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Type: Artigo
Title: Rubella vaccination of unknowingly pregnant women : the São Paulo experience
Author: Sato, Helena K.
Sanajotta, Andrea Torres
Moraes, José Cássio
Andrade, Joelma Queiróz
Duarte, Geraldo
Cervi, Maria Célia
Curti, Sueli P.
Pannuti, Cláudio Sérgio
Milanez, Helaine
Pessoto, Mônica
Flannery, Brendan
Oselka, Gabriel W.
Abstract: Rubella vaccination is contraindicated during pregnancy. During mass immunization of women of childbearing age against rubella, women unknowingly pregnant may be vaccinated. To evaluate the effects of rubella vaccination during pregnancy, the Brazilian state of São Paulo conducted a follow-up study of pregnant women vaccinated during a rubella campaign in 2001. Women vaccinated during pregnancy were reported to a national surveillance system. In the state of São Paulo, follow-up of vaccinated women included household interviews. Serum samples from vaccinated women were tested for antirubella antibodies to classify susceptibility to rubella infection. Children born to susceptible mothers were tested for evidence of congenital rubella infection and evaluated for signs of congenital rubella syndrome. The São Paulo State Health Department received 6473 notifications of women vaccinated during pregnancy. Serology performed for 5580 women identified 811 (15%) that were previously susceptible. Incidence of spontaneous abortion or stillbirth among previously susceptible vaccinated women was similar to women with prior immunity. Twenty-seven (4.7%) of 580 newborns tested had evidence of congenital rubella infection; none had congenital rubella syndrome. Mass rubella vaccination of women of childbearing age was not associated with adverse birth outcomes or congenital rubella syndrome among children born to women vaccinated during pregnancy
metadata.dc.description.abstractalternative: pregnancyabortion,bornmothersrubellarubella virus vaccineserologic testsvaccinationinfectionssurveillance, medicalcongenital rubella infectionserum specimen
Subject: Gravidez
Country: Estados Unidos
Editor: Oxford University Press
Rights: Fechado
Identifier DOI: 10.1093/infdis/jir419
Date Issue: 2011
Appears in Collections:FCM - Artigos e Outros Documentos

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