Meningococcal carriage in young adults six years after meningococcal C conjugate (MCC) vaccine catch-up campaign in Salvador, Brazil

التفاصيل البيبلوغرافية
العنوان: Meningococcal carriage in young adults six years after meningococcal C conjugate (MCC) vaccine catch-up campaign in Salvador, Brazil
المؤلفون: Xin Wang, How-Yi Chang, Guilherme S. Ribeiro, Ítalo Eustáquio Ferreira, Ana Rafaela Silva Simões Moura, Leila Carvalho Campos, Caroline Alves Feitosa, Mitermayer G. Reis, Viviane Matos Ferreira, Ellen dos Reis Pimentel, Nadav Topaz, Amélia Maria Pithon Borges Nunes
المصدر: Vaccine. 38:2995-3002
بيانات النشر: Elsevier BV, 2020.
سنة النشر: 2020
مصطلحات موضوعية: Male, 030231 tropical medicine, Meningococcal Vaccines, Neisseria meningitidis, Serogroup, medicine.disease_cause, Meningococcal disease, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Genotype, Humans, Medicine, 030212 general & internal medicine, Young adult, General Veterinary, General Immunology and Microbiology, Immunization Programs, business.industry, Transmission (medicine), Public Health, Environmental and Occupational Health, medicine.disease, Virology, Meningococcal Infections, Vaccination, Cross-Sectional Studies, Infectious Diseases, Carriage, Carrier State, Herd, Molecular Medicine, Female, business, Brazil
الوصف: Meningococcal carriage studies are important to improve the knowledge of disease epidemiology as well as to support appropriate vaccination strategies. We conducted a cross-sectional study to determine the prevalence and genotypic characteristics of meningococci collected from young adults in Salvador, Brazil six years after a meningococcal C conjugate vaccine catch-up campaign. From August through November 2016, oropharyngeal swabs were collected from 407 students aged 1824 years attending a private college in Salvador, Brazil. Neisseria meningitidis was identified by standard microbiology methods and real time PCR. Genetic characteristics of meningococci were assessed by rt-PCR and/or whole genome sequencing. We also investigated potential factors associated with carriage. N. meningitidis was detectable in 50 students, 39 by both culture and rt-PCR, 7 by culture alone and 4 by rt-PCR alone, resulting in an overall meningococcal carriage prevalence of 12.3% (50/407). Carriage was independently associated with male sex (adjusted PR: 1.97; 95% CI: 1.12–3.46; p = 0.018) and attending bars or parties at least once per month (aPR: 3.31; 95% CI: 1.49–7.38; p = 0.003). Molecular tests identified 92% (46/50) N. meningitidis as non-groupable, of which 63% (29/46) had the capsule null genotype; 14 NG isolates contained disrupted capsule backbones and belonged to the following genogroups: 7 B, 3 Z, 3 E and 1 W. One isolate belonged to genogroup C tested only by PCR; 3 isolates contained a complete B capsule backbones, 2 of which were determined to be NG by slide agglutination serogrouping. While most meningococcal carriage isolates were non-groupable, there was a high degree of genetic diversity present in the collection, as evidenced by 25 unique STs being detected. The carriage prevalence of meningococcal serogroup C was low among young adults. Continuous vaccination is important to maintain reduced meningococcal carriage and transmission, inducing herd protection.
تدمد: 0264-410X
DOI: 10.1016/j.vaccine.2020.02.050
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::180a73eebbd5972448813dd54fe803c0
https://doi.org/10.1016/j.vaccine.2020.02.050
Rights: CLOSED
رقم الانضمام: edsair.doi.dedup.....180a73eebbd5972448813dd54fe803c0
قاعدة البيانات: OpenAIRE
الوصف
تدمد:0264410X
DOI:10.1016/j.vaccine.2020.02.050