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Combined reduced-antigen-content diphtheria–tetanus–acellular pertussis and polio vaccine (dTpa-IPV) for booster vaccination of adults

Many countries recommend diphtheria, tetanus and/or poliomyelitis boosters in adolescents or adults and the need for pertussis booster vaccination beyond childhood is increasingly recognized. A new combined reduced-antigen-content dTpa-IPV vaccine provides booster vaccination against all four diseas...

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Published in:Vaccine 2005-05, Vol.23 (28), p.3657-3667
Main Authors: Grimprel, Emmanuel, von Sonnenburg, Frank, Sänger, Roland, Abitbol, Veronique, Wolter, Joanne M., Schuerman, Lode M.
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container_end_page 3667
container_issue 28
container_start_page 3657
container_title Vaccine
container_volume 23
creator Grimprel, Emmanuel
von Sonnenburg, Frank
Sänger, Roland
Abitbol, Veronique
Wolter, Joanne M.
Schuerman, Lode M.
description Many countries recommend diphtheria, tetanus and/or poliomyelitis boosters in adolescents or adults and the need for pertussis booster vaccination beyond childhood is increasingly recognized. A new combined reduced-antigen-content dTpa-IPV vaccine provides booster vaccination against all four diseases in one single injection. The immunogenicity and safety of the dTpa-IPV vaccine was compared to that of licensed dTpa + IPV or Td-IPV vaccines in 806 adolescents >14 years of age and adults with a heterogeneous vaccination history. The dTpa-IPV vaccine was immunogenic and well tolerated. No clinically significant differences were observed between groups. Anti-tetanus antibody kinetics indicated that each of the vaccines could be used for tetanus prophylaxis in acute wound management. For all vaccines, the lowest post-vaccination antibody concentrations were observed in subjects >40 years of age, those seronegative prior to vaccination and those subjects whose last vaccination was ≥20 years ago. In conclusion, dTpa-IPV vaccination of subjects over 14 years of age was as immunogenic and well tolerated as the licensed dTpa + IPV or Td-IPV vaccines. Vaccination coverage of adults is poor and the use of combined vaccines such as dTpa-IPV during vaccination visits, or for wound management, maximizes opportunities for boosting in these difficult to reach age groups.
doi_str_mv 10.1016/j.vaccine.2005.02.013
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identifier ISSN: 0264-410X
ispartof Vaccine, 2005-05, Vol.23 (28), p.3657-3667
issn 0264-410X
1873-2518
language eng
recordid cdi_proquest_miscellaneous_67819027
source ScienceDirect Journals
subjects Adolescent
Adolescents
Adult
Age
Aged
Aging
Antibodies, Bacterial - blood
Antibodies, Viral - blood
Antigens
Applied microbiology
Bacterial diseases
Biological and medical sciences
Booster
Confidence intervals
Diphtheria
Diphtheria - prevention & control
Diphtheria Toxoid - administration & dosage
Diphtheria Toxoid - adverse effects
Diphtheria Toxoid - immunology
Diphtheria-Tetanus-acellular Pertussis Vaccines - immunology
Diphtheria-Tetanus-Pertussis Vaccine - administration & dosage
Diphtheria-Tetanus-Pertussis Vaccine - adverse effects
Diphtheria-Tetanus-Pertussis Vaccine - immunology
dTpa-IPV
Ent and stomatologic bacterial diseases
Female
France
Fundamental and applied biological sciences. Psychology
Germany
Human bacterial diseases
Human viral diseases
Humans
Immunization, Secondary
Immunogenicity
Infectious diseases
Male
Medical sciences
Microbiology
Middle Aged
Pertussis Vaccine - administration & dosage
Pertussis Vaccine - adverse effects
Pertussis Vaccine - immunology
Poliomyelitis - prevention & control
Poliovirus
Poliovirus Vaccine, Inactivated - administration & dosage
Poliovirus Vaccine, Inactivated - adverse effects
Poliovirus Vaccine, Inactivated - immunology
Prophylaxis
Public health
Tetanus
Tetanus - prevention & control
Tetanus Toxoid - administration & dosage
Tetanus Toxoid - adverse effects
Tetanus Toxoid - immunology
Vaccines
Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies (general aspects)
Vaccines, Combined - administration & dosage
Vaccines, Combined - adverse effects
Vaccines, Combined - immunology
Viral diseases
Viral diseases of the nervous system
Whooping Cough - prevention & control
title Combined reduced-antigen-content diphtheria–tetanus–acellular pertussis and polio vaccine (dTpa-IPV) for booster vaccination of adults
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