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

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:89

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

Beteiligte Personen:

Rungrojcharoenkit, Kamonthip [VerfasserIn]
Kittikraisak, Wanitchaya [VerfasserIn]
Ditsungnoen, Darunee [VerfasserIn]
Olsen, Sonja J [VerfasserIn]
Suntarattiwong, Piyarat [VerfasserIn]
Chotpitayasunondh, Tawee [VerfasserIn]
Klungthong, Chonticha [VerfasserIn]
Yoon, In-Kyu [VerfasserIn]
Dawood, Fatimah S [VerfasserIn]
Fernandez, Stefan [VerfasserIn]
Macareo, Louis [VerfasserIn]
Lindblade, Kim A [VerfasserIn]

Links:

Volltext

Themen:

Influenza
Journal Article
Pediatric
Seroconversion
Seroincidence
Thailand

Anmerkungen:

Date Completed 18.02.2020

Date Revised 18.02.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ijid.2019.08.022

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM300794002