ZHANG Xue;ZUO Wei-lun;Institution of Medical Biology,Chinese of Medical Science & Peking Union Medical College,Yunnan Key Laboratory of Vaccine Research & Development on Sever Infections Diseases;Objective To analyze the safety of vaccination with tetanus,diphtheria and acellular pertussis combined vaccine(TdaP) use in pregnancy. Methods Databases including China National Knowledge Infrastruture(CNKI),China Biology Medicine Disc(CBM),WanFang Datebase(WF),PubMed,Embase and Cochrane Library were searched for randomized controlled trials(RCTs)on the safety of TdaP in pregnancy from the establishment of the databases to April 2020.Meanwhile,manual search was conducted,and references of included literature were retrieved. Meta-analysis was conducted by using RevMan 5. 3 software. Results A total of six published articles on RCT were included. Meta-analysis showed that,compared with those in control group,the combined RR values for incidences of pain,swelling,redness,fever,headache,fatigue,muscle aches,premature delivery,severe adverse reactions,congenital abnormalities and severe adverse reactions in newborn in trial group were 3. 74(95% CI :1. 43 ~ 9. 76),6. 69(95% CI:3. 92 ~ 12. 34),2. 20(95% CI 1. 60 ~ 3. 02),1. 55(95% CI:0. 45 ~ 5. 30),1. 09(95% CI:0. 84 ~ 1. 41),0. 93(95% CI:0. 52 ~ 1. 67),1. 11(95% CI:0. 20 ~ 6. 61),1. 48(95% CI:0. 74 ~ 2. 98),0. 98(95% CI:0. 71 ~ 1. 34),0. 74(95% CI:0. 37 ~1. 50)and 0. 83(95% CI:0. 51 ~ 1. 35)respectively. Conclusion The vaccination with TdaP in pregnancy does not increase the risk of other adverse reactions except for the slightly higher incidences of local pain,redness and swelling.
2021 04 v.34 [Abstract][OnlineView][Download 1585K]