, while corticosteroid use during revaccination was negatively associated. ALC at the 3rd dose of vaccination was associated with a protective anti-diphtheria titre. A booster dose of Tdap resulted in seroconversion in 80.0% for diphtheria, 47.4% for pertussis, and 100% for tetanus. These findings support an earlier booster dose of DTP vaccination in post-HSCT patients.

Indexed as

Antibodies, BacterialDiphtheriaDiphtheria-Tetanus-Pertussis VaccineHematopoietic Stem Cell TransplantationImmunization, SecondaryTetanusWhooping CoughAdolescentAdultChildChild, PreschoolCross-Sectional StudiesFemaleHumansMaleYoung AdultAntibodies, BacterialDiphtheria-Tetanus-Pertussis VaccineAnti-diphtheria antibodyAnti-pertussis antibodyAnti-tetanus antibodyHaematopoietic stem cell transplantation (HSCT)Paediatric

Identifiers

PMID40597356
PMCPMC12210706

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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.