Increasing incidence of pertussis in Brazil: a retrospective study using surveillance data
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/13640 |
Resumo: | Fundação Oswaldo Cruz. Escritório Regional. Teresina, PI, Brasil / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Epidemiologia e Sistemática Molecular. Rio de Janeiro, RJ, Brasil. |
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Guimarães, Lucas MeloCarneiro, Eduilson Lívio Neves da CostaCosta, Filipe Anibal Carvalho2016-04-07T13:51:45Z2016-04-07T13:51:45Z2015GUIMARÃES, Lucas Melo; CARNEIRO, Eduilson Lívio Neves da Costa; COSTA, Filipe Anibal Carvalho. Increasing incidence of pertussis in Brazil: a retrospective study using surveillance data. BMC Infectious Disease, v.15:442, 12p, 2015.1471-2334https://www.arca.fiocruz.br/handle/icict/1364010.1186/s12879-015-1222-3engBioMed CentralIncreasing incidence of pertussis in Brazil: a retrospective study using surveillance datainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Escritório Regional. Teresina, PI, Brasil / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Epidemiologia e Sistemática Molecular. Rio de Janeiro, RJ, Brasil.Instituto Federal de Educação, Ciência e Tecnologia do Piauí (IFPI). Teresina, PI, Brasil.Fundação Oswaldo Cruz. Escritório Regional. Teresina, PI, Brasil / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Epidemiologia e Sistemática Molecular. Rio de Janeiro, RJ, Brasil.Background: Many countries have reported an increase in the incidence of pertussis, which has become a global public health concern. Methods: In this study, the epidemiology of pertussis in Brazil was assessed retrospectively using surveillance data gathered from case notification forms from 2007 to 2014. Results: From 2007 to 2014, 80,068 suspected cases of pertussis were reported in Brazil. Of these, 24,612 (32 %) were confirmed by various criteria. The annual distribution of confirmed cases demonstrated a significant increase in incidence rate since 2012. A seasonal pattern in which cases occur most frequently between the end of spring and midsummer has been identified. Among the confirmed cases, 34.5 % occurred in infants aged 0–2 months, 22.4 % occurred in infants aged 3–6 months, 21 % occurred in children aged 7 months to 4 years, and 8 % were reported in adults >21 years. Of the confirmed cases, 47.2 % met only clinical criteria, 15.5 % met clinical and epidemiological criteria, and 36.6 % were confirmed in a laboratory. The overall case fatality rate was 2.1 %, reaching 4.7 % among infants aged 0–2 months. The complications most commonly reported in the notification forms were pneumonia, encephalitis, dehydration, otitis, and malnutrition. Of the confirmed cases, 23.1 % occurred in subjects who received at least 3 doses of the pertussis vaccine. Within this group, there were 1098 infants aged 7 to 15 months and 2079 children aged 16 months to 4 years. In 2012, 18 states did not achieve 95 % immunization coverage, a number that dropped to 10 and 6 in 2013 and 2014, respectively. Conclusions: Brazil’s main challenges in facing pertussis resurgence will be to offer the best quality medical attention to reduce mortality, to improve the infrastructure for laboratory diagnosis and to increase vaccination coverage. Additional studies to assess the effectiveness of the current vaccination schedule and basic research on the genetics and evolution of circulating B. pertussis strains are also needed.PertussisBordetella pertussisEpidemiologyVacinationBrazilBordetella pertussisVacina contra CoquelucheCoquelucheinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/13640/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALlucas_guimaraes_etal_IOC_2015.pdflucas_guimaraes_etal_IOC_2015.pdfapplication/pdf2109127https://www.arca.fiocruz.br/bitstream/icict/13640/2/lucas_guimaraes_etal_IOC_2015.pdf896789ce39bc0d4f7c5696f45b03b71bMD52TEXTlucas_guimaraes_etal_IOC_2015.pdf.txtlucas_guimaraes_etal_IOC_2015.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv |
Increasing incidence of pertussis in Brazil: a retrospective study using surveillance data |
title |
Increasing incidence of pertussis in Brazil: a retrospective study using surveillance data |
spellingShingle |
Increasing incidence of pertussis in Brazil: a retrospective study using surveillance data Guimarães, Lucas Melo Pertussis Bordetella pertussis Epidemiology Vacination Brazil Bordetella pertussis Vacina contra Coqueluche Coqueluche |
title_short |
Increasing incidence of pertussis in Brazil: a retrospective study using surveillance data |
title_full |
Increasing incidence of pertussis in Brazil: a retrospective study using surveillance data |
title_fullStr |
Increasing incidence of pertussis in Brazil: a retrospective study using surveillance data |
title_full_unstemmed |
Increasing incidence of pertussis in Brazil: a retrospective study using surveillance data |
title_sort |
Increasing incidence of pertussis in Brazil: a retrospective study using surveillance data |
author |
Guimarães, Lucas Melo |
author_facet |
Guimarães, Lucas Melo Carneiro, Eduilson Lívio Neves da Costa Costa, Filipe Anibal Carvalho |
author_role |
author |
author2 |
Carneiro, Eduilson Lívio Neves da Costa Costa, Filipe Anibal Carvalho |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Guimarães, Lucas Melo Carneiro, Eduilson Lívio Neves da Costa Costa, Filipe Anibal Carvalho |
dc.subject.en.pt_BR.fl_str_mv |
Pertussis Bordetella pertussis Epidemiology Vacination Brazil |
topic |
Pertussis Bordetella pertussis Epidemiology Vacination Brazil Bordetella pertussis Vacina contra Coqueluche Coqueluche |
dc.subject.decs.pt_BR.fl_str_mv |
Bordetella pertussis Vacina contra Coqueluche Coqueluche |
description |
Fundação Oswaldo Cruz. Escritório Regional. Teresina, PI, Brasil / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Epidemiologia e Sistemática Molecular. Rio de Janeiro, RJ, Brasil. |
publishDate |
2015 |
dc.date.issued.fl_str_mv |
2015 |
dc.date.accessioned.fl_str_mv |
2016-04-07T13:51:45Z |
dc.date.available.fl_str_mv |
2016-04-07T13:51:45Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
GUIMARÃES, Lucas Melo; CARNEIRO, Eduilson Lívio Neves da Costa; COSTA, Filipe Anibal Carvalho. Increasing incidence of pertussis in Brazil: a retrospective study using surveillance data. BMC Infectious Disease, v.15:442, 12p, 2015. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/13640 |
dc.identifier.issn.none.fl_str_mv |
1471-2334 |
dc.identifier.doi.none.fl_str_mv |
10.1186/s12879-015-1222-3 |
identifier_str_mv |
GUIMARÃES, Lucas Melo; CARNEIRO, Eduilson Lívio Neves da Costa; COSTA, Filipe Anibal Carvalho. Increasing incidence of pertussis in Brazil: a retrospective study using surveillance data. BMC Infectious Disease, v.15:442, 12p, 2015. 1471-2334 10.1186/s12879-015-1222-3 |
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https://www.arca.fiocruz.br/handle/icict/13640 |
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eng |
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eng |
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info:eu-repo/semantics/openAccess |
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BioMed Central |
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BioMed Central |
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