Serological evaluation of immunity against Corynebacterium diphtheriae in the Peruvian adult population

The reemergence of diphtheria outbreaks in Latin America calls for an assessment of the level of immune protection in adults. This study estimated IgG levels against Corynebacterium diphtheriae in individuals immunized and unimmunized with dT or DTaP boosters over the past 10 years. A cross-sectiona...

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Main Authors: Tony Saldaña, Ariadna Taboada-Reyes, Maria Ines Chuquizana, Lady Urbina-Perez, Sofía E. Romero
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Human Vaccines & Immunotherapeutics
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Online Access:https://www.tandfonline.com/doi/10.1080/21645515.2025.2550104
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author Tony Saldaña
Ariadna Taboada-Reyes
Maria Ines Chuquizana
Lady Urbina-Perez
Sofía E. Romero
author_facet Tony Saldaña
Ariadna Taboada-Reyes
Maria Ines Chuquizana
Lady Urbina-Perez
Sofía E. Romero
author_sort Tony Saldaña
collection DOAJ
description The reemergence of diphtheria outbreaks in Latin America calls for an assessment of the level of immune protection in adults. This study estimated IgG levels against Corynebacterium diphtheriae in individuals immunized and unimmunized with dT or DTaP boosters over the past 10 years. A cross-sectional study was conducted in 127 adults from Lima and Callao, divided according to recent vaccination history. Serum IgG levels were measured using an indirect ELISA (SERION ELISA® classic) and classified into four categories according to protection. The Mann-Whitney U test was used for comparative analysis. 26.8% showed no protection, while 62.2% showed certain or long-term protection. Among those vaccinated, 92.9% achieved protective levels, compared to 67.7% of those unvaccinated (p = .001). The 40–49 age group had the highest proportion of unprotected individuals (33.3%). Vaccination with dT or DTaP boosters was associated with protective IgG levels. A significant proportion of adults lacked immunity, especially among those who did not receive a booster, highlighting the need to strengthen immunization strategies in adults.
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spelling doaj-art-bc5bddf534024e6284f2a688bb2729e72025-08-26T10:05:38ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2025-12-0121110.1080/21645515.2025.2550104Serological evaluation of immunity against Corynebacterium diphtheriae in the Peruvian adult populationTony Saldaña0Ariadna Taboada-Reyes1Maria Ines Chuquizana2Lady Urbina-Perez3Sofía E. Romero4Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, PeruFacultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, PeruControl de Calidad, AT Biotec Laboratorios, Lima, PerúControl de Calidad, AT Biotec Laboratorios, Lima, PerúFacultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, PeruThe reemergence of diphtheria outbreaks in Latin America calls for an assessment of the level of immune protection in adults. This study estimated IgG levels against Corynebacterium diphtheriae in individuals immunized and unimmunized with dT or DTaP boosters over the past 10 years. A cross-sectional study was conducted in 127 adults from Lima and Callao, divided according to recent vaccination history. Serum IgG levels were measured using an indirect ELISA (SERION ELISA® classic) and classified into four categories according to protection. The Mann-Whitney U test was used for comparative analysis. 26.8% showed no protection, while 62.2% showed certain or long-term protection. Among those vaccinated, 92.9% achieved protective levels, compared to 67.7% of those unvaccinated (p = .001). The 40–49 age group had the highest proportion of unprotected individuals (33.3%). Vaccination with dT or DTaP boosters was associated with protective IgG levels. A significant proportion of adults lacked immunity, especially among those who did not receive a booster, highlighting the need to strengthen immunization strategies in adults.https://www.tandfonline.com/doi/10.1080/21645515.2025.2550104Diphtheriavaccinationadultsimmunity
spellingShingle Tony Saldaña
Ariadna Taboada-Reyes
Maria Ines Chuquizana
Lady Urbina-Perez
Sofía E. Romero
Serological evaluation of immunity against Corynebacterium diphtheriae in the Peruvian adult population
Human Vaccines & Immunotherapeutics
Diphtheria
vaccination
adults
immunity
title Serological evaluation of immunity against Corynebacterium diphtheriae in the Peruvian adult population
title_full Serological evaluation of immunity against Corynebacterium diphtheriae in the Peruvian adult population
title_fullStr Serological evaluation of immunity against Corynebacterium diphtheriae in the Peruvian adult population
title_full_unstemmed Serological evaluation of immunity against Corynebacterium diphtheriae in the Peruvian adult population
title_short Serological evaluation of immunity against Corynebacterium diphtheriae in the Peruvian adult population
title_sort serological evaluation of immunity against corynebacterium diphtheriae in the peruvian adult population
topic Diphtheria
vaccination
adults
immunity
url https://www.tandfonline.com/doi/10.1080/21645515.2025.2550104
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