Document Detail


Sudden unexpected death in infants under 3 months of age and vaccination status- -a case-control study.
MedLine Citation:
PMID:  11298074     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To determine whether DTPP+Hib vaccination (diphtheria, tetanus, pertussis, poliomyelitis +/- haemophilus) increased the risk of sudden unexpected death (SUD) in children under 3 months of age. METHODS: We conducted a multicentre case-control study in the 28 French 'SIDS Centers'. Case selection was based on death labelled sudden infant death syndrome (SIDS) of an infant aged between 30 and 90 days. Three living controls were selected, matched for sex, gestational age and born immediately after the victim in the same maternity unit. RESULTS: We identified 114 cases of SUD aged between 30 and 90 days and 341 live controls matched for age and sex and born in the same maternity unit as the case. DTPP+/-Hib immunization did not increase the risk of SUD (OR 1.08) (95% CI 0.49, 2.36) in children under 3 months of age when adjusted for sleeping position, illness in the week before death, maternal tobacco consumption, birth weight, type of mattress, breastfeeding and sex. However, low birth-weight (6.53 [2.29, 18.9]), multiple birth (5.1 [1.76, 15.13]), no breastfeeding (1.77 [1.1, 2.85]), prone sleeping position (9.8 [5, 8, 18, 9]), soft mattress (3.26 [1.69, 6.29]), recent illness (3.44 [1.84, 6.41]) and parental smoking (1.74 [1.2, 2.96]) were confirmed as risk factors in early SIDS. CONCLUSIONS: DTPP+/-Hib immunization is not a risk factor for early SUD. In this population, we found the same risk factors as described for SIDS.
Authors:
A P Jonville-Béra; E Autret-Leca; F Barbeillon; J Paris-Llado;
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  British journal of clinical pharmacology     Volume:  51     ISSN:  0306-5251     ISO Abbreviation:  Br J Clin Pharmacol     Publication Date:  2001 Mar 
Date Detail:
Created Date:  2001-04-12     Completed Date:  2001-05-24     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7503323     Medline TA:  Br J Clin Pharmacol     Country:  England    
Other Details:
Languages:  eng     Pagination:  271-6     Citation Subset:  IM    
Affiliation:
Department of Clinical Pharmacology and Regional Drug Monitoring Center University Hospital of Tours, France. Unité Inserm U 149 Cochin Port Royal University Hospital, Paris, France. jonville-bera@chu-tours.fr
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MeSH Terms
Descriptor/Qualifier:
Bacterial Capsules
Case-Control Studies
Causality
Diphtheria Toxoid* / adverse effects
Diphtheria-Tetanus-Pertussis Vaccine* / adverse effects
Female
Haemophilus Vaccines* / adverse effects
Humans
Infant
Male
Pertussis Vaccine* / adverse effects
Poliovirus Vaccine, Inactivated* / adverse effects
Polysaccharides, Bacterial* / adverse effects
Risk Assessment
Risk Factors
Sudden Infant Death / epidemiology*,  etiology,  immunology
Tetanus Toxoid* / adverse effects
Vaccines, Combined* / adverse effects
Chemical
Reg. No./Substance:
0/Bacterial Capsules; 0/DTPP vaccine; 0/Diphtheria Toxoid; 0/Diphtheria-Tetanus-Pertussis Vaccine; 0/Haemophilus Vaccines; 0/Haemophilus influenzae type b polysaccharide vaccine; 0/Pertussis Vaccine; 0/Poliovirus Vaccine, Inactivated; 0/Polysaccharides, Bacterial; 0/Tetanus Toxoid; 0/Vaccines, Combined
Comments/Corrections

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