Abstract
We compared the recency of diphtheria-tetanus-pertussis (DTP) immunization in healthy children with birthweights greater than 2500 gms who died of sudden infant death syndrome (SIDS) to that of age-matched reference children, using a modified case-control analysis. Focusing on very narrow time intervals following immunization, we found the SIDS mortality rate in the period zero to three days following DTP to be 7.3 times that in the period beginning 30 days after immunization (95 per cent confidence interval, 1.7 to 31). The mortality rate of non-immunized infants was 6.5 times that of immunized infants of the same age (95 per cent CI, 2.2 to 19). The latter result and to some extent the former appear to be ascribable to known risk factors for SIDS. Although the mortality ratios for SIDS following DTP, as estimated from this study, are high the period of apparently elevated risk was very short, so that only a small proportion of SIDS cases in infants with birthweights greater than 2500 gms could be associated with DTP.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Baraff L. J., Ablon W. J., Weiss R. C. Possible temporal association between diphtheria-tetanus toxoid-pertussis vaccination and sudden infant death syndrome. Pediatr Infect Dis. 1983 Jan-Feb;2(1):7–11. doi: 10.1097/00006454-198301000-00003. [DOI] [PubMed] [Google Scholar]
- Bernier R. H., Frank J. A., Jr, Dondero T. J., Jr, Turner P. Diphtheria-tetanus toxoids-pertussis vaccination and sudden infant deaths in Tennessee. J Pediatr. 1982 Sep;101(3):419–421. doi: 10.1016/s0022-3476(82)80076-0. [DOI] [PubMed] [Google Scholar]
- Cody C. L., Baraff L. J., Cherry J. D., Marcy S. M., Manclark C. R. Nature and rates of adverse reactions associated with DTP and DT immunizations in infants and children. Pediatrics. 1981 Nov;68(5):650–660. [PubMed] [Google Scholar]
- Funkhouser A. W., Wassilak S. G., Orenstein W. A., Hinman A. R., Mortimer E. A., Jr Estimated effects of a delay in the recommended vaccination schedule for diphtheria and tetanus toxoids and pertussis vaccine. JAMA. 1987 Mar 13;257(10):1341–1346. [PubMed] [Google Scholar]
- Hinman A. R., Koplan J. P. Pertussis and pertussis vaccine. Reanalysis of benefits, risks, and costs. JAMA. 1984 Jun 15;251(23):3109–3113. doi: 10.1001/jama.251.23.3109. [DOI] [PubMed] [Google Scholar]
- Miller C. L., Fletcher W. B. Severity of notified whooping cough. Br Med J. 1976 Jan 17;1(6002):117–119. doi: 10.1136/bmj.1.6002.117. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Miller D. L., Ross E. M., Alderslade R., Bellman M. H., Rawson N. S. Pertussis immunisation and serious acute neurological illness in children. Br Med J (Clin Res Ed) 1981 May 16;282(6276):1595–1599. doi: 10.1136/bmj.282.6276.1595. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Peterson D. R. Evolution of epidemiology of sudden infant death syndrome. Epidemiol Rev. 1980;2:97–112. doi: 10.1093/oxfordjournals.epirev.a036228. [DOI] [PubMed] [Google Scholar]
- Stewart G. T. Infection and immunization. Scott Med J. 1979 Jan;24(1):47–52. doi: 10.1177/003693307902400111. [DOI] [PubMed] [Google Scholar]
- Taylor E. M., Emergy J. L. Immunization and cot deaths. Lancet. 1982 Sep 25;2(8300):721–721. doi: 10.1016/s0140-6736(82)90745-0. [DOI] [PubMed] [Google Scholar]