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Table 3 Geometric mean concentrations of pertussis antibodies in infants’ blood at ages two and 5 months

From: Efficacy and safety of pertussis vaccination for pregnant women – a systematic review of randomised controlled trials and observational studies

 

Study design

Intervention/ exposure type, mean gestational week at vaccination (range)

Com-parator

Infant blood at 2 months of age (before primary vaccination)

Infant blood at 5 months of age (after primary vaccination

 

n: Vaccine /control

Vaccine Geometric mean (95% CI)

Control Geometric mean (95% CI)

Ratio of geometric means (95% CI)

p

n: Vaccine /control

Vaccine Geometric mean (95% CI)

Control Geometric mean (95% CI)

Ratio of geometric means (95% CI)

p

PT (EU or IU/ml)*

 Hoang [30]

RCT

Tdap 26 (19–35)

TT

45/35

4.2 (2.9–5.9)

0.8 (0.5–1.3)

5.3 (3.0–9.3)

<0.001

35/35

70 (58–84)

67 (53–84)

1.0 (0.8–1.4)

0.76

 Hardy-Fairbanks [33]

PCS

Tdap -- (anytime)

no vac.

11/38

15.4 (−-)

4.8 (−-)

3.2 (−-)

 

15/32

56.8 (−-)

75.2 (−-)

0.8 (−-)

 Maertens [29]

PCS

Tdap 29 (22–33)

no vac.

51/26

15.5 (12.1–20)

1.1 (0.7–1.6)

14.1 (9.0–22.1)

<0.001

49/21

29 (25–35)

54 (42–69)

0.5 (0.4–0.7)

<0.001

 Ladhani [35]

RCS

TdaP/IPV -- (−-)

no vac.

     

129/203

28.8 (25.7–32.4)

43.2 (39.4–47.2)

0.7 (0.6–0.8)

<0.001

FHA (EU or IU /ml)

 Hoang [30]

RCT

Tdap 26 (19–35)

TT

45/35

59 (48–73)

23.1 (19.7–27)

2.6 (1.9–3.4)

<0.001

35/35

77 (66–90)

66.6 (56–78)

1.2 (0.9–1.4)

0.20

 Hardy-Fairbanks [33]

PCS

Tdap -- (anytime)

no vac.

11/38

41.6 (−-)

5.6 (−-)

7.4 (−-)

15/32

61.4 (−-)

83.6 (−-)

0.7 (−-)

 Maertens [29]

PCS

Tdap 29 (22–33)

no vac.

51/26

121 (100–145)

23 (19–27)

5.3 (4.0–7.0)

<0.001

49/21

65 (56–75)

54 (41–70)

1.2 (0.9–1.6)

0.19

 Ladhani [35]

RCS

TdaP/IPV -- (−-)

no vac.

     

131/199

25.5 (23.0–28.3)

41.1 (37.5–45.1)

0.4 (0.2–0.6)

<0.001

PRN (EU or IU /ml)

 Hoang [30]

RCT

Tdap 26 (19–35)

TT

45/35

46 (32–66)

7.8 (6.6–9.4)

5.9 (3.8–9.1)

<0.001

35/35

83 (65–104)

132.6 (104–168)

0.6 (0.5–0.9)

0.006

 Hardy-Fairbanks [33]

PCS

Tdap -- (anytime)

no vac.

11/38

32.1 (−-)

3.9 (−-)

8.2 (−-)

15/32

34.1 (−-)

50.7 (−-)

0.7 (−-)

 Maertens [29]

PCS

Tdap 29 (22–33)

no vac.

51/26

253 (183–351)

17 (14.5–21)

14.9 (9.3–23.8)

<0.001

49/21

68 (56–84)

87 (62–121)

1.2 (0.9–23.8)

0.19

FIM (EU or IU /ml)

 Hardy-Fairbanks [33]

PCS

Tdap -- (anytime)

no vac.

11/38

296.4 (−-)

13.0 (−-)

22.8 (−-)

15/32

15.0 (−-)

10.0 (−-)

1.5 (−-)

 Ladhani [35]

RCS

TdaP/IPV -- (−-)

no vac.

     

130/197

113.9 (99.0–131.1)

224.9 (196.1–258.0)

0.5 (0.2–1,3)

0.16

  1. RCT randomised control trial, PCS prospective cohort study, RCS retrospective cohort study, Tdap a combined tetanus toxoid, reduced diphtheria toxoid, acellular pertussis vaccine. TdaP-IPV a combined tetanus, diphtheria, 5-component acellular pertussis, inactivated polio vaccine, TT tetanus toxoid (tetanus only vaccine), SD standard deviation, MD mean difference, CI confidence interval, PT pertussis toxin, FHA filamentous hemagglutinin, PRN pertactin, FIM fimbriae types 2 and 3; no vac, not receiving Tdap or pertussis-containing vaccine during pregnancy; before, Tdap before pregnancy; −-, data not reported or not calculable.*1 EU = 1 IU