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拉丁美洲百日咳:2017 年全球百日咳倡议会议上提出的最新流行病学数据。

Pertussis in Latin America: Recent epidemiological data presented at the 2017 Global Pertussis Initiative meeting.

机构信息

Instituto de Biotecnología y Biología Molecular, Facultad de Ciencias Exactas, Universidad Nacional de La Plata-CONICET, La Plata, Argentina.

PediaClinic, Centro de Especialidades Pediátricas, San José, Costa Rica.

出版信息

Vaccine. 2019 Aug 23;37(36):5414-5421. doi: 10.1016/j.vaccine.2019.07.007. Epub 2019 Jul 19.

Abstract

The Global Pertussis Initiative (GPI) is an expert scientific forum that publishes consensus recommendations for pertussis monitoring, prevention, and treatment across many regions of the world. Here, we report on the regional 2017 GPI meeting on the Americas, focusing on Latin America. Information on current pertussis epidemiology, surveillance, vaccine strategies, diagnostic capabilities, disease awareness, and major local obstacles was presented by researchers from Argentina, Brazil, Colombia, Costa Rica, El Salvador, Mexico, Peru, Puerto Rico, Uruguay, and Venezuela. Pertussis outbreaks have occurred during the last decade in the majority of participant countries and have been followed by improvements in surveillance. In the countries that introduced maternal immunization during pregnancy, a reduction in the infant case fatality rate has been detected. All countries need to maintain and improve pertussis surveillance to reach primary vaccination coverage >90%. Moreover, countries without maternal immunization programs should strongly consider them.

摘要

全球百日咳倡议(GPI)是一个专家科学论坛,为世界许多地区的百日咳监测、预防和治疗发布共识建议。在这里,我们报告了 2017 年关于美洲的区域 GPI 会议,重点是拉丁美洲。来自阿根廷、巴西、哥伦比亚、哥斯达黎加、萨尔瓦多、墨西哥、秘鲁、波多黎各、乌拉圭和委内瑞拉的研究人员介绍了当前百日咳流行病学、监测、疫苗策略、诊断能力、疾病认识以及主要的当地障碍。在过去十年中,大多数参与国都发生了百日咳疫情爆发,随后监测工作得到了改善。在那些在孕期为母亲接种疫苗的国家,婴儿病死率有所下降。所有国家都需要维持和改善百日咳监测,以实现>90%的基础免疫接种覆盖率。此外,没有母亲免疫接种计划的国家应认真考虑这一计划。

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