Antimeningococcal herd immunity in the Czech Republic influence of an emerging clone, Neisseria meningitidis ET-15/37

被引:29
|
作者
Kriz, P
Kriz, B
Svandova, E
Musilek, M
机构
[1] Natl Inst Publ Hlth, Natl Reference Lab Meningococcal Infect, Prague 10042 10, Czech Republic
[2] Natl Inst Publ Hlth, Ctr Epidemiol & Microbiol, Prague, Czech Republic
[3] Charles Univ, Fac Med 3, Dept Epidemiol, Prague, Czech Republic
[4] Natl Inst Publ Hlth, Dept Math & Stat, Prague, Czech Republic
来源
EPIDEMIOLOGY AND INFECTION | 1999年 / 123卷 / 02期
关键词
D O I
10.1017/S095026889900285X
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
For many years, invasive meningococcal disease in the Czech Republic occurred sporadically and was caused mainly by meningococci of serogroup B. In 1993, when a new clone (ET-15/37) emerged, the only phenotype found was C:2a:P1.2,5. In 1995, an antigenic variation of the ET-15/37 clone, B:2a:P1.2,5, occurred. The results of immunological surveys conducted in 1989 and 1996 were compared. A significantly higher proportion of 1996 sera than those collected in 1989 showed bactericidal antibodies against N. meningitidis B:2a:P1.2,5 (19.7 vs. 5.1%) and N. meningitidis C:2a:P1.2,5 (15.9 vs. 7.4%), consistent with increased herd immunity due to the spread of the new clone in the Czech Republic. There were differences in the age distribution of the positive sera.
引用
收藏
页码:193 / 200
页数:8
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