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Implementation of Cocooning against Pertussis in a High-Risk Population
Background. In 2006, the Advisory Committee on Immunization Practices recommended tetanus, diphtheria, acellular pertussis (Tdap) vaccination of all caregivers of infants aged
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| Published in: | Clinical infectious diseases 2011-01, Vol.52 (2), p.157-162 |
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| container_title | Clinical infectious diseases |
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| creator | Healy, C. Mary Rench, Marcia A Baker, Carol J. |
| description | Background. In 2006, the Advisory Committee on Immunization Practices recommended tetanus, diphtheria, acellular pertussis (Tdap) vaccination of all caregivers of infants aged |
| doi_str_mv | 10.1093/cid/ciq001 |
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Mary ; Rench, Marcia A ; Baker, Carol J.</creator><creatorcontrib>Healy, C. Mary ; Rench, Marcia A ; Baker, Carol J.</creatorcontrib><description>Background. In 2006, the Advisory Committee on Immunization Practices recommended tetanus, diphtheria, acellular pertussis (Tdap) vaccination of all caregivers of infants aged <1 year ("cocooning") to prevent pertussis-related complications and deaths. We implemented cocooning in a predominantly Hispanic, medically underserved, uninsured population at a Houston hospital. Phase 1 (January 2008–January 2010) provided maternal postpartum Tdap vaccine; Phase 2 (June 2009–January 2010) also vaccinated infant contacts on-site. Methods. Pertussis education was provided to health care personnel and mothers. Standing orders for maternal postpartum Tdap vaccination were initiated. Mothers were interviewed to ascertain the number of additional infant contacts eligible to receive Tdap vaccine. Consenting eligible contacts received Tdap vaccine as soon as possible after delivery. Results. From 7 January 2008 through 31 January 2010, 8334 (75%) of 11,174 postpartum women received Tdap vaccine. During Phase 2, 2969 (86%) of 3455 postpartum women were vaccinated; another 197 (6%) had previously received Tdap vaccine. Mothers were Hispanic (91.4%), black (5.4%), white (0.8%), Asian (1.4%) and other (1.0%). A median of 3 (range, 1–11) other Tdap-eligible contacts per infant were identified, and a median of 2 (range, 0–10) contacts per infant received Tdap vaccine. Of 1860 contacts vaccinated, 1813 (98%) anticipated daily infant contact. A total of 1697 (91%) received Tdap vaccine before infant hospital discharge, and 144 (8%) received Tdap vaccine within 7 days after hospital discharge. Barriers to full cocooning included the need for extended vaccination hours, visiting restrictions because of pandemic H1N1 influenza, and inaccurate recall of vaccination history. Conclusion. Although practical and logistical barriers exist, Tdap cocooning was well accepted by and successfully implemented in a high-risk population by using standing orders and providing vaccinations on-site.</description><identifier>ISSN: 1058-4838</identifier><identifier>EISSN: 1537-6591</identifier><identifier>DOI: 10.1093/cid/ciq001</identifier><identifier>PMID: 21288837</identifier><identifier>CODEN: CIDIEL</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Adolescent ; Adult ; ARTICLES AND COMMENTARIES ; Bacterial diseases ; Biological and medical sciences ; Breastfeeding ; Child ; Cocoons ; Diphtheria ; Diphtheria-Tetanus-acellular Pertussis Vaccines - administration & dosage ; Diphtheria-Tetanus-acellular Pertussis Vaccines - immunology ; Disease prevention ; Ent and stomatologic bacterial diseases ; Female ; Hispanic Americans ; Hospital administration ; Hospitals ; Human bacterial diseases ; Humans ; Immunization ; Infants ; Infectious diseases ; Medical sciences ; Middle Aged ; Mothers ; Nurses ; Patient Acceptance of Health Care ; Public health ; Risk management ; Texas - epidemiology ; Vaccination ; Vaccination - methods ; Whooping cough ; Whooping Cough - epidemiology ; Whooping Cough - prevention & control ; Whooping Cough - transmission ; Young Adult</subject><ispartof>Clinical infectious diseases, 2011-01, Vol.52 (2), p.157-162</ispartof><rights>Copyright © 2011 Oxford University Press on behalf of the Infectious Diseases Society of America</rights><rights>The Author 2011. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com. 2011</rights><rights>2015 INIST-CNRS</rights><rights>Copyright University of Chicago, acting through its Press Jan 15, 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c395t-6489ec49c5c4bc380e4b3e5ba1cb339b32c4955e0f188e0d6de17640fe267d5a3</citedby><cites>FETCH-LOGICAL-c395t-6489ec49c5c4bc380e4b3e5ba1cb339b32c4955e0f188e0d6de17640fe267d5a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/27917682$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/27917682$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,58238,58471</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23865082$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21288837$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Healy, C. Mary</creatorcontrib><creatorcontrib>Rench, Marcia A</creatorcontrib><creatorcontrib>Baker, Carol J.</creatorcontrib><title>Implementation of Cocooning against Pertussis in a High-Risk Population</title><title>Clinical infectious diseases</title><addtitle>Clin Infect Dis</addtitle><description>Background. In 2006, the Advisory Committee on Immunization Practices recommended tetanus, diphtheria, acellular pertussis (Tdap) vaccination of all caregivers of infants aged <1 year ("cocooning") to prevent pertussis-related complications and deaths. We implemented cocooning in a predominantly Hispanic, medically underserved, uninsured population at a Houston hospital. Phase 1 (January 2008–January 2010) provided maternal postpartum Tdap vaccine; Phase 2 (June 2009–January 2010) also vaccinated infant contacts on-site. Methods. Pertussis education was provided to health care personnel and mothers. Standing orders for maternal postpartum Tdap vaccination were initiated. Mothers were interviewed to ascertain the number of additional infant contacts eligible to receive Tdap vaccine. Consenting eligible contacts received Tdap vaccine as soon as possible after delivery. Results. From 7 January 2008 through 31 January 2010, 8334 (75%) of 11,174 postpartum women received Tdap vaccine. During Phase 2, 2969 (86%) of 3455 postpartum women were vaccinated; another 197 (6%) had previously received Tdap vaccine. Mothers were Hispanic (91.4%), black (5.4%), white (0.8%), Asian (1.4%) and other (1.0%). A median of 3 (range, 1–11) other Tdap-eligible contacts per infant were identified, and a median of 2 (range, 0–10) contacts per infant received Tdap vaccine. Of 1860 contacts vaccinated, 1813 (98%) anticipated daily infant contact. A total of 1697 (91%) received Tdap vaccine before infant hospital discharge, and 144 (8%) received Tdap vaccine within 7 days after hospital discharge. Barriers to full cocooning included the need for extended vaccination hours, visiting restrictions because of pandemic H1N1 influenza, and inaccurate recall of vaccination history. Conclusion. Although practical and logistical barriers exist, Tdap cocooning was well accepted by and successfully implemented in a high-risk population by using standing orders and providing vaccinations on-site.</description><subject>Adolescent</subject><subject>Adult</subject><subject>ARTICLES AND COMMENTARIES</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Breastfeeding</subject><subject>Child</subject><subject>Cocoons</subject><subject>Diphtheria</subject><subject>Diphtheria-Tetanus-acellular Pertussis Vaccines - administration & dosage</subject><subject>Diphtheria-Tetanus-acellular Pertussis Vaccines - immunology</subject><subject>Disease prevention</subject><subject>Ent and stomatologic bacterial diseases</subject><subject>Female</subject><subject>Hispanic Americans</subject><subject>Hospital administration</subject><subject>Hospitals</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Immunization</subject><subject>Infants</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mothers</subject><subject>Nurses</subject><subject>Patient Acceptance of Health Care</subject><subject>Public health</subject><subject>Risk management</subject><subject>Texas - epidemiology</subject><subject>Vaccination</subject><subject>Vaccination - methods</subject><subject>Whooping cough</subject><subject>Whooping Cough - epidemiology</subject><subject>Whooping Cough - prevention & control</subject><subject>Whooping Cough - transmission</subject><subject>Young Adult</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNp90EFLwzAYBuAgipvTi3elCCII1aRJ2uQoQzdh4BA9lzRNZ2abdEl78N8b7XTgwUNIIE_eL7wAnCJ4gyDHt1KXYW0gRHtgjCjO4pRytB_OkLKYMMxG4Mj7dQCIQXoIRglKGGM4G4PZY9PWqlGmE522JrJVNLXSWqPNKhIroY3voqVyXe-99pE2kYjmevUWP2v_Hi1t29ffD4_BQSVqr062-wS8Pty_TOfx4mn2OL1bxBJz2sUpYVxJwiWVpJCYQUUKrGghkCww5gVOwiWlClaIMQXLtFQoSwmsVJJmJRV4Aq6G3NbZTa98lzfaS1XXwijb-5wRThJOMQzy4o9c296Z8LmAYMYZxSSg6wFJZ713qspbpxvhPnIE869y81BuPpQb8Pk2sS8aVf7SnzYDuNwC4aWoKyeM1H7nMEspZMnO2b79f-DZ4Na-s26Xk_FQSsj5BDWol9I</recordid><startdate>20110115</startdate><enddate>20110115</enddate><creator>Healy, C. Mary</creator><creator>Rench, Marcia A</creator><creator>Baker, Carol J.</creator><general>Oxford University Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7T2</scope><scope>7T7</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20110115</creationdate><title>Implementation of Cocooning against Pertussis in a High-Risk Population</title><author>Healy, C. Mary ; Rench, Marcia A ; Baker, Carol J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c395t-6489ec49c5c4bc380e4b3e5ba1cb339b32c4955e0f188e0d6de17640fe267d5a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>ARTICLES AND COMMENTARIES</topic><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Breastfeeding</topic><topic>Child</topic><topic>Cocoons</topic><topic>Diphtheria</topic><topic>Diphtheria-Tetanus-acellular Pertussis Vaccines - administration & dosage</topic><topic>Diphtheria-Tetanus-acellular Pertussis Vaccines - immunology</topic><topic>Disease prevention</topic><topic>Ent and stomatologic bacterial diseases</topic><topic>Female</topic><topic>Hispanic Americans</topic><topic>Hospital administration</topic><topic>Hospitals</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Immunization</topic><topic>Infants</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mothers</topic><topic>Nurses</topic><topic>Patient Acceptance of Health Care</topic><topic>Public health</topic><topic>Risk management</topic><topic>Texas - epidemiology</topic><topic>Vaccination</topic><topic>Vaccination - methods</topic><topic>Whooping cough</topic><topic>Whooping Cough - epidemiology</topic><topic>Whooping Cough - prevention & control</topic><topic>Whooping Cough - transmission</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Healy, C. Mary</creatorcontrib><creatorcontrib>Rench, Marcia A</creatorcontrib><creatorcontrib>Baker, Carol J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Healy, C. Mary</au><au>Rench, Marcia A</au><au>Baker, Carol J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Implementation of Cocooning against Pertussis in a High-Risk Population</atitle><jtitle>Clinical infectious diseases</jtitle><addtitle>Clin Infect Dis</addtitle><date>2011-01-15</date><risdate>2011</risdate><volume>52</volume><issue>2</issue><spage>157</spage><epage>162</epage><pages>157-162</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><coden>CIDIEL</coden><abstract>Background. In 2006, the Advisory Committee on Immunization Practices recommended tetanus, diphtheria, acellular pertussis (Tdap) vaccination of all caregivers of infants aged <1 year ("cocooning") to prevent pertussis-related complications and deaths. We implemented cocooning in a predominantly Hispanic, medically underserved, uninsured population at a Houston hospital. Phase 1 (January 2008–January 2010) provided maternal postpartum Tdap vaccine; Phase 2 (June 2009–January 2010) also vaccinated infant contacts on-site. Methods. Pertussis education was provided to health care personnel and mothers. Standing orders for maternal postpartum Tdap vaccination were initiated. Mothers were interviewed to ascertain the number of additional infant contacts eligible to receive Tdap vaccine. Consenting eligible contacts received Tdap vaccine as soon as possible after delivery. Results. From 7 January 2008 through 31 January 2010, 8334 (75%) of 11,174 postpartum women received Tdap vaccine. During Phase 2, 2969 (86%) of 3455 postpartum women were vaccinated; another 197 (6%) had previously received Tdap vaccine. Mothers were Hispanic (91.4%), black (5.4%), white (0.8%), Asian (1.4%) and other (1.0%). A median of 3 (range, 1–11) other Tdap-eligible contacts per infant were identified, and a median of 2 (range, 0–10) contacts per infant received Tdap vaccine. Of 1860 contacts vaccinated, 1813 (98%) anticipated daily infant contact. A total of 1697 (91%) received Tdap vaccine before infant hospital discharge, and 144 (8%) received Tdap vaccine within 7 days after hospital discharge. Barriers to full cocooning included the need for extended vaccination hours, visiting restrictions because of pandemic H1N1 influenza, and inaccurate recall of vaccination history. Conclusion. Although practical and logistical barriers exist, Tdap cocooning was well accepted by and successfully implemented in a high-risk population by using standing orders and providing vaccinations on-site.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>21288837</pmid><doi>10.1093/cid/ciq001</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | JSTOR Archival Journals and Primary Sources Collection; Oxford Journals Online |
| subjects | Adolescent Adult ARTICLES AND COMMENTARIES Bacterial diseases Biological and medical sciences Breastfeeding Child Cocoons Diphtheria Diphtheria-Tetanus-acellular Pertussis Vaccines - administration & dosage Diphtheria-Tetanus-acellular Pertussis Vaccines - immunology Disease prevention Ent and stomatologic bacterial diseases Female Hispanic Americans Hospital administration Hospitals Human bacterial diseases Humans Immunization Infants Infectious diseases Medical sciences Middle Aged Mothers Nurses Patient Acceptance of Health Care Public health Risk management Texas - epidemiology Vaccination Vaccination - methods Whooping cough Whooping Cough - epidemiology Whooping Cough - prevention & control Whooping Cough - transmission Young Adult |
| title | Implementation of Cocooning against Pertussis in a High-Risk Population |
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