Pertussis Vaccination Failure in the New Zealand Pediatric Population: Study Protocol

Pertussis vaccines have been effective at reducing pertussis-associated morbidity and mortality. However, they have a complex array of limitations, particularly associated with the duration of protection against clinical disease and imperfect immunity (carriage and transmission). Little is known abo...

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Main Authors: Hannah Chisholm, Anna Howe, Emma Best, Helen Petousis-Harris
Format: Article
Language:English
Published: MDPI AG 2019-07-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/7/3/65
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author Hannah Chisholm
Anna Howe
Emma Best
Helen Petousis-Harris
author_facet Hannah Chisholm
Anna Howe
Emma Best
Helen Petousis-Harris
author_sort Hannah Chisholm
collection DOAJ
description Pertussis vaccines have been effective at reducing pertussis-associated morbidity and mortality. However, they have a complex array of limitations, particularly associated with the duration of protection against clinical disease and imperfect immunity (carriage and transmission). Little is known about risk factors for pertussis vaccination failure. Understanding pertussis vaccination failure risk is most important in the paediatric population. This study aims to investigate risk factors for pertussis vaccination failure in (1) infants between birth and six weeks of age born to mothers who received pertussis booster vaccinations during pregnancy and (2) infants after the completion of the primary series (approximately five months old) to four years old. This will be achieved in a two-step process for each study group. Pertussis vaccination failure cases will first be described using a case series study design, relevant case characteristics will be sourced from six national administrative datasets. The case series study results will help select candidate risk factors (hypothesis generating step) to be tested in the retrospective cohort study (hypothesis testing step). Pattern analysis will be used to investigate risk factor patterns in the cohort study. The identification of higher risk groups enables targeting strategies, such as additional doses, to better prevent pertussis disease.
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spelling doaj.art-c3c94393cb534009858181e37de02cee2022-12-22T02:18:51ZengMDPI AGVaccines2076-393X2019-07-01736510.3390/vaccines7030065vaccines7030065Pertussis Vaccination Failure in the New Zealand Pediatric Population: Study ProtocolHannah Chisholm0Anna Howe1Emma Best2Helen Petousis-Harris3Department of General Practice and Primary Health Care, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland 1142, New ZealandDepartment of General Practice and Primary Health Care, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland 1142, New ZealandDepartment of Paediatrics, Child and Youth Health, School of Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland 1142, New ZealandDepartment of General Practice and Primary Health Care, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland 1142, New ZealandPertussis vaccines have been effective at reducing pertussis-associated morbidity and mortality. However, they have a complex array of limitations, particularly associated with the duration of protection against clinical disease and imperfect immunity (carriage and transmission). Little is known about risk factors for pertussis vaccination failure. Understanding pertussis vaccination failure risk is most important in the paediatric population. This study aims to investigate risk factors for pertussis vaccination failure in (1) infants between birth and six weeks of age born to mothers who received pertussis booster vaccinations during pregnancy and (2) infants after the completion of the primary series (approximately five months old) to four years old. This will be achieved in a two-step process for each study group. Pertussis vaccination failure cases will first be described using a case series study design, relevant case characteristics will be sourced from six national administrative datasets. The case series study results will help select candidate risk factors (hypothesis generating step) to be tested in the retrospective cohort study (hypothesis testing step). Pattern analysis will be used to investigate risk factor patterns in the cohort study. The identification of higher risk groups enables targeting strategies, such as additional doses, to better prevent pertussis disease.https://www.mdpi.com/2076-393X/7/3/65pertussisvaccination failurepediatricstudy protocol
spellingShingle Hannah Chisholm
Anna Howe
Emma Best
Helen Petousis-Harris
Pertussis Vaccination Failure in the New Zealand Pediatric Population: Study Protocol
Vaccines
pertussis
vaccination failure
pediatric
study protocol
title Pertussis Vaccination Failure in the New Zealand Pediatric Population: Study Protocol
title_full Pertussis Vaccination Failure in the New Zealand Pediatric Population: Study Protocol
title_fullStr Pertussis Vaccination Failure in the New Zealand Pediatric Population: Study Protocol
title_full_unstemmed Pertussis Vaccination Failure in the New Zealand Pediatric Population: Study Protocol
title_short Pertussis Vaccination Failure in the New Zealand Pediatric Population: Study Protocol
title_sort pertussis vaccination failure in the new zealand pediatric population study protocol
topic pertussis
vaccination failure
pediatric
study protocol
url https://www.mdpi.com/2076-393X/7/3/65
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