A Search for Bordetella pertussis Infection in University Students

University students with persistent cough of ⩾6 days' duration were evaluated for evidence of infection with Bordetella pertussis. Of 130 students studied during a 30-month period, 34 (26%) were found to have evidence of recent infections with B. pertussis. Infection was identified by direct fl...

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Veröffentlicht in:Clinical infectious diseases 1992-02, Vol.14 (2), p.464-471
Hauptverfasser: Mink, ChrisAnna Morgan, Cherry, James D., Christenson, Peter, Lewis, Karen, Pineda, Evelyn, Shlian, Deborah, Dawson, Jo Ann, Blumberg, Dean A.
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container_end_page 471
container_issue 2
container_start_page 464
container_title Clinical infectious diseases
container_volume 14
creator Mink, ChrisAnna Morgan
Cherry, James D.
Christenson, Peter
Lewis, Karen
Pineda, Evelyn
Shlian, Deborah
Dawson, Jo Ann
Blumberg, Dean A.
description University students with persistent cough of ⩾6 days' duration were evaluated for evidence of infection with Bordetella pertussis. Of 130 students studied during a 30-month period, 34 (26%) were found to have evidence of recent infections with B. pertussis. Infection was identified by direct fluorescent antibody assay of a nasopharyngeal specimen in one student and serologically in 33 additional subjects. B. pertussis was not recovered on culture of nasopharyngeal specimens from any subjects. Students with B. pertussis infection were identified in seven of the eight 3-month periods in which students were enrolled during the 30-month investigation, suggesting an endemic rather than epidemic pattern of infection in this university population. Illnesses of students with pertussis were similar to the illnesses of students without pertussis. The findings in this study suggest that adult populations in which endemic illness occurs at a relatively constant rate may be the reservoirs for pertussis outbreaks in susceptible children. Immunization programs in the future will need to employ booster doses for adults if complete control of B. pertussis infection is our goal.
doi_str_mv 10.1093/clinids/14.2.464
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source Oxford University Press Journals Digital Archive legacy; MEDLINE; JSTOR Archive Collection A-Z Listing
subjects Adhesins, Bacterial
Adult
Adults
Agglutination Tests
Antibodies
Antibodies, Bacterial - blood
Bordetella pertussis - immunology
Bordetella pertussis - isolation & purification
Children
Clinical Infectious Disease Articles
Cough
Diseases
Enzyme linked immunosorbent assay
Epidemics
Epidemiology
Female
Fluorescent Antibody Technique
Hemagglutinins - immunology
Humans
Infections
Los Angeles - epidemiology
Lymphokines - immunology
Male
Nasopharynx - microbiology
Prevalence
Prospective Studies
Seasons
Students
Universities
Virulence Factors, Bordetella
Whooping cough
Whooping Cough - epidemiology
Whooping Cough - microbiology
title A Search for Bordetella pertussis Infection in University Students
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