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Query: UMLS:C0043167 (pertussis)
 19,595 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Sixty-five patients with pertussis were identified by a clinical criterion, and Bordetella pertussis was isolated from 75% of these patients or their symptomatic household contacts. Negative nasopharyngeal cultures were usually associated with either a history of antibiotic therapy with erythromycin or tetracycline (two of three patients), two or more diphtheria and tetanus toxoids with pertussis (DTP) vaccines (six of eight patients), or both (two of three patients). Erythromycin therapy resulted in the elimination of B. pertussis from the nasopharynx in 2 to 7 days (mean, 3.6 days) compared with 7 to 17 or more days (mean, greater than 12 days) in patients treated with no antibiotics, but had no effect on the duration or severity of illness as judged by length of hospitalization. Adenoviruses were recovered from five of 44 patients cultured. Four of these isolates were from throat swabs obtained early in the illness and the remaining isolate was from one of 33 repeated viral cultures obtained two to three weeks later; B. pertussis was also isolated from these five patients. Paired serum samples were obtained from only two of these patients. Neither demonstrated a fourfold rise in adenoviral complement-fixing antibodies. Therefore, in these patients, adenoviral isolation may have been secondary to reactivation of a latent viral infection by infection with B. pertussis.
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PMID:The role of antibiotics, immunizations, and adenoviruses in pertussis. 20 99

Different components of B. pertussis were found to have a similar inhibitory effect on thymidine-3H incorporation caused by phytohemagglutinin (PHA) in the culture of lymphocytes taken from donors immunized with tetanus toxoid. However, the same fractions of B. pertussis produced differential effects on the reaction of lymphocyte proliferation in response to tetanus toxoid: murein-"ontaining membranes enhanced thymidine-3H incorporation, RNA-containing fractions reduced it and water-soluble components of disintegrated B. pertussis produced no effect on lymphocyte proliferation.
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PMID:[Changes in the proliferative response of human lymphocytes in vitro on exposure to subcellular components of Bordetella pertussis]. 21 21

The nature of the pathogenesis and of the prolonged immunity of whooping cough has not been clearly defined. The literature of Bordetella pertussis indicated that only the antigen that induces histamine sensitization, lymphocytosis, and other biological reactions in mice is the cause of the harmful effects and prolonged immunity of whooping cough. This antigen has the general characteristics of bacterial protein exotoxins that cause the harmful effects of infectious diseases such as diphtheria and tetanus. It is proposed that this antigen, which is histamine-sensitizing, lymphocyte-leukocyte-promoting, and islets-activating (HSF-LPF-IAP), be designated pertussis toxin. Agglutinogen, hemagglutinin, and heat-labile (at 56 C) and heat-stable (at 100 C) toxins are no doubt interrelated with the immunologic and/or toxic reactions of whooping cough. It appears that the first defense against the disease is the antibody that prevents adhesion of the bacteria to the cilia of the respiratory epithelium and that the second defense is the antitoxin against pertussis toxin (HSF-LPF-IAP).
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PMID:Pertussis toxin: the cause of the harmful effects and prolonged immunity of whooping cough. A hypothesis. 23 66

Forty-four children, aged four to seven, who attended two midwestern metropolitan immunization clinics were studied in an attempt to ascertain their responses to a painful stimulus and to observe correlations between their behavioral responses and their subjective ratings of the experience. The children were screened with three tests--two Piaget tests for the preoperational stage development and the Denver Develoment Screening Test for normal development. The children were observed for verbal, vocal, facial, and motor behavior during diphtheria-pertussis-tetanus or diphtheria-tetanus injections. The children then rated the extent of pain during the injection by responding to two instruments, a modification of Eland's Projective Tool and Hester's Poker Chip Tool. Each behavior category was correlated with the pain rating. Significant positive correlations were found for verbal and vocal behaviors while significant negative correlations were found for facial and motor behaviors.
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PMID:The preoperational child's reaction to immunization. 25 24

An immunological study in a case of nephrotic syndrome in early infancy with mesangioproliferative glomerulonephritis with focal crescents revealed deficiencies in humoral and cellular immunity. Serum Ig-G antibody levels such as pertussis-agglutinins, tetanus and diophtheria-antitoxing were decreased. A loss of tetanus antibodies in the urine could be observed. The production of tetanus-antibodies after immunogenic stimulation with tetanus-antigen was not diminished. The loss of Ig-A in the urine might have been compensated by a higher synthesis rate, which could also be the cause of the increased serum levels of Ig-M, since a loss of Ig-M in urine was not observed. The diminished serum levels of Ig-G antibodies were considered not only to be the result of loss, but possibly also of higher catabolism, and an insufficient compensation by a higher rate of synthesis. The percentage of T-cells in peripheral blood was found to be low. Stimulation of lymphocytes with PHA was at first normal, but in the last investigations diminished. Special experiments lead to the assumption, that this partial defect of cellular immunity might be the result of lacking or diminution of nutritive plasmafactors.
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PMID:[Immunological studies in a case of congenital nephrotic syndrome with focal extracapillary proliferative glomerulonephritis (author's transl)]. 30 66

In the course of 2 years of surveillance of whooping cough by fortnightly home visits among a population of 24,000 in a rural area of Kenya, 918 cases were observed with a peak of 218 in December 1974-January 1975. The attack rate was highest (15.8%) during the 1st year of life; for those ages 0-6 it was 12.8%. 90% of the cases occurred in children age 6 or younger. The median age was 3.5 years, the age range 1 month-13 years. Girls were significantly more affected than boys. The overall case fatality rate was 1.3% but among infants, it was 2.5 times higher. In order to contribute to the improvement of immunization coverage in countries where health resources are limited, a schedule of child immunization requiring a minimum number of contacts with the children was introduced into the study area with the aim of evaluating its effectiveness in protecting children from clinical pertussis. In this trial, the effect of 2 and 3 diphtheria-pertussis-tetanus (DPT) vaccine doses was compared. Pertussis agglutinating antibody determinations showed an equally satisfactory response after 2 and 3 DPT vaccine doses. (author's)
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PMID:Pertussis in a rural area of Kenya: epidemiology and a preliminary report on a vaccine trial. 31 Jul 19

Migration of leukocytes of newborns and of infants up to the age of 6 months was studied using the in vivo skin-window technique according to Rebuck. Using the non-specific stimulation (abrasion of the skin only) a slight age-dependent physiological increase of migration of cells was observed within the observation period; after a strong local irritation with diphtheria-tetanus-pertussis vaccine (Alditepera) there was a vigorous migratory response of cells in the skin lesion. Both quantitatively and qualitatively, the migration pattern (i.e. shift from PMN leukocyte to mononuclear cells in the exudate within a 1 d period after abrasion) was not influenced by immunization of infants with Alditepera, suggesting thus the nonspecific nature of this cellular response. The "normal" values of the chemotactic response of leukocytes of newborns and infants are given as a basis for evaluation of defects of this functional activity of leukocytes.
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PMID:Skin-window study on the migration of leukocytes of newborns and infants. 39 96

Parents from four practices were surveyed to ascertain reactions of children to diphtheria-pertussis-tetanus (DPT) vaccine in the 48 hours after immunization. Vaccines were administered according to current recommendations. Responses were scored in three categories: temperature, behavioral changes, and local reactions. Questionnaires were returned by 1,232 (84.9%) patients. Only 7.0% reported no reaction, while 336 (27.3%) reported mild, 722 (58.6%) moderate, and 88 (7.1%) severe reactions. Over 50% experienced temperatures of at least 100 F, and 80% noted behavioral changes; 72.2% had local reactions. No encephalitis, seizures, or hospitalizations were reported. Reactogenicity was similar for the five immunizations of the recommended series and the two manufacturers evaluated. Reported reactions in the control group were significantly lower than in the study group. These reaction rates underline the need to reevaluate present DPT vaccines.
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PMID:Diphtheria-pertussis-tetanus vaccine: reactogenicity of commercial products. 44 Aug 17

The Indian government set up an integrated child development services (ICDS) scheme in 1974, the object of which was to provide health care that would reduce mortality, morbidity, malnutrition, and preventable disease among India's 228 million children (according to the 1971 Census) under the age of 14. The paper describes what this program consists in and summarizes its achievements in one area from July 1976 to December 1977. These have been: 80% of the children in the age group 0-6 immunized against diphtheria, pertussis, tetanus, tuberculosis, and smallpox; 60% of expectant mothers immunized against tetanus; 40% of the children and 30% of the mothers have received Foliper tablets, supplied to prevent nutritional anemia; 60% of the children have received 1 dose of vitamin A in oil and 40% have received their second; and, finally, 82% of the children have received a health checkup and 70% of the expectant mothers have received antenatal checkups. In addition, 20 indigenous dais have been trained and 20 more are presently undergoing training.
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PMID:Integrated child development services (I.C.D.S.) scheme. A new approach to (maternal and child health) services. Its activities in Orissa. 45 21

A major purpose of a state-wide survey to document the vaccination status of 1,003 2-year-old children was to identify factors associated with failure to receive the recommended vaccinations. With a basic series of immunization defined as three doses of diphtheria-tetanus-pertussis (DTP), three oral polio vaccine (OPV), one measles, and one rubella, 72.5% of the children had completed the series. When the completed series was redefined to include a fourth DTP and mumps vaccine the rate of completion dropped to 40.8%. However, 59.1% of the children who had not completed this optimal series could be brought up-to-date with a single visit to their provider of medical care. Demographic variables independently associated with completion of the basic series were increased paternal education (P less than .001), increased maternal education (P less than .02), smaller family size (P less than .01) and higher socioeconomic status, as determined by census tract or rural town of residence (P less than .02). Race was not found to be a factor associated with vaccination rates when socioeconomic status was controlled. Patients who received their vaccinations from private physicians had a better vaccination rate than those who attended health department clinics. This difference persisted even when socioeconomic status was controlled by residence (P less than .02). The simultaneous comparison of parental education and family size demonstrated that a child having one parent with less than 12 years education or having at least three siblings has a fourfold greater risk of failure to complete his immunization than children whose parents are both college graduates. By using paternal and maternal education level and family size as screening variables, children at high risk for failure to complete their immunizations could be identified prospectively and made the target of intervention programs to improve compliance.
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PMID:Risk factors associated with failure to receive vaccinations. 48 72


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