Bordetella pertussis in School-Age Children, Adolescents, and Adults: A Systematic Review of Epidemiology, Burden, and Mortality in Asia.

Bordetella pertussis in School-Age Children, Adolescents, and Adults: A Systematic Review of Epidemiology, Burden, and Mortality in Asia.
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DOI:
10.1007/s40121-021-00439-1
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发表时间:
2021-09
影响因子:
5.4
通讯作者:
Evans KE
Evans KE
中科院分区:
医学3区
文献类型:
--
作者:
Macina D;Evans KE

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尽管婴儿疫苗覆盖率很高,但在过去二十年中,全球观察到百日咳(百日咳)的周期性流行。百日咳在高收入国家死灰复燃的部分原因是年龄较大的儿童和成人的疫苗免疫力下降,以及更好的监测和诊断。此外,在青少年和成人中,百日咳症状较轻,与常见的咳嗽综合征相似,这意味着在老年人群中对百日咳的诊断不足。对MEDLINE、EMBASE和BIOSIS进行了系统检索,以确定1990年1月1日至2019年6月17日期间发表的研究,其中包含有关亚洲学龄儿童、青少年和成人百日咳流行病学、疾病负担和死亡率的信息。确定纳入的研究是叙述性地进行审查的,因为由于使用的方法混合,无法进行统计比较。​白喉-破伤风-百日咳(DTP4)在东亚的覆盖率很高,但在日本和韩国观察到的疫情表明,疫苗获得性免疫力在青少年和成人中已经减弱。中国发生的几起学校疫情表明,百日咳在幼儿中流行,并在青少年和成人中持续流行。尽管泛亚洲血清调查显示,最近的百日咳感染在青少年和持续咳嗽的成年人中很常见,但缺乏来自东南亚/南亚国家的信息。总而言之,百日咳在白喉破四剂接种率高的亚洲国家的流行,支持将常规疫苗接种扩大到包括入学儿童和青少年的加强剂。然而,在许多国家,监测薄弱或缺乏,这意味着百日咳的真正负担,特别是在老年人群中,是未知的。在线版本包含补充材料,可在10.1007/s40121-021-00439-1获得。
Cyclic epidemics of pertussis (whooping cough) have been observed globally over the past twenty years despite high infant vaccine coverage. The resurgence of pertussis in high-income countries is partly due to waning vaccine immunity in older children and adults, as well as better surveillance and diagnostics. Moreover, in adolescents and adults, pertussis symptoms are mild and similar to common cough syndromes, meaning that it is under-diagnosed in older populations. A systematic search of MEDLINE, EMBASE, and BIOSIS was undertaken to identify studies published between 1 January 1990 and 17 June 2019, with information on pertussis epidemiology, burden of illness, and mortality in school-aged children, adolescents, and adults in Asia. Studies identified for inclusion were reviewed narratively because a statistical comparison was not possible due to the mix of methodologies used. The results showed that in East Asia, including Japan, South Korea, China, and Taiwan, pertussis is circulating in older children and adults. Diphtheria–tetanus–pertussis (DTP4) coverage is high in East Asia, yet outbreaks observed in Japan and South Korea suggest that vaccine-acquired immunity had waned in adolescents and adults. Several school outbreaks in China show that pertussis is circulating in young children, with continued circulation in adolescents and adults. There was a lack of information from Southeast/South Asian countries, although pan-Asian serosurveys showed that recent pertussis infection was common in adolescents and in adults with persistent cough. To conclude, the circulation of pertussis in Asian countries with high DTP4 coverage supports the expansion of routine vaccination to include booster doses for children at school entry and adolescents. However, surveillance is weak or absent in many countries, meaning that the true burden of pertussis, particularly among older populations, is unknown. The online version contains supplementary material available at 10.1007/s40121-021-00439-1.
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