Pertussis infection and allergic sensitization.

Annals of allergy Pub Date : 1994-11-01
M Wjst, S Dold, P Reitmeir, C Fritzsch, E von Mutius, H H Thiemann
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Abstract

Background: The immunogenic activity of B. pertussis infection has been described in various laboratory, animal, and clinical studies. There is, however, no information on the impact of pertussis on allergies in the total population.

Objective: To compare the prevalence of allergic sensitization and allergic rhinitis in children with and without previous pertussis infection.

Methods: A population-based, cross-sectional study was carried out on 13,937 10-year-old children in the western (Munich and Southern Bavaria) and eastern parts of Germany (Leipzig and the region around Halle). A total of 11,969 questionnaires (85.9%) given to the parents were collected. Data from 9,484 German children (questionnaire and skin prick tests with six different allergens) were analyzed.

Results: Pertussis was much more common in the western than in the eastern part of Germany. The adjusted odds ratio for any allergic sensitization after pertussis was only slightly increased in western Germany with 1.3 (95% confidence limits 1.2 to 1.5) and in eastern Germany with 1.5, (1.2 to 1.8) but not for allergic rhinitis with 1.0 (0.7 to 1.4) and in Eastern Germany 1.3 (0.8 to 1.9).

Conclusions: Infection with pertussis seems to have only a weak influence on allergic sensitization and does not explain the observed differences in allergic sensitization between western and eastern Germany.

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百日咳感染和过敏性致敏。
背景:百日咳感染的免疫原性活性已在各种实验室、动物和临床研究中得到描述。然而,没有关于百日咳对总人口过敏影响的信息。目的:比较有与无百日咳感染史儿童过敏性致敏和变应性鼻炎的发生率。方法:对德国西部(慕尼黑和巴伐利亚南部)和东部(莱比锡和哈雷周边地区)的13937名10岁儿童进行了一项基于人群的横断面研究。共收集问卷11969份,占85.9%。分析了9484名德国儿童的数据(问卷调查和6种不同过敏原的皮肤点刺试验)。结果:百日咳在德国西部比在德国东部更为常见。百日咳后任何过敏性致敏的调整优势比在德国西部仅略有增加,为1.3(95%置信限为1.2至1.5),在德国东部为1.5(1.2至1.8),但变应性鼻炎的调整优势比为1.0(0.7至1.4),在德国东部为1.3(0.8至1.9)。结论:百日咳感染似乎对过敏致敏只有微弱的影响,并不能解释在西德和东德之间观察到的过敏致敏差异。
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