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Academic pediatrics · 2009

Cocooning infants: Tdap immunization for new parents in the pediatric office.

СтатьяПоддержка службы здравоохранения СШАНазвание и аннотация: Перевод в очереди
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Walter Emmanuel B, Allred Norma, Rowe-West Beth, Chmielewski Kathlene, Kretsinger Katrina, Dolor Rowena J

Аннотация

OBJECTIVE: Vaccination with tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) is recommended for adults who have close contact with infants aged <12 months to protect young infants from infection due to Bordetella pertussis. This study assessed the acceptance of Tdap vaccination among parents bringing their newborn to a pediatric office during the first month of life.

METHODS: Parents of all newborns were consecutively approached for participation by a study coordinator who provided written information about the study and a Tdap vaccine information sheet. After obtaining informed consent, a study coordinator reviewed contraindications for Tdap vaccination. Tdap vaccine was given by a clinic nurse, but parents with a history of ever receiving Tdap vaccine or of receiving a tetanus and diphtheria vaccine (Td) within the previous 2 years were excluded.

RESULTS: Two hundred parents were approached for study participation, of whom 40 (20%) were ineligible to receive Tdap vaccine primarily due to receipt of Td vaccine within the previous 2 years (32/40). Of the 160 eligible to receive Tdap vaccine, 82 (51.2%) received a dose. Although nearly 60% of vaccinated parents received Tdap vaccine the first time they were approached, over 40% received Tdap vaccine at a subsequent office visit occurring during the baby's first month of life.

CONCLUSIONS: Offering Tdap vaccine in the pediatric office increases access to vaccination for both new fathers and mothers. When hospital-based, postpartum Tdap vaccination is not a routine practice, office-based vaccination of parents offers an option for protecting young infants.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты