2024年1月至2024年12月法国2024年百日咳流行病例临床特征分析

IF 4.5 3区 医学 Q2 IMMUNOLOGY Vaccine Pub Date : 2025-04-02 Epub Date: 2025-02-13 DOI:10.1016/j.vaccine.2025.126862
Thomas Monchausse , Titouan Launay , Louise Rossignol , Fatima Ait El Belghiti , Sylvain Brisse , Nicole Guiso , Lore Merdrignac , Carla Rodrigues , Isabelle Parent du Châtelet , Aubane Renard , Julie Toubiana , Thomas Hanslik , Thierry Blanchon , Olivier Steichen , Marion Debin
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引用次数: 0

摘要

法国全国百日咳监测由几个单位组成,包括全科医生(gp)。在这里,我们报告了2024年1月至12月法国初级保健监测病例的临床特征。在此期间,参与监测的全科医生共录得689宗百日咳个案。据估计,全国全科医生的发病率为每10万居民244例(95%置信区间:224-264)。61%的病例是女性,86%至少接种过一剂百日咳疫苗。在至少接种了三剂疫苗的病例中,77%的病例接种时间少于5年。病例的中位年龄为13岁,1至6岁儿童是受影响最严重的人群。我们在这里报道了自2024年初以来法国初级保健百日咳发病率的增加,并在2024年7月达到顶峰。与以前的爆发相比,这些病例的特征似乎已转向年龄更小,并且在其一生中至少接种过一剂百日咳疫苗(无论是否按照建议的时间表接种)的个体比例更高。这项研究强调了及时接种疫苗的必要性,特别是在年轻人群中。
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Clinical characteristics of cases during the 2024 pertussis epidemic in France, January 2024 to December 2024
The French national surveillance of pertussis consists of several units, including general practitioners (GPs). Here, we report on the clinical characteristics of cases from January to December 2024 from primary care surveillance in France.
During this period, a total of 689 pertussis cases were reported by GPs participating in the surveillance. The national incidence rate in general practice was estimated to be 244 cases per 100,000 inhabitants (95 % CI: 224–264). Sixty-one per cent of cases were female and 86 % had received at least one dose of pertussis vaccine. Among cases vaccinated with at least three doses, 77 % had been vaccinated for less than 5 years. The median age of the cases was 13 years, with children aged 1 to 6 years old being the most affected population.
We reported here an increase in the incidence of pertussis in primary care in France since the beginning of 2024, peaking in July 2024. The characteristics of the cases appear to have shifted towards younger age and a higher proportion of individuals who had received at least one dose of the pertussis vaccine in their lifetime, regardless of whether it was administered according to the recommended schedule, compared with previous outbreaks. This study highlights the need for timely vaccination, especially in the young population.
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来源期刊
Vaccine
Vaccine 医学-免疫学
CiteScore
8.70
自引率
5.50%
发文量
992
审稿时长
131 days
期刊介绍: Vaccine is unique in publishing the highest quality science across all disciplines relevant to the field of vaccinology - all original article submissions across basic and clinical research, vaccine manufacturing, history, public policy, behavioral science and ethics, social sciences, safety, and many other related areas are welcomed. The submission categories as given in the Guide for Authors indicate where we receive the most papers. Papers outside these major areas are also welcome and authors are encouraged to contact us with specific questions.
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