Global resurgence of pertussis: A perspective from China

IF 14.3 1区 医学 Q1 INFECTIOUS DISEASES Journal of Infection Pub Date : 2024-09-30 DOI:10.1016/j.jinf.2024.106289
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Abstract

Pertussis (or whooping cough) is a highly infectious acute respiratory disease primarily caused by Bordetella pertussis, which is also one of the most important causes of infant death worldwide. The widespread use of vaccines has greatly reduced the morbidity and mortality of pertussis. However, since the 1980s, in a number of countries with high vaccine coverage, the incidence of pertussis has risen again after remaining low for many years, with outbreaks even occurring in some areas. The peak onset of pertussis is shifting from infancy to adolescence, and adolescence is becoming the main source of infection for infants. Despite the increasing incidence of pertussis, serological findings suggest that the true prevalence of the disease may be significantly underestimated. Therefore, in this narrative review, we summarize the pathogenic process and immune characteristics of bacteria, the diagnosis and treatment of diseases, as well as vaccination and prevalence of pertussis at home and abroad, and attempt to analyze the causes and influencing factors of pertussis resurgence and summarize some prevention and control strategies to assist in improving the understanding of pertussis and preventing unexpected outbreaks.
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百日咳在全球卷土重来:来自中国的视角。
百日咳(或百日咳)是一种高度传染性的急性呼吸道疾病,主要由百日咳杆菌引起,也是全球婴儿死亡的最重要原因之一。疫苗的广泛使用大大降低了百日咳的发病率和死亡率。然而,自 20 世纪 80 年代以来,在一些疫苗覆盖率较高的国家,百日咳的发病率在多年保持低水平后再次上升,在一些地区甚至出现了爆发。百日咳的发病高峰正从婴儿期向青少年期转移,青少年正成为婴儿的主要感染源。尽管百日咳发病率不断上升,但血清学研究结果表明,该病的真实发病率可能被严重低估。因此,在这篇叙事性综述中,我们总结了百日咳的致病过程和细菌的免疫特性、疾病的诊断和治疗以及疫苗接种和国内外的流行情况,并试图分析百日咳死灰复燃的原因和影响因素,总结一些预防和控制策略,以帮助提高人们对百日咳的认识,防止意外爆发。
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来源期刊
Journal of Infection
Journal of Infection 医学-传染病学
CiteScore
45.90
自引率
3.20%
发文量
475
审稿时长
16 days
期刊介绍: The Journal of Infection publishes original papers on all aspects of infection - clinical, microbiological and epidemiological. The Journal seeks to bring together knowledge from all specialties involved in infection research and clinical practice, and present the best work in the ever-changing field of infection. Each issue brings you Editorials that describe current or controversial topics of interest, high quality Reviews to keep you in touch with the latest developments in specific fields of interest, an Epidemiology section reporting studies in the hospital and the general community, and a lively correspondence section.
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