Evaluation of Whole-Cell and Acellular Pertussis Vaccines in the Context of Long-Term Herd Immunity

After the pertussis vaccine had been introduced in the 1940s and was shown to be very successful in reducing the morbidity and mortality associated with the disease, the possibility of improving both vaccine composition and vaccination schedules has become the subject of continuous interest. As a re...

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Autores principales: Szwejser-Zawislak, Ewa, Wilk, Mieszko M., Piszczek, Piotr, Krawczyk, Justyna, Wilczyńska, Daria, Hozbor, Daniela Flavia
Formato: Articulo
Lenguaje:Inglés
Publicado: 2023
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Acceso en línea:http://sedici.unlp.edu.ar/handle/10915/153908
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spelling I19-R120-10915-1539082023-06-06T04:06:45Z http://sedici.unlp.edu.ar/handle/10915/153908 issn:2076-393X Evaluation of Whole-Cell and Acellular Pertussis Vaccines in the Context of Long-Term Herd Immunity Szwejser-Zawislak, Ewa Wilk, Mieszko M. Piszczek, Piotr Krawczyk, Justyna Wilczyńska, Daria Hozbor, Daniela Flavia 2023-01 2023-06-05T14:22:34Z en Ciencias Exactas Biología pertussis Bordetella pertussis acellular pertussis vaccine whole cell pertussis vaccine DTaP Tdap DTwP After the pertussis vaccine had been introduced in the 1940s and was shown to be very successful in reducing the morbidity and mortality associated with the disease, the possibility of improving both vaccine composition and vaccination schedules has become the subject of continuous interest. As a result, we are witnessing a considerable heterogeneity in pertussis vaccination policies, which remains beyond universal consensus. Many pertussis-related deaths still occur in low- and middle-income countries; however, these deaths are attributable to gaps in vaccination coverage and limited access to healthcare in these countries, rather than to the poor efficacy of the first generation of pertussis vaccine consisting in inactivated and detoxified whole cell pathogen (wP). In many, particularly high-income countries, a switch was made in the 1990s to the use of acellular pertussis (aP) vaccine, to reduce the rate of post-vaccination adverse events and thereby achieve a higher percentage of children vaccinated. However the epidemiological data collected over the past few decades, even in those high-income countries, show an increase in pertussis prevalence and morbidity rates, triggering a wide-ranging debate on the causes of pertussis resurgence and the effectiveness of current pertussis prevention strategies, as well as on the efficacy of available pertussis vaccines and immunization schedules. The current article presents a systematic review of scientific reports on the evaluation of the use of whole-cell and acellular pertussis vaccines, in the context of long-term immunity and vaccines efficacy. Instituto de Biotecnología y Biología Molecular Articulo Articulo http://creativecommons.org/licenses/by/4.0/ Creative Commons Attribution 4.0 International (CC BY 4.0) application/pdf
institution Universidad Nacional de La Plata
institution_str I-19
repository_str R-120
collection SEDICI (UNLP)
language Inglés
topic Ciencias Exactas
Biología
pertussis
Bordetella pertussis
acellular pertussis vaccine
whole cell pertussis vaccine
DTaP
Tdap
DTwP
spellingShingle Ciencias Exactas
Biología
pertussis
Bordetella pertussis
acellular pertussis vaccine
whole cell pertussis vaccine
DTaP
Tdap
DTwP
Szwejser-Zawislak, Ewa
Wilk, Mieszko M.
Piszczek, Piotr
Krawczyk, Justyna
Wilczyńska, Daria
Hozbor, Daniela Flavia
Evaluation of Whole-Cell and Acellular Pertussis Vaccines in the Context of Long-Term Herd Immunity
topic_facet Ciencias Exactas
Biología
pertussis
Bordetella pertussis
acellular pertussis vaccine
whole cell pertussis vaccine
DTaP
Tdap
DTwP
description After the pertussis vaccine had been introduced in the 1940s and was shown to be very successful in reducing the morbidity and mortality associated with the disease, the possibility of improving both vaccine composition and vaccination schedules has become the subject of continuous interest. As a result, we are witnessing a considerable heterogeneity in pertussis vaccination policies, which remains beyond universal consensus. Many pertussis-related deaths still occur in low- and middle-income countries; however, these deaths are attributable to gaps in vaccination coverage and limited access to healthcare in these countries, rather than to the poor efficacy of the first generation of pertussis vaccine consisting in inactivated and detoxified whole cell pathogen (wP). In many, particularly high-income countries, a switch was made in the 1990s to the use of acellular pertussis (aP) vaccine, to reduce the rate of post-vaccination adverse events and thereby achieve a higher percentage of children vaccinated. However the epidemiological data collected over the past few decades, even in those high-income countries, show an increase in pertussis prevalence and morbidity rates, triggering a wide-ranging debate on the causes of pertussis resurgence and the effectiveness of current pertussis prevention strategies, as well as on the efficacy of available pertussis vaccines and immunization schedules. The current article presents a systematic review of scientific reports on the evaluation of the use of whole-cell and acellular pertussis vaccines, in the context of long-term immunity and vaccines efficacy.
format Articulo
Articulo
author Szwejser-Zawislak, Ewa
Wilk, Mieszko M.
Piszczek, Piotr
Krawczyk, Justyna
Wilczyńska, Daria
Hozbor, Daniela Flavia
author_facet Szwejser-Zawislak, Ewa
Wilk, Mieszko M.
Piszczek, Piotr
Krawczyk, Justyna
Wilczyńska, Daria
Hozbor, Daniela Flavia
author_sort Szwejser-Zawislak, Ewa
title Evaluation of Whole-Cell and Acellular Pertussis Vaccines in the Context of Long-Term Herd Immunity
title_short Evaluation of Whole-Cell and Acellular Pertussis Vaccines in the Context of Long-Term Herd Immunity
title_full Evaluation of Whole-Cell and Acellular Pertussis Vaccines in the Context of Long-Term Herd Immunity
title_fullStr Evaluation of Whole-Cell and Acellular Pertussis Vaccines in the Context of Long-Term Herd Immunity
title_full_unstemmed Evaluation of Whole-Cell and Acellular Pertussis Vaccines in the Context of Long-Term Herd Immunity
title_sort evaluation of whole-cell and acellular pertussis vaccines in the context of long-term herd immunity
publishDate 2023
url http://sedici.unlp.edu.ar/handle/10915/153908
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