| Autor: |
Lapi F; Health Search, Italian College of General Practitioners and Primary Care, Via del Sansovino 179, 50142 Florence, Italy., Marconi E; Health Search, Italian College of General Practitioners and Primary Care, Via del Sansovino 179, 50142 Florence, Italy., Cricelli I; Genomedics SRL, 50141 Florence, Italy., Rossi A; Italian College of General Practitioners and Primary Care, 50142 Florence, Italy., Mastronuzzi T; Italian College of General Practitioners and Primary Care, 50142 Florence, Italy., Gabutti G; Working Group 'Vaccines and Immunization Policies' of the Italian Scientific Society of Hygiene, Preventive Medicine and Public Health (SItI), Cogorno, 16030 Genoa, Italy., Cricelli C; Italian College of General Practitioners and Primary Care, 50142 Florence, Italy. |
| Jazyk: |
angličtina |
| Zdroj: |
Infectious disease reports [Infect Dis Rep] 2024 Sep 02; Vol. 16 (5), pp. 870-879. Date of Electronic Publication: 2024 Sep 02. |
| DOI: |
10.3390/idr16050068 |
| Abstrakt: |
Background : In recent years, Europe has experienced a significant increase in pertussis cases. One reason behind this rise is the decline in diphtheria-tetanus-pertussis (dTap) booster coverage among adults. Currently, Italy lacks a reliable monitoring system to track pertussis infections and vaccine coverage among adults. We therefore evaluated the reliability of a primary care framework to respond to this need. Methods : Using an Italian primary care database for individuals aged 15 or above, we determined the pertussis infection notification rate and dTap vaccine/booster coverage for the timeframe of 2009-2022. Results : In the overall population, we obtained a lifetime occurrence rate of pertussis infections of 7.52 per 10,000 individuals. The annual incidence rates of pertussis infections ranged from 0.008 to 0.001 per 10,000 person-years between 2009 and 2022. A rising trend in dTap vaccine coverage rate (ranging from 8.72 to 16.54 vaccines per 10,000 individuals) was observed during the same period. Notably, those aged 65 or older, smokers, and/or individuals with immunodeficiencies were more likely to receive the dTap vaccine compared to the general population. Conclusions : Given the organization of the Italian public health system, this primary care network might act as a reliable epidemiological monitoring system to keep track of pertussis infections and dTap vaccine coverage in adults. Pertussis cases were underreported, and there was a low uptake of vaccines and boosters. Therefore, it is crucial to closely monitor pertussis notifications and dTap administrations and develop intervention strategies at the national level to enhance vaccine-related prevention. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
|
|
Nepřihlášeným uživatelům se plný text nezobrazuje |
K zobrazení výsledku je třeba se přihlásit.
|
