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. 2011 Jan;3(1):63-72.
doi: 10.4103/0974-777X.77298.

Combination vaccines

Affiliations

Combination vaccines

David Ag Skibinski et al. J Glob Infect Dis. 2011 Jan.

Abstract

The combination of diphtheria, tetanus, and pertussis vaccines into a single product has been central to the protection of the pediatric population over the past 50 years. The addition of inactivated polio, Haemophilus influenzae, and hepatitis B vaccines into the combination has facilitated the introduction of these vaccines into recommended immunization schedules by reducing the number of injections required and has therefore increased immunization compliance. However, the development of these combinations encountered numerous challenges, including the reduced response to Haemophilus influenzae vaccine when given in combination; the need to consolidate the differences in the immunization schedule (hepatitis B); and the need to improve the safety profile of the diphtheria, tetanus, and pertussis combination. Here, we review these challenges and also discuss future prospects for combination vaccines.

Keywords: Adjuvant; Combination vaccine; Diphtheria; Haemophilus influenza; Hepatitis B; Neisseria meningitidis; Pertussis; Poliovirus; Streptococcus pneumoniae; Tetanus.

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Conflict of interest statement

Conflict of Interest: The authors David A G Skibinski, Barbara C Baudner, Manmohan Singh and Derek T O’Hagan are all employees of Novartis Vaccines and Diagnotics.

Figures

Figure 1
Figure 1
Recommended immunization schedule for children aged 0 through 6 years. This schedule has been adapted from the recommended immunization schedule from the Centers for Disease Control and Prevention.[2] Recommendations are for all children except certain high-risk age-groups. For more information please consult original source.[2]

References

    1. Edwards KM, Decker MD. Vaccines. In: Plotkin SA, Orenstein WA, Offitt P, editors. Pertussis vaccine. 5th ed. USA: Saunders PA; 2008. pp. 471–528.
    1. Recommended Immunization Schedule for Persons Aged 0 Through 6 Years. Centers for Disease Control and Prevention - United States. 2010
    1. Marshall GS, Happe LE, Lunacsek OE, Szymanski MD, Woods CR, Zahn M, et al. Use of combination vaccines is associated with improved coverage rates. Pediatr Infect Dis J. 2007;26:496–500. - PubMed
    1. Kalies H, Grote V, Verstraeten T, Hessel L, Schmitt HJ, von Kries R. The use of combination vaccines has improved timeliness of vaccination in children. Pediatr Infect Dis J. 2006;25:507–12. - PubMed
    1. Weston WM, Klein NP. Kinrix: A new combination DTaPIPV vaccine for children aged 46 years. Expert Rev Vaccines. 2008;7:1309–20. - PubMed