Influenza virus seroincidence in a cohort of healthy and high-risk children enrolled in infancy, Bangkok, Thailand
Published by Elsevier Ltd..
BACKGROUND: We measured seroconversion to influenza viruses and incidence of symptomatic influenza virus infection in a cohort of children in Bangkok, Thailand.
METHODS: Children aged ≤6 months were followed for two years for acute respiratory illness (ARI) and had serum specimens taken at 6-month intervals and tested by hemagglutination inhibition (HI) assay. Seroconversion was defined as a >4-fold rise in the HI titers between time points with a titer of >40 in the second specimen. Respiratory swabs were tested by rRT-PCR for influenza. Data were analyzed using generalized linear models.
RESULTS: Of 350 children, 266 (76%, 147 were healthy and 119 were high-risk) had ≥2 serum specimens collected before influenza vaccination. During the 2-year follow-up, 266 children contributed 370 person-years of observation, excluding post-vaccination periods. We identified 32 ARI cases with rRT-PCR-confirmed influenza virus infection (7 infections/100 person-years, 95% confidence interval [CI], 4-11). There were 126 episodes of influenza virus infection, resulting in a seroconversion rate of 35 infections/100 person-years (95% CI, 30-42). Rates in healthy and high-risk children did not differ.
CONCLUSIONS: Influenza virus infection is common during the first two years of life among Thai children. A large proportion of infections may not be detected using the ARI case definition.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2019 |
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Erschienen: |
2019 |
Enthalten in: |
Zur Gesamtaufnahme - volume:89 |
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Enthalten in: |
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases - 89(2019) vom: 10. Dez., Seite 21-26 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Rungrojcharoenkit, Kamonthip [VerfasserIn] |
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Links: |
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Themen: |
Influenza |
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Anmerkungen: |
Date Completed 18.02.2020 Date Revised 18.02.2020 published: Print-Electronic Citation Status MEDLINE |
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doi: |
10.1016/j.ijid.2019.08.022 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM300794002 |
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520 | |a Published by Elsevier Ltd. | ||
520 | |a BACKGROUND: We measured seroconversion to influenza viruses and incidence of symptomatic influenza virus infection in a cohort of children in Bangkok, Thailand | ||
520 | |a METHODS: Children aged ≤6 months were followed for two years for acute respiratory illness (ARI) and had serum specimens taken at 6-month intervals and tested by hemagglutination inhibition (HI) assay. Seroconversion was defined as a >4-fold rise in the HI titers between time points with a titer of >40 in the second specimen. Respiratory swabs were tested by rRT-PCR for influenza. Data were analyzed using generalized linear models | ||
520 | |a RESULTS: Of 350 children, 266 (76%, 147 were healthy and 119 were high-risk) had ≥2 serum specimens collected before influenza vaccination. During the 2-year follow-up, 266 children contributed 370 person-years of observation, excluding post-vaccination periods. We identified 32 ARI cases with rRT-PCR-confirmed influenza virus infection (7 infections/100 person-years, 95% confidence interval [CI], 4-11). There were 126 episodes of influenza virus infection, resulting in a seroconversion rate of 35 infections/100 person-years (95% CI, 30-42). Rates in healthy and high-risk children did not differ | ||
520 | |a CONCLUSIONS: Influenza virus infection is common during the first two years of life among Thai children. A large proportion of infections may not be detected using the ARI case definition | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Influenza | |
650 | 4 | |a Pediatric | |
650 | 4 | |a Seroconversion | |
650 | 4 | |a Seroincidence | |
650 | 4 | |a Thailand | |
700 | 1 | |a Kittikraisak, Wanitchaya |e verfasserin |4 aut | |
700 | 1 | |a Ditsungnoen, Darunee |e verfasserin |4 aut | |
700 | 1 | |a Olsen, Sonja J |e verfasserin |4 aut | |
700 | 1 | |a Suntarattiwong, Piyarat |e verfasserin |4 aut | |
700 | 1 | |a Chotpitayasunondh, Tawee |e verfasserin |4 aut | |
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700 | 1 | |a Fernandez, Stefan |e verfasserin |4 aut | |
700 | 1 | |a Macareo, Louis |e verfasserin |4 aut | |
700 | 1 | |a Lindblade, Kim A |e verfasserin |4 aut | |
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