Pediatr Infect Vaccine.  2017 Apr;24(1):37-43. 10.14776/piv.2017.24.1.37.

Clinical Characteristics of Pertussis Epidemic in Changwon

Affiliations
  • 1Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, the Republic of Korea.
  • 2Department of Pediatrics, Changwon Fatima Hospital, Changwon, the Republic of Korea. pedma@naver.com

Abstract

PURPOSE
Pertussis can be prevented with a vaccine. Despite this, there have been an increasing number of cases worldwide, and also in Korea. This study aimed to investigate the epidemiology and clinical characteristics of the recent outbreak in the Changwon area.
METHODS
Patients who visited Changwon Fatima Hospital from July 2015 to March 2016 with respiratory symptoms, including spasmodic cough, cough induced vomiting, inspiratory "˜intake' sound (whooping), and a night-time cough for >1 week were included in this study. Respiratory specimens were collected from patients and a polymerase chain reaction (PCR) and detected anti-pertussis immunoglobulin G enzyme-linked immunosorbent assay kit test were performed. Patients with underlying diseases, or those who had received a DTaP or Tdap vaccination in recent 1 year were excluded.
RESULTS
Pertussis was diagnosed in 37 of 50 patients, two patients were positive according to the PCR, and 37 patients were positive according to serologic tests. The age distribution of the patients was 1 month to 15 years. After administering antibiotics, all patients recovered without complications.
CONCLUSIONS
A pertussis outbreak occurred in Changwon in 2015 and 2016. This data can provide the basis for further study on the epidemiology of pertussis in Korea.

Keyword

Whooping cough; Polymerase chain reaction; Enzyme-linked immunosorbent assay

MeSH Terms

Age Distribution
Anti-Bacterial Agents
Cough
Enzyme-Linked Immunosorbent Assay
Epidemiology
Gyeongsangnam-do*
Humans
Immunoglobulin G
Korea
Polymerase Chain Reaction
Serologic Tests
Vaccination
Vomiting
Whooping Cough*
Anti-Bacterial Agents
Immunoglobulin G

Figure

  • Fig. 1 Age and sex distribution of patients.

  • Fig. 2 Monthly distribution of patients with pertussis.


Reference

1. Mattoo S, Cherry JD. Molecular pathogenesis, epidemiology, and clinical manifestations of respiratory infections due to Bordetella pertussis and other Bordetella subspecies. Clin Microbiol Rev. 2005; 18:326–382.
Article
2. World Health Organization. Immunization, vaccines and biologicals: pertussis [Internet]. Geneva: World Health Organization;2016. cited 2016 Dec 23. Available from: http://www.who.int/immunization/monitoring_surveillance/burden/vpd/surveillance_type/passive/pertussis/en/.
3. Choe YJ, Kim JW, Park YJ, Jung C, Bae GR. Burden of pertussis is underestimated in South Korea: a result from an active sentinel surveillance system. Jpn J Infect Dis. 2014; 67:230–232.
Article
4. Korea Centers for Disease Control and Prevention. Increased whooping cough, proper vaccination is important [Internet]. Cheongju: Korea Centers for Disease Control and Prevention;2012. cited 2016 Dec 23. Available from: http://www.cdc.go.kr/CDC/intro/CdcKrIntro0201.jsp?menuIds=HOME001-MNU1154-MNU0005-MNU0011&cid=64155.
5. Zhang Q, Zheng H, Liu M, Han K, Shu J, Wu C, et al. The seroepidemiology of immunoglobulin G antibodies against pertussis toxin in China: a cross sectional study. BMC Infect Dis. 2012; 12:138.
Article
6. Regan J, Lowe F. Enrichment medium for the isolation of Bordetella. J Clin Microbiol. 1977; 6:303–309.
Article
7. IBL International GmbH. Bordetella pertussis IgG ELISA [Internet]. Hamburg: IBL International GmbH;c2015. cited Dec 23. Available from: http://www.ibl-international.com/media/catalog/product/R/E/RE56141_IFU_EU_en_Bordetella_IgG_ELISA_2013-05_sym4.pdf.
8. European Centre for Disease Prevention and Control. Guidance and protocol for the use of real-time PCR in laboratory diagnosis of human infection with Bordetella pertussis or Bordetella parapertussis. Stockholm: ECDC;2012.
9. Souder E, Long SS. Pertussis in the era of new strains of Bordetella pertussis. Infect Dis Clin North Am. 2015; 29:699–713.
Article
10. Centers for Disease Control and Prevention (CDC). Pertussis epidemic: Washington, 2012. MMWR Morb Mortal Wkly Rep. 2012; 61:517–522.
11. Martin SW, Pawloski L, Williams M, Weening K, DeBolt C, Qin X, et al. Pertactin-negative Bordetella pertussis strains: evidence for a possible selective advantage. Clin Infect Dis. 2015; 60:223–227.
Article
12. Winter K, Glaser C, Watt J, Harriman K. Centers for Disease Control and Prevention (CDC). Pertussis epidemic: California, 2014. MMWR Morb Mortal Wkly Rep. 2014; 63:1129–1132.
13. Choe YJ, Park YJ, Jung C, Bae GR, Lee DH. National pertussis surveillance in South Korea 1955-2011: epidemiological and clinical trends. Int J Infect Dis. 2012; 16:e850–e854.
Article
14. Jung SW. Epidemiologic properties of pertussis confirmed from pharyngitis patients. Public Health Wkly Rep. 2011; 4:237–240.
15. Park S, Lee SH, Seo KH, Shin KC, Park YB, Lee MG, et al. Epidemiological aspects of pertussis among adults and adolescents in a Korean outpatient setting: a multicenter, PCRbased study. J Korean Med Sci. 2014; 29:1232–1239.
Article
16. Lee SY, Han SB, Kang JH, Kim JS. Pertussis prevalence in Korean adolescents and adults with persistent cough. J Korean Med Sci. 2015; 30:988–990.
Article
17. Cherry JD. The epidemiology of pertussis and pertussis immunization in the United Kingdom and the United States: a comparative study. Curr Probl Pediatr. 1984; 14:1–78.
18. Solano R, Crespo I, Fernandez MI, Valero C, Alvarez MI, Godoy P, et al. Underdetection and underreporting of pertussis in children attended in primary health care centers: Do surveillance systems require improvement. Am J Infect Control. 2016; 44:e251–e256.
Article
19. Cherry JD, Tan T, Wirsing von, Forsyth KD, Thisyakorn U, Greenberg D, et al. Clinical definitions of pertussis: summary of a Global Pertussis Initiative roundtable meeting, February 2011. Clin Infect Dis. 2012; 54:1756–1764.
Article
20. Campins-Marti M, Cheng HK, Forsyth K, Guiso N, Halperin S, Huang LM, et al. Recommendations are needed for adolescent and adult pertussis immunisation: rationale and strategies for consideration. Vaccine. 2001; 20:641–646.
Article
21. Cherry JD, Grimprel E, Guiso N, Heininger U, Mertsola J. Defining pertussis epidemiology: clinical, microbiologic and serologic perspectives. Pediatr Infect Dis J. 2005; 24:5 Suppl. S25–S34.
22. Rendi-Wagner P, Tobias J, Moerman L, Goren S, Bassal R, Green M, et al. The seroepidemiology of Bordetella pertussis in Israel: estimate of incidence of infection. Vaccine. 2010; 28:3285–3290.
Article
23. Narkeviciute I, Kavaliunaite E, Bernatoniene G, Eidukevicius R. Clinical presentation of pertussis in fully immunized children in Lithuania. BMC Infect Dis. 2005; 5:40.
Article
24. Bodilis H, Guiso N. Virulence of pertactin-negative Bordetella pertussis isolates from infants, France. Emerg Infect Dis. 2013; 19:471–474.
Article
25. Brotons P, de Paz HD, Toledo D, Villanova M, Plans P, Jordan I, et al. Differences in Bordetella pertussis DNA load according to clinical and epidemiological characteristics of patients with whooping cough. J Infect. 2016; 72:460–467.
Article
26. Crowcroft NS, Booy R, Harrison T, Spicer L, Britto J, Mok Q, et al. Severe and unrecognised: pertussis in UK infants. Arch Dis Child. 2003; 88:802–806.
Article
27. Halperin SA, Wang EE, Law B, Mills E, Morris R, Dery P, et al. Epidemiological features of pertussis in hospitalized patients in Canada, 1991-1997: report of the Immunization Monitoring Program: Active (IMPACT). Clin Infect Dis. 1999; 28:1238–1243.
Article
28. Pierce C, Klein N, Peters M. Is leukocytosis a predictor of mortality in severe pertussis infection. Intensive Care Med. 2000; 26:1512–1514.
Article
29. Centers for Disease Control and Prevention. Diagnosis confirmation [Internet]. Atlanta: Centers for Disease Control and Prevention;2015. cited Dec 23. Available from: http://www.cdc.gov/pertussis/clinical/diagnostic-testing/diagnosisconfirmation.html.
30. Andre P, Caro V, Njamkepo E, Wendelboe AM, Van Rie A, Guiso N. Comparison of serological and real-time PCR assays to diagnose Bordetella pertussis infection in 2007. J Clin Microbiol. 2008; 46:1672–1677.
Article
31. Riffelmann M, Thiel K, Schmetz J, Wirsing von. Performance of commercial enzyme-linked immunosorbent assays for detection of antibodies to Bordetella pertussis. J Clin Microbiol. 2010; 48:4459–4463.
Article
32. Altunaiji S, Kukuruzovic R, Curtis N, Massie J. Antibiotics for whooping cough (pertussis). Cochrane Database Syst Rev. 2007; (3):CD004404.
Article
33. Langley JM, Halperin SA, Boucher FD, Smith B;. PICNIC). Azithromycin is as effective as and better tolerated than erythromycin estolate for the treatment of pertussis. Pediatrics. 2004; 114:e96–e101.
34. Wood N, McIntyre P. Pertussis: review of epidemiology, diagnosis, management and prevention. Paediatr Respir Rev. 2008; 9:201–211.
Article
Full Text Links
  • PIV
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr