Pertussis vaccine

Pertussis vaccine
Pertussis vaccination is often administered via a combined DPT vaccine or, as shown here, a DTaP-IPV vaccine
Vaccine description
TargetWhooping cough
Vaccine typeInactivated or subunit
Clinical data
MedlinePlusa682198
ATC code
Legal status
Legal status
  • US: ℞-only
  • In general: ℞ (Prescription only)
Identifiers
DrugBank
ChemSpider
  • none
UNII
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Pertussis vaccine is a vaccine that protects against whooping cough (pertussis).[1][2] There are two main types: whole-cell vaccines and acellular vaccines.[1][2] The whole-cell vaccine is about 78% effective while the acellular vaccine is 71–85% effective.[1][3] The effectiveness of the vaccines appears to decrease by between 2 and 10% per year after vaccination with a more rapid decrease with the acellular vaccines.[1] The vaccine is only available in combination with tetanus and diphtheria vaccines.[1] Pertussis vaccine is estimated to have saved over 500,000 lives in 2002.[4]

Vaccinating the mother during pregnancy may protect the baby.[1] The World Health Organization and Centers for Disease Control and Prevention recommend all children be vaccinated for pertussis and that it be included in routine vaccinations.[1][5] Three doses starting at six weeks of age are typically recommended in young children.[1][2] Additional doses may be given to older children and adults.[1] This recommendation includes people who have HIV/AIDS.[1]

The acellular vaccines are more commonly used in the developed world due to fewer adverse effects.[1] Between 10 and 50% of people given the whole-cell vaccines develop redness at the injection site or fever.[1] Febrile seizures and long periods of crying occur in less than 1% of people.[1] With the acellular vaccines a brief period of non-serious swelling of the arm may occur.[1] Side effects with both types of vaccines, but especially the whole-cell vaccine, are less common the younger the child.[1] The whole-cell vaccines should not be used after seven years of age.[1] Serious long term neurological problems are not associated with either type.[1]

The pertussis vaccine was developed in 1926.[6] It is on the World Health Organization's List of Essential Medicines.[7]

  1. ^ a b c d e f g h i j k l m n o p q "Pertussis vaccines: WHO position paper – September 2015" (PDF). Relevé Épidémiologique Hebdomadaire. 90 (35): 433–458. August 2015. PMID 26320265. Archived from the original (PDF) on 4 March 2016.
  2. ^ a b c "The Immunological Basis for Immunization Series: Pertussis Vaccines". World Health Organization. Archived from the original on 23 March 2018. Retrieved 22 November 2017.
  3. ^ Zhang L, Prietsch SO, Axelsson I, Halperin SA (September 2014). "Acellular vaccines for preventing whooping cough in children". The Cochrane Database of Systematic Reviews. 2014 (9): CD001478. doi:10.1002/14651858.CD001478.pub6. PMC 9722541. PMID 25228233.
  4. ^ "Annex 6 whole cell pertussis" (PDF). World Health Organization. Archived (PDF) from the original on 24 March 2012. Retrieved 5 June 2011.
  5. ^ "Pertussis: Summary of Vaccine Recommendations". Centre for Disease Control and Prevention. Archived from the original on 29 June 2011. Retrieved 12 December 2015.
  6. ^ Macera C (2012). Introduction to Epidemiology: Distribution and Determinants of Disease. Nelson Education. p. 251. ISBN 9781285687148. Archived from the original on 8 September 2017.
  7. ^ World Health Organization (2023). The selection and use of essential medicines 2023: web annex A: World Health Organization model list of essential medicines: 23rd list (2023). Geneva: World Health Organization. hdl:10665/371090. WHO/MHP/HPS/EML/2023.02.

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