Decline of serologic immunity to diphtheria, tetanus and pertussis with age suggested a full life vaccination in mainland China

Background: Diphtheria-tetanus-pertussis (DTP) vaccine has already been involved in national vaccination program for several decades in China. The immunity against these diseases in the people of all ages is not well investigated. Materials and methods: Serum samples were tested for IgG antibodies t...

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Main Authors: Dandan Liu, Xiaoping Cheng, Shi Wei, Lin Yuan, Changhui Chen, Kaihu Yao
Format: Article
Language:English
Published: Taylor & Francis Group 2021-06-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2020.1840253
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author Dandan Liu
Xiaoping Cheng
Shi Wei
Lin Yuan
Changhui Chen
Kaihu Yao
author_facet Dandan Liu
Xiaoping Cheng
Shi Wei
Lin Yuan
Changhui Chen
Kaihu Yao
author_sort Dandan Liu
collection DOAJ
description Background: Diphtheria-tetanus-pertussis (DTP) vaccine has already been involved in national vaccination program for several decades in China. The immunity against these diseases in the people of all ages is not well investigated. Materials and methods: Serum samples were tested for IgG antibodies to diphtheria toxoid (DT), tetanus toxoid (TT) and pertussis toxin (PT) by using commercial ELISA kits. Results: A total of 666 sera of patients from 1 day to 89 years of age was collected from 2018 to 2019. The protective rates of diphtheria, tetanus and pertussis were 45.5%, 54.4% and 4.7%, respectively. Only 4.7% of the study population had seropositivity against three of the diseases. Young infant (<3 m) and adult (>18y) were generally lack of protective antibody against diphtheria (81.7% and 58.3%) and tetanus (91.5% and 86.2%). An obvious increase in immunity level of diphtheria and tetanus was observed at 3 m-3y, but there was no significant increase of immunity to pertussis at any age group. All age groups showed low immunity to pertussis. Conclusions: The present results revealed the susceptibility to diphtheria and tetanus in young infants and adults, and the susceptibility to pertussis over the ages, which highlight the need to improve the current vaccination program.
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spelling doaj.art-4bfb88b6c00340dd9e688d657afc8ccf2023-09-22T08:51:52ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2021-06-011761757176210.1080/21645515.2020.18402531840253Decline of serologic immunity to diphtheria, tetanus and pertussis with age suggested a full life vaccination in mainland ChinaDandan Liu0Xiaoping Cheng1Shi Wei2Lin YuanChanghui Chen3Kaihu Yao4Beijing Pediatric Research Institute, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthYouyang County People’s HospitalBeijing Pediatric Research Institute, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthYouyang County People’s HospitalBeijing Pediatric Research Institute, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s HealthBackground: Diphtheria-tetanus-pertussis (DTP) vaccine has already been involved in national vaccination program for several decades in China. The immunity against these diseases in the people of all ages is not well investigated. Materials and methods: Serum samples were tested for IgG antibodies to diphtheria toxoid (DT), tetanus toxoid (TT) and pertussis toxin (PT) by using commercial ELISA kits. Results: A total of 666 sera of patients from 1 day to 89 years of age was collected from 2018 to 2019. The protective rates of diphtheria, tetanus and pertussis were 45.5%, 54.4% and 4.7%, respectively. Only 4.7% of the study population had seropositivity against three of the diseases. Young infant (<3 m) and adult (>18y) were generally lack of protective antibody against diphtheria (81.7% and 58.3%) and tetanus (91.5% and 86.2%). An obvious increase in immunity level of diphtheria and tetanus was observed at 3 m-3y, but there was no significant increase of immunity to pertussis at any age group. All age groups showed low immunity to pertussis. Conclusions: The present results revealed the susceptibility to diphtheria and tetanus in young infants and adults, and the susceptibility to pertussis over the ages, which highlight the need to improve the current vaccination program.http://dx.doi.org/10.1080/21645515.2020.1840253pertussisdiphtheriatetanusseroprevalencevaccination
spellingShingle Dandan Liu
Xiaoping Cheng
Shi Wei
Lin Yuan
Changhui Chen
Kaihu Yao
Decline of serologic immunity to diphtheria, tetanus and pertussis with age suggested a full life vaccination in mainland China
Human Vaccines & Immunotherapeutics
pertussis
diphtheria
tetanus
seroprevalence
vaccination
title Decline of serologic immunity to diphtheria, tetanus and pertussis with age suggested a full life vaccination in mainland China
title_full Decline of serologic immunity to diphtheria, tetanus and pertussis with age suggested a full life vaccination in mainland China
title_fullStr Decline of serologic immunity to diphtheria, tetanus and pertussis with age suggested a full life vaccination in mainland China
title_full_unstemmed Decline of serologic immunity to diphtheria, tetanus and pertussis with age suggested a full life vaccination in mainland China
title_short Decline of serologic immunity to diphtheria, tetanus and pertussis with age suggested a full life vaccination in mainland China
title_sort decline of serologic immunity to diphtheria tetanus and pertussis with age suggested a full life vaccination in mainland china
topic pertussis
diphtheria
tetanus
seroprevalence
vaccination
url http://dx.doi.org/10.1080/21645515.2020.1840253
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