百日咳博德特菌
医学
呼吸系统
儿科
中国
呼吸道感染
内科学
生物
地理
遗传学
考古
细菌
作者
Heping Wang,Yuejie Zheng,Ronald de Groot,Yonghong Yang,Dimitri A. Diavatopoulos,Yunsheng Chen,Marien I. de Jonge,Jikui Deng
标识
DOI:10.1016/j.jinf.2020.01.009
摘要
With great interest we have read the report of Zhang et al. concerning the increased susceptibility to pertussis in Chinese adults at childbearing age, as determined in a comparative seroprevalence study using samples collected from 2010 to 2016. 1 Zhang Y. Chen Z. Zhao J. Zhang N. Chen N. Zhang J. Li S. He Q. Increased susceptibility to pertussis in adults at childbearing age as determined by comparative seroprevalence study, China 2010–2016. J Infect. 2019; 79: 1-6 Abstract Full Text Full Text PDF PubMed Scopus (12) Google Scholar The authors describe that about 5% of the individuals had PT-IgG antibodies, which is indicative of a recent infection. In the adults 20–39 years of age, 29.1% subjects had undetectable PT-IgG antibodies in 2010 but 57.4% in 2015/2016. It is well known that adolescents and adults have become the reservoir of pertussis and an important source of transmission to vulnerable infants. Bordetella pertussis is commonly associated with atypical pneumonia as determined in hospitalized children. 2 Sadiasa A. Saito-Obata M. Dapat C. RITM-Tohoku collaborative research group. Bordetella pertussis infection in children with severe pneumonia, Philippines, 2012–2015. Vaccine. 2017; 35: 993-996 Crossref PubMed Scopus (10) Google Scholar Several seroprevalence studies conducted in different regions of China indicate that the incidence of pertussis is most likely underestimated. 3 Li J. Tao Y. Tang M. Du B. Xia Y. Mo X. Rapid detection of respiratory organisms with the Filmarray respiratory panel in a large children's hospital in China. BMC Infect Dis. 2018; 18: 510 Crossref PubMed Scopus (28) Google Scholar ,4 Meng Q. Li L. Shi W. Wang Q. Ding M. Liu Y. Seroprevalence of diphtheria and pertussis immunoglobulin G among children with pneumonia in Ji'nan. China. BMC Pediatr. 2018 Dec 5; 18: 383 Crossref PubMed Scopus (9) Google Scholar This may be due to the use of insensitive diagnostics. At present, the diagnosis of pertussis in China is mainly based on culture. However, both the CDC and the World Health Organization (WHO) use PCR as the gold standard for diagnosis, in addition to culture. 3 Li J. Tao Y. Tang M. Du B. Xia Y. Mo X. Rapid detection of respiratory organisms with the Filmarray respiratory panel in a large children's hospital in China. BMC Infect Dis. 2018; 18: 510 Crossref PubMed Scopus (28) Google Scholar
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