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Evidence based Pediatrics

In a whooping cough epidemic, is cocooning a useful strategy?

Authors:

Ruiz-Canela Cáceres Ja, Aizpurua Galdeano Pb

aPediatra. CS Virgen de África. Sevilla. España.
bPediatra. CS Ondarreta. San Sebastián, Guipúzcoa. España.

Correspondence: J Ruiz-Canela. Email: jruizcanela@gmail.com

Reference of this article.:

Ruiz-Canela Cáceres J, Aizpurua Galdeano P. En una epidemia de tos ferina, ¿es útil la estrategia de nido?. Rev Pediatr Aten Primaria. 2013;15:163-7.

Published in Internet: 20/06/2013

Abstract:

This paper has the structure of a critically appraised topic. It sought to assess the impact of Tdap vaccination in pregnancy or cocooning on pertussis among young infants during epidemics. The stages of evidence based medicine were followed: presentation of a clinical scenario; clinical question formulation; bibliographic research and critical appraisal of the selected studies. Finally, an answer for the clinical scenario is provided.

Two clinical guidelines were selected. No estimates were provided to evaluate the clinical importance of vaccinating pregnant women or cocooning in reducing morbidity and mortality of infants. However, it is known that the source of transmission of pertussis to infants occurs primarily at home and that vaccination of the mother after the 20th week of pregnancy increases levels of antibodies in infants without significant adverse effects.

Reviewers’ commentary: we conclude that in case of whooping cough epidemic, Tdap vaccination of pregnant women from 20 weeks of gestation can be considered due to the high rates of mortality and hospitalization among young infants. However, it is necessary that the public health authorities decide the policies to adopt. We think that any experience must be monitored to evaluate mid-and long-term results.

Keywords: Cocooning. Pertussis.


 


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ISSN 2174-4106  Publicación Open Acess, incluida en DOAJ, sin cargo por publicación.

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