Bordetella pertussis diagnosis in children under five years of age in the Regional Hospital of Cajamarca, Northern Peru

Introduction: Bordetella pertussis is an important human pathogen that causes whooping cough (pertussis), an endemic illness responsible of significant morbidity and mortality, especially in infants and children. Worldwide, there are an estimated of 16 million cases of pertussis, resulting in about...

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Main Authors: Juana del Valle-Mendoza, Veronica Casabona-Oré, Veronica Petrozzi-Helasvuo, Angela Cornejo-Tapia, Pablo Weilg, Maria J Pons, Erico Cieza-Mora, Jorge Bazán-Mayra, Hernan Cornejo-Pacherres, Joaquin Ruiz
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2015-11-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/6803
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author Juana del Valle-Mendoza
Veronica Casabona-Oré
Veronica Petrozzi-Helasvuo
Angela Cornejo-Tapia
Pablo Weilg
Maria J Pons
Erico Cieza-Mora
Jorge Bazán-Mayra
Hernan Cornejo-Pacherres
Joaquin Ruiz
author_facet Juana del Valle-Mendoza
Veronica Casabona-Oré
Veronica Petrozzi-Helasvuo
Angela Cornejo-Tapia
Pablo Weilg
Maria J Pons
Erico Cieza-Mora
Jorge Bazán-Mayra
Hernan Cornejo-Pacherres
Joaquin Ruiz
author_sort Juana del Valle-Mendoza
collection DOAJ
description Introduction: Bordetella pertussis is an important human pathogen that causes whooping cough (pertussis), an endemic illness responsible of significant morbidity and mortality, especially in infants and children. Worldwide, there are an estimated of 16 million cases of pertussis, resulting in about 195,000 child deaths per year. In Peru, pertussis is a major health problem that has been on the increase despite immunization efforts. The objective of this study was to determine the prevalence of B. pertussis among children under five years of age suspected to have whopping cough in Cajamarca, Peru. Methodology: Children diagnosed with whooping cough admitted to the Hospital Regional de Cajamarca from August 2010 to July 2013 were included. Nasopharyngeal samples were obtained for B. pertussis culture and polymerase chain reaction (PCR) detection. Results: In 133 children, the pertussis toxin and IS481 gene were detected in 38.35% (51/133) of the cases by PCR, while only 9.02% (12/133) of the Bordetella cultures were positive. The most frequent symptoms in patients with positive B. pertussis were paroxysm of coughing 68.63% (35/51), cyanosis 56.86% (29/51), respiratory distress 43.14% (22/51), and fever 39.22% (20/51). Pneumonia and acute bronchial obstructive syndrome were present in 17.65% (9/51) and 13.72% (7/51) of the cases, respectively. Conclusions: B. pertussis is responsible for an important proportion of whooping cough in hospitalized children in Cajamarca. Epidemiologic surveillance programs for B. pertussis are essential in Peru, especially in children who could most benefit from the vaccine.
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spelling doaj-art-23461f012b0f451b9f1deb45ddf5f1a72025-08-20T02:27:18ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802015-11-0191110.3855/jidc.6803Bordetella pertussis diagnosis in children under five years of age in the Regional Hospital of Cajamarca, Northern PeruJuana del Valle-Mendoza0Veronica Casabona-Oré1Veronica Petrozzi-Helasvuo2Angela Cornejo-Tapia3Pablo Weilg4Maria J Pons5Erico Cieza-Mora6Jorge Bazán-Mayra7Hernan Cornejo-Pacherres8Joaquin Ruiz9Research Centre of the Faculty of Health Sciences, Universidad Peruana de Ciencias Aplicadas-UPC, Lima, PeruResearch Centre of the Faculty of Health Sciences, Universidad Peruana de Ciencias Aplicadas-UPC, Lima, PeruSchool of Medicine, Faculty of Health Sciences, Universidad Peruana de Ciencias Aplicadas-UPC, Lima, PerúResearch Centre of the Faculty of Health Sciences, Universidad Peruana de Ciencias Aplicadas-UPC, Lima, PerúResearch Centre of the Faculty of Health Sciences, Universidad Peruana de Ciencias Aplicadas-UPC, Lima, PerúResearch Centre of the Faculty of Health Sciences, Universidad Peruana de Ciencias Aplicadas-UPC, Lima, PerúHospital Regional de Salud de CajamarcaDirección Regional de Salud de Cajamarca (DIRESA-Cajamarca)Dirección Regional de Salud de Cajamarca (DIRESA-Cajamarca)ISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB), Hospital Clínic, Universitat de BarcelonaIntroduction: Bordetella pertussis is an important human pathogen that causes whooping cough (pertussis), an endemic illness responsible of significant morbidity and mortality, especially in infants and children. Worldwide, there are an estimated of 16 million cases of pertussis, resulting in about 195,000 child deaths per year. In Peru, pertussis is a major health problem that has been on the increase despite immunization efforts. The objective of this study was to determine the prevalence of B. pertussis among children under five years of age suspected to have whopping cough in Cajamarca, Peru. Methodology: Children diagnosed with whooping cough admitted to the Hospital Regional de Cajamarca from August 2010 to July 2013 were included. Nasopharyngeal samples were obtained for B. pertussis culture and polymerase chain reaction (PCR) detection. Results: In 133 children, the pertussis toxin and IS481 gene were detected in 38.35% (51/133) of the cases by PCR, while only 9.02% (12/133) of the Bordetella cultures were positive. The most frequent symptoms in patients with positive B. pertussis were paroxysm of coughing 68.63% (35/51), cyanosis 56.86% (29/51), respiratory distress 43.14% (22/51), and fever 39.22% (20/51). Pneumonia and acute bronchial obstructive syndrome were present in 17.65% (9/51) and 13.72% (7/51) of the cases, respectively. Conclusions: B. pertussis is responsible for an important proportion of whooping cough in hospitalized children in Cajamarca. Epidemiologic surveillance programs for B. pertussis are essential in Peru, especially in children who could most benefit from the vaccine. https://jidc.org/index.php/journal/article/view/6803Bordetella pertussiswhooping coughPCRPeru
spellingShingle Juana del Valle-Mendoza
Veronica Casabona-Oré
Veronica Petrozzi-Helasvuo
Angela Cornejo-Tapia
Pablo Weilg
Maria J Pons
Erico Cieza-Mora
Jorge Bazán-Mayra
Hernan Cornejo-Pacherres
Joaquin Ruiz
Bordetella pertussis diagnosis in children under five years of age in the Regional Hospital of Cajamarca, Northern Peru
Journal of Infection in Developing Countries
Bordetella pertussis
whooping cough
PCR
Peru
title Bordetella pertussis diagnosis in children under five years of age in the Regional Hospital of Cajamarca, Northern Peru
title_full Bordetella pertussis diagnosis in children under five years of age in the Regional Hospital of Cajamarca, Northern Peru
title_fullStr Bordetella pertussis diagnosis in children under five years of age in the Regional Hospital of Cajamarca, Northern Peru
title_full_unstemmed Bordetella pertussis diagnosis in children under five years of age in the Regional Hospital of Cajamarca, Northern Peru
title_short Bordetella pertussis diagnosis in children under five years of age in the Regional Hospital of Cajamarca, Northern Peru
title_sort bordetella pertussis diagnosis in children under five years of age in the regional hospital of cajamarca northern peru
topic Bordetella pertussis
whooping cough
PCR
Peru
url https://jidc.org/index.php/journal/article/view/6803
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