Prospects for prevention of childhood infections by maternal immunization

Current Opinion in Infectious Diseases
C Mary Healy, Carol J Baker

Abstract

To review the literature on using maternal immunization as a strategy to prevent infections in young infants aged below 6 months Maternal immunization continues to reduce the incidence of neonatal tetanus worldwide. Despite increased influenza-related morbidity and mortality in pregnant women and in infants aged less than 6 months, compliance with US recommendations for immunization against influenza in pregnancy is poor. Polysaccharide vaccines against Haemophilus influenzae type b, Streptococcus pneumoniae and Neisseria meningitidis are safe and immunogenic in pregnancy. Protein conjugate vaccines against these infections would be likely to induce higher maternal antibody levels and improve placental transport, thereby further reducing the maternal and infant disease burden. Further studies of acellular pertussis vaccines for use in adolescents and adults should evaluate if maternal immunization could prevent life-threatening pertussis in young infants. Maternal immunization against group B streptococcus is projected to be superior to screening and/or chemoprophylaxis strategies in decreasing infant disease. Maternal immunization, with the passage of protective antibody to infants, is a potential strategy to prevent infection...Continue Reading

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