Increasing Adult Tdap Vaccination Rates by Vaccinating Infant Caregivers in the Pediatric Office

Pertussis vaccine for adults: Knowledge, attitudes, and vaccine receipt among adults with children in the household

“…Cocooning, the perinatal vaccination of close contacts of infants, including parents, siblings, grandparents, and other caregivers should prevent a substantial proportion of infant cases [23,25,26]. Effective vaccine delivery to this population can occur in the primary care office, maternity ward, pediatric offices, and in-hospital pharmacies [27][28][29]. Vaccinating pregnant women with Tdap in the third trimester, recommended by the ACIP since October 2012 [22], is another strategy which will protect both the mothers and the newborns from pertussis infection likely through passive antibody transfer.…”

Potential impact of parental Tdap immunization on infant pertussis hospitalizations

“…13–15 Programs that specifically target parents for Tdap vaccination have been proposed and studied. 9,12,17,19,26 This analysis demonstrates the potential benefit of Tdap immunization of either or both parents on the prevention of infant hospitalization with pertussis if the Tdap vaccine was administered ≥2 weeks prior to delivery, in the immediate postpartum period, or at the 2-week newborn check.…”

“…Three approaches have been studied to enhance parental Tdap coverage--during pregnancy, during birth hospitalization, and at the 2-week newborn visit. 9,12,17–19 We sought to estimate the potential impact of parental Tdap vaccination for each of these three approaches on rates of pertussis hospitalizations among U.S. infants, using published data on infection source, hospitalization rates, and Tdap vaccine efficacy.…”

A behavioral economics intervention to increase pertussis vaccination among infant caregivers: A randomized feasibility trial

“…Interventions to vaccinate mothers and other caregivers in obstetrician offices and in the hospital during the postpartum period have had mixed results [15,16]. Recent attempts to promote and/or administer adult vaccines in pediatric settings have been limited by vaccine procurement and billing challenges, staff comfort in administering vaccines to adults, and record-keeping [14,17,18].…”