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Epidemiological Characteristics of Meningococcal Meningitis (2016 to 2018) Four Years after the Introduction of Serogroup A Meningococcal Conjugate Vaccine in Benin
被引:1
|作者:
Godjedo, Togbemabou Primous Martial
[1
,2
]
Agbankpe, Alidehou Jerrold
[3
]
Paraiso, Moussiliou Noel
[4
]
Dougnon, Tamegnon Victorien
[3
]
Hidjo, Marie
[3
]
Baba-Moussa, Lamine
[5
]
Bankole, Honore
[1
,3
]
机构:
[1] Minist Publ Hlth, Epidmiol Surveillance Serv, Cotonou, Benin
[2] Minist Publ Hlth, Natl Hlth Lab, Cotonou, Benin
[3] Univ Abomey Calavi, Res Lab Appl Biol, Polytech Sch Abomey Calavi, Res Unit Appl Microbiol & Pharmacol Nat Subst, Cotonou, Benin
[4] Univ Abomey Calavi, Reg Inst Publ Hlth, Cotonou, Benin
[5] Univ Abomey Calavi, Lab Biol & Mol Typing Microbiol, Fac Sci & Technol, Cotonou, Benin
来源:
ADVANCES IN PUBLIC HEALTH
|
2020年
/
2020卷
关键词:
BACTERIAL-MENINGITIS;
COUNTRIES;
BELT;
SURVEILLANCE;
AFRICA;
D O I:
10.1155/2020/1932940
中图分类号:
R1 [预防医学、卫生学];
学科分类号:
1004 ;
120402 ;
摘要:
Objectives. This study aims to study the epidemiological and geographic characteristics of the meningococcal serogroups four years after the introduction of serogroup A meningococcal conjugate vaccine.Methods. This is a prospective, descriptive, analytical study, and it took place from 2016 to 2018. Cerebrospinal fluid (CSF) samples were taken after the identification of meningitis cases. The samples, thus, taken were sent to the laboratory for culture and identification ofNeisseria meningitidisin accordance with WHO standards.Results. Eight hundred and ninety-nine bacterial strains were identified, of which 219 were strains ofNeisseria meningitidis. The majority ofN. meningitidis-positive samples were from male patients (59.8%) with a median age of 4 (IQR: 1-13). Four ofN. meningitidisserogroups were identified, namely, serogroups C (6.8%), W (19.6%), X (1.8%), and A (0.5%). Geographically, 92.7% of the identifiedN. meningitidisserogroups came from patients who lived in the northern region of the country. The departments most concerned were Alibori (N. meningitidisC (66.7%) andN. meningitidisW (20.9%)); Atacora (N. meningitidisW (41.9%),N. meningitidisX (75.0%), andN. meningitidisC (13.3%)); and Borgou (N. meningitidisW (23.3%)).Conclusion. The results of this study showed that there is an emergence of cases of meningococcal of serogroup C four years after the introduction of MenAfricVac in Benin. These results demonstrated the effectiveness of case-by-case surveillance in detecting small changes in the distribution of serogroups that could have important implications for public health strategies in the coming seasons.
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