IgG antibody level against pediatric diphtheria toxoid in Kon Tum province in 2020

Lê Văn Tuấn, Nguyễn Thị Tuyết Vân, Nguyễn Hoàng Quân, Phạm Văn Doanh, Nguyễn Thị Thu Trâm, Dương Thị Ngọc Thúy, Phạm Ngọc Thanh, Đỗ Ngọc Hòa, Nguyễn Lộc Vương, Viên Chinh Chiến

Main Article Content

Abstract

A study was performed to evaluate the seroprevalence of diphtheria antibodies among the population of Kon Tum city, Kon Tum province by ELISA ( enzyme-Linked Immunosorbent Assay) to quantity serum diphtheria antibodies. The results showed that in a total of 662 children, 33.1% were unprotected, 6.3% had basic protection, and 60.6% had full protection. The full protection level of girls (63.6) was significantly higher than boys (57.5%). The full protection level found in children aged 0-5 was 62.6%, then decreased in older aged groups. The results are scientific to propose compulsory immunizations programs suitable interventional methods for controlling and preventing of diphtheria in Kon Tum province and Tay Nguyen region in the future.

Article Details

References

1. CDC. Diphtheria. In: Atkinson W, Wolfe S, Hamborsky J (eds). Epidemiology and Prevention of Vaccine-Preventable Diseases, 12th edn. Washington, DC: Public Health Foundation. 2012; 12: 75 - 86.
2. Cục Y tế dự phòng. Tình hình dịch bệnh bạch hầu và các biện pháp phòng chống trọng tâm, 2020. Ngày truy cập 22/6/2021. https://vncdc.gov.vn/files/article_attachment/2020/9/2-cuc-ytdp-bai-trinh-bay-bach-hau-hoi-nghi-pcd-1992020-new.pdf.
3. Doanh PV, Pham DT, Ha NT, et al. An outbreak of diphtheria in K’Bang District, Gia Lai, Vietnam, October 2013 – July 2014. International Journal of Infectious Dis. 2016; 45(172): 1 - 447.
4. Phạm Thọ Dược, Trần Đắc Phu, Phạm Ngọc Thanh và cộng sự. Thực trạng và một số yếu tố liên quan đến tiêm chủng vắc xin phòng bệnh bạch hầu ở trẻ (1 - 5 tuổi) tại huyện Kon Plong, tỉnh Kon Tum – 2016. Tạp chí Y học dự phòng. 2016; XXVI: 15(188): 97 – 103.
5. Lê Văn Bé, Nguyễn Thị Lan Phương, Phạm Thọ Dược và cộng sự. Đánh giá đáp ứng kháng thể kháng bạch hầu sau can thiệp bằng vắc xin uốn ván –bạch hầu (Td) trên đối tượng 6 đến 25 tuổi tại huyện Kon Plong, tỉnh Kon Tum, từ 5/2016 - 3/2017. Tạp chí Y học dự phòng. 2017; 27(8): 465 - 471.
6. WHO. The Immunological Basis for Immunization Series: Module 2: Diphtheria. Received on 22 June 2021. https://www.who.int/publications/i/item/who-immunological-basis-for-immunization-series-module-2-diphtheria.
7. Nguyen TD, Dang A, Van Damme P, et al. Coverage of the expanded program on immunization in Vietnam: Results from 2 cluster surveys and routine reports. Hum Vaccin Immunother. 2015; 11(2164 - 554X): 1526 - 1533.
8. Scheifele DW, Ochnio JJ. Module 2: Diphtheria (update 2009). In: The immunological basis for immunization series. Geneva: World Health Organization. 2009.
9. Brennan M, Vitek C, Strebel P, et al. How many doses of diphtheria toxoid are required for protection in adults? Results of a case-control study among 40- to 49-year-old adults in the Russian Federation. J Infect Dis. 2000; 181: S193 – S196.
10. Wanlapakorn N, Pornsak Y, Tharmaphornpilas P, et al. Diphtheria outbreak in Thailand, 2012; seroprevalence of diphtheria antibodies among Thai adults and its implications for immunization programs. Southeast Asian J Trop Med Public Health. 2012; 45: 1132 - 1141.
11. Ang LW, James L, Goh KT. Prevalence of diphtheria and tetanus antibodies among adults in Singapore: a national serological study to identify most susceptible population groups. J Public Health (Oxf). 2015; 38: 99 - 105.
12. Li X, Chen M, Zhang T, et al. Seroepidemiology of diphtheria and pertussis in Beijing, China: A cross-sectional study. Hum Vaccin Immunother. 2015; 11(10): 2434 - 2439.
13. An DTM, Lee JK, Minh HV, et al. Timely immunization completion among children in Vietnam from 2000 to 2011: a multilevel analysis of individual and contextual factors. 2016; 29(9): 29189.
14. Kjeldsen K, Simonsen O, Heron I. Immunity against diphtheria 25-30 years after primary vaccination in childhood. Lancet. 1985; i: 175.
15. Bitragunta S, Murhekar MV, Chakravarti A, et al. Safety and immunogenicity of a single dose of tetanus-diphtheria (Td) vaccine among non/partially immune children against diphtheria and/or tetanus, Hyderabad, India, 2007. Vaccine 2010; 28: 5934–38.