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Prospective multinational serosurveillance study of Bordetella pertussis infection among 10-to 18-year-old Asian children and adolescents

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机构: [1]Samsung Medical Center, Sungkyunkwan University, Department of Pediatrics, Seoul, South Korea [2]Faculty of Medicine Siriraj Hospital, Mahidol University, Department of Medicine, Bangkok, Thailand [3]University of Colombo, Department of Microbiology, Colombo, Sri Lanka [4]Sri Jayewardenepura General Hospital, Department of Microbiology, Nugegoda, Sri Lanka [5]National Taiwan University Hospital, Departments of Laboratory Medicine and Internal Medicine, Taipei, Taiwan [6]National Taiwan University Hospital, Department of Pediatrics, Taipei, Taiwan [7]Christian Medical College & Hospital, Department of Clinical Microbiology, Vellore, India [8]Graduate School of Biomedical Sciences, Nagasaki University, Department of Molecular Microbiology and Immunology, Nagasaki, Japan [9]Shanghai Children's Hospital, Department of Pulmonary Medicine, Shanghai, China [10]Beijing Children's Hospital, Capital Medical University, Department of Microbiology and Immunology, Beijing, China [11]Asia Pacific Foundation for Infectious Diseases (APFID], Division of Infectious Disease, Seoul, South Korea [12]Samsung Medical Center, Statistics and Data Center, Seoul, South Korea [13]University of Basel Children's Hospital, Pediatric Infectious Diseases and Vaccinology, Basel, Switzerland [14]Chang Gung Children's Hospital, Chang Gung University, Department of Pediatrics, Taoyuan, Taiwan
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关键词: Anti-PT IgG Asian adolescents Bordetella pertussis Pertussis infection Seroepidemiology

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Objectives: Bordetella pertussis continues to cause outbreaks worldwide. To assess the role of children and adolescent in transmission of pertussis in Asia, we performed a multinational serosurveillance study. Methods: From July 2013 to June 2016, individuals aged 10 to 18 years who had not received any pertussis-containing vaccine within the prior year were recruited in 10 centres in Asia. Serum antie-pertussis toxin (PT) IgG was measured by ELISA. Demographic data and medical histories were obtained. In the absence of pertussis immunization, anti-PT IgG >= 62.5 IU/mL was interpreted as B. pertussis infection within 12 months prior, among them levels >= 125 IU/mL were further identified as infection within 6 months. Results: A total of 1802 individuals were enrolled. Anti-PT IgG geometric mean concentration was 4.5, and 87 (4.8%) individuals had levels >= 62.5 IU/mL; among them, 73 (83.9%) had received three or more doses of pertussis vaccine before age 6 years. Of 30 participants with persistent cough during the past 6 months, one (3.3%) had level >= 125 IU/mL. There was no significant difference in proportions with anti-PT IgG >= 62.5 IU/mL among age groups (13-15 vs. 10-12 years, 16-18 vs. 10-12 years), between types of diphtheria, pertussis and tetanus (DTP; whole cell vs. acellular), number of doses before age 6 years within the DTP whole-cell pertussis vaccine (five vs. four doses) or acellular pertussis vaccine (five vs. four doses) and history of persistent cough during the past 6 months (yes vs. no). Conclusions: There is significant circulation of B. pertussis amongst Asian children and adolescents, with one in 20 having serologic evidence of recent infection regardless of vaccination background. (C) 2018 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

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出版当年[2018]版:
大类 | 2 区 医学
小类 | 2 区 传染病学 2 区 微生物学
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 传染病学 1 区 微生物学
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出版当年[2017]版:
Q1 MICROBIOLOGY Q1 INFECTIOUS DISEASES
最新[2023]版:
Q1 INFECTIOUS DISEASES Q1 MICROBIOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

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第一作者机构: [1]Samsung Medical Center, Sungkyunkwan University, Department of Pediatrics, Seoul, South Korea
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通讯机构: [1]Samsung Medical Center, Sungkyunkwan University, Department of Pediatrics, Seoul, South Korea [14]Chang Gung Children's Hospital, Chang Gung University, Department of Pediatrics, Taoyuan, Taiwan [*1]Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University, School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 06351, South Korea. [*2]Department of Pediatrics, Chang Gung Children's Hospital, Chang Gung University, No. 5, Fu-Hsin Street, Kweishan 333, Taoyuan, Taiwan.
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