Pertussis Immunization
1 Associate Professor of Pediatrics, University of Texas Medical School at Houston, PO Box 20708, Houston, TX 77028
The attempt by Drs Barkin and Pichichero to evaluate the reactions associated with routine diphtheria-pertussis-tetanus (DPT) immunizations is quite commendable (Pediatrics 63:256, 1979). It has become increasingly appropriate to reevaluate such "routine" procedures in order to balance the benefits and risks associated with them and to revise our practices accordingly. The altered recommendations for smallpox vaccination is an ideal example.1 This type of study must also serve as a stimulus to improve the ratio of advantages to disadvantages in a procedure as can be accomplished by the development of a better immunization.




