Increase in measles cases in a City hospital, Istanbul, Turkey.

IF 1.1 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Central European journal of public health Pub Date : 2024-06-01 DOI:10.21101/cejph.a7981

Mehmet Karabey, Nuran Karabulut, Sema Alaçam, Alper Gündüz, Canan Caymaz, Özlem Altuntaş Aydin

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Abstract

Objectives: Measles cases are increasing remarkably in our country as well as all over the world. In this study, it was aimed to examine the epidemiological and clinical characteristics of measles cases detected in our hospital, as well as the measles seroprevalence in our region.

Methods: A total of 7,452 individuals whose measles IgG and/or IgM antibodies were studied between December 2021 and March 2023 in the Medical Virology Laboratory in Başakşehir Çam and Sakura City Hospital were included in this retrospective study. Measles IgG and IgM antibodies were analysed by enzyme-linked immunosorbent assay. Demographic information, clinical symptoms and laboratory data of the participants were obtained from the hospital's electronic medical records.

Results: A total of 102 measles cases were identified between December 2021 and March 2023. Of these cases, 77 (75.5%) patients were ≤ 18 years old. Of the 73 measles cases with vaccination information, 90% were unvaccinated. The measles seroprevalence rate was 72.8%. The lowest seroprevalence rate (4.8%) among the age groups was found in 8-11-month-old babies, the highest cases rate (35.7%) was detected in this age group. It was determined that measles immunity increased with age (r = 0.276, p < 0.001) and was over 89.3% over the age of 30.

Conclusions: Measles immunity is insufficient in our region and measles remains an important public health problem until the age of 18. The recent increase in measles cases in our country and around the world shows that current vaccination programmes need to be implemented more decisively and strictly.

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土耳其伊斯坦布尔一家市立医院的麻疹病例增加。

目的：麻疹病例在我国和全世界都在显著增加。本研究旨在探讨我院发现的麻疹病例的流行病学和临床特征，以及本地区的麻疹血清流行情况：这项回顾性研究共纳入了 7,452 人，他们的麻疹 IgG 和/或 IgM 抗体在 2021 年 12 月至 2023 年 3 月期间在巴沙克谢希尔恰姆和樱市医院的医学病毒学实验室进行了检测。麻疹 IgG 和 IgM 抗体通过酶联免疫吸附试验进行分析。研究人员的人口统计学信息、临床症状和实验室数据均来自医院的电子病历：结果：2021 年 12 月至 2023 年 3 月期间共发现 102 例麻疹病例。其中 77 例（75.5%）患者的年龄小于 18 岁。在 73 例有疫苗接种信息的麻疹病例中，90% 的患者未接种疫苗。麻疹血清流行率为 72.8%。在各年龄组中，8-11 个月婴儿的血清流行率最低（4.8%），该年龄组的发病率最高（35.7%）。据测定，麻疹免疫力随年龄增长而增加（r = 0.276，p < 0.001），30 岁以上的麻疹免疫力超过 89.3%：本地区麻疹免疫力不足，麻疹仍是一个重要的公共卫生问题，直至 18 岁。最近我国和世界各地麻疹病例的增加表明，目前的疫苗接种计划需要更加果断和严格地执行。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Central European journal of public health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

1.90

自引率

0.00%

发文量

期刊介绍： The Journal publishes original articles on disease prevention and health protection, environmental impacts on health, the role of nutrition in health promotion, results of population health studies and critiques of specific health issues including intervention measures such as vaccination and its effectiveness. The review articles are targeted at providing up-to-date information in the sphere of public health. The Journal is geographically targeted at the European region but will accept specialised articles from foreign sources that contribute to public health issues also applicable to the European cultural milieu.