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Question

Which one of the following statements is correct for approved acellular pertussis vaccine?

The correct answer is
It contains at least 3 pathogenic pertussis antigens

Acellular Pertussis Vaccine Components

Approved acellular pertussis vaccines (aP) contain purified components from Bordetella pertussis, designed to reduce side effects compared to whole-cell vaccines.

Analyzing Vaccine Antigen Requirements

The composition of aP vaccines focuses on specific, immunogenic antigens. Let's evaluate the options:

  • Option 1: Incorrect. While inactivated pertussis toxin (PT) is a key component, specifying "at least 3 IU" isn't the primary defining characteristic, and exact quantities can vary.
  • Option 2: Correct. Approved aP vaccines typically contain a combination of purified antigens. Common examples include inactivated pertussis toxin (PT), filamentous hemagglutinin (FHA), and pertactin (PRN). Therefore, containing at least 3 such pathogenic antigens is a standard requirement.
  • Option 3: Incorrect. The efficacy comparison between aP and whole-cell pertussis vaccines is complex. While aP vaccines offer improved safety, claims of superior efficacy over whole-cell vaccines are debated and not universally accepted.
  • Option 4: Incorrect. While nonfimbrial proteins like PT and FHA are included, stating their presence as a mandatory component is less precise than specifying the required number of key pathogenic antigens. Not all nonfimbrial proteins are necessarily included in every formulation.

Conclusion on Vaccine Composition

The most accurate statement regarding approved acellular pertussis vaccines is that they are formulated with a specific set of purified antigens. Containing a minimum of three key pathogenic antigens ensures the vaccine targets critical virulence factors of the bacteria while maintaining a favorable safety profile.

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Important Questions from Child Immunization

  1. Which one of the following is the correct dose and route of administration of hepatitis B vaccine in children?

  2. As per WHO recommendations which one of the following mumps vaccine strains should NOT be used in National Immunization Programme?

  3. Which of the following is a contraindication for BCG vaccination in a newborn?

  4. Open vial policy applies to which one of the following vaccines?
  5. A 6-year old boy comes to the immunization clinic having received all vaccines as per schedule till 18 months of age. Which vaccine should be administered now?

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