Por favor, use este identificador para citar o enlazar este Item:http://hdl.handle.net/20.500.12105/11498
Título
Seroepidemiology of mumps in Europe (1996-2008): why do outbreaks occur in highly vaccinated populations?
Autor(es)
Eriksen, J | Davidkin, I | Kafatos, G | Andrews, N | Barbara, C | Cohen, D | Duks, A | Griskevicius, A | Johansen, K | Bartha, K | Kriz, B | Mitis, G | Mossong, J | Nardone, A | O'Flanagan, D | De Ory, Fernando de ISCIII | Pistol, A | Theeten, H | Prosenc, K | Slacikova, M | Pebody, R
Fecha de publicación
2013-03
Cita
Epidemiol Infect. 2013 Mar;141(3):651-66.
Idioma
Inglés
Tipo de documento
journal article
Resumen
Mumps outbreaks have recently been recorded in a number of highly vaccinated populations. We related seroprevalence, epidemiological and vaccination data from 18 European countries participating in The European Sero-Epidemiology Network (ESEN) to their risk of mumps outbreaks in order to inform vaccination strategies. Samples from national population serum banks were collected, tested for mumps IgG antibodies and standardized for international comparisons. A comparative analysis between countries was undertaken using age-specific mumps seroprevalence data and information on reported mumps incidence, vaccine strains, vaccination programmes and vaccine coverage 5-12 years after sera collection. Mean geometric mumps antibody titres were lower in mumps outbreak countries [odds ratio (OR) 0·09, 95% confidence interval (CI) 0·01-0·71)]. MMR1 vaccine coverage ⩾95% remained protective in a multivariable model (P < 0·001), as did an interval of 4-8 years between doses (OR 0·08, 95% CI 0·01-0·85). Preventing outbreaks and controlling mumps probably requires several elements, including high-coverage vaccination programmes with MMR vaccine with 4-8 years between doses.
Palabras clave
MESH
Disease Outbreaks | Mumps Vaccine | Adolescent | Adult | Antibodies, Viral | Child | Child, Preschool | Europe | Female | Humans | Immunization Schedule | Incidence | Infant | Male | Middle Aged | Mumps | Mumps virus | Seroepidemiologic Studies | Vaccination | Young Adult
Versión en línea
DOI
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