logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Epidemiology of pertussis in french hospitals in 1993 and 1994 : thirty years after a routine use of vaccination.

    Article - En anglais

    Background

    Despite widespread vaccination during 30 years, the hypothesis of a resurgence of pertussis in France has been raised by outbreaks and sporadic case reports.

    No surveillance data were available after 1985

    Methods.

    A survey was undertaken in 1993 and 1994 in a pediatric hospital network able to confirm cases ; the network (22 hospitals) represents 19.6% of pediatric admissions in France.

    Case definition included clinical (=21 days of paroxysmal cough), laboratory-confirmed (culture or serology by immunoblot) or epidemiologically confirmed pertussis (documented contact with a laboratory-confirmed case).

    The pattern of transmission was studied in the household.

    Vaccine status was obtained from health records.

    Results

    During a 15-month period 560 cases (316 index cases, 244 household contact cases) were reported ; 49% of index cases and 20% of contact cases were confirmed by culture and/or serology.

    Sixty-five percent of index cases were younger than 1 year of age (the incidence in this age group could be estimated to be 95/100 000) and 66% were hospitalized for a mean duration of 2 weeks.

    Infection was acquired from parents (34%) and siblings (46%). Seventy-three percent of index cases were unvaccinated.

    Conclusions

    Although pertussis vaccination coverage is very high in France, the organism is still circulating, affecting, within the pediatric population, mostly non-or incompletely vaccinated infants. (...)

    Mots-clés Pascal : Coqueluche, Bactériose, Infection, Bordetella pertussis, Bactérie, Immunoprophylaxie, Prévention, Vaccination, Epidémiologie, Enfant, Homme, France, Europe, Transmission homme homme, Appareil respiratoire pathologie

    Mots-clés Pascal anglais : Whooping cough, Bacteriosis, Infection, Bordetella pertussis, Bacteria, Immunoprophylaxis, Prevention, Vaccination, Epidemiology, Child, Human, France, Europe, Transmission from man to man, Respiratory disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0275644

    Code Inist : 002B05B02E. Création : 27/11/1998.