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[Presence of Bordetella holmesii in an outbreak of pertussis in Chile].

Authors: Miranda, Carolina; Wozniak, Aniela; Castillo, Claudia; Geoffroy, Enrique; Zumaran, Cecilia; Porte, Lorena; Roman, Juan C.; +2 Authors

[Presence of Bordetella holmesii in an outbreak of pertussis in Chile].

Abstract

The incidence of whooping cough in Chile ranges from 4.1 and 7.5 per hundred thousand inhabitants. B. pertussis detection is performed by Real Time PCR (Q-PCR) directed to the insertion sequence IS481. However, this sequence is also found in the genome of B. bronchiseptica and B. holmesii. The latter is also a respiratory pathogen whose clinical features are similar to B. pertussis. However, it is important to differentiate between these species because in immunosuppressed patients B. holmesii is more likely to cause bacteremia and is less susceptible to erythromycin. The goal of this work is to measure prospectively and retrospectively the presence of B. holmesii in samples reported positive for B. pertussis in the period 2010-2011. During this period, 1994 nasopharyngeal specimens entered the laboratory for Bordetella sp. PCR, of which 224 were positive. The analysis by Q-PCR directed to the recA gene of B. holmesii of all 224 positive samples determined a prevalence of B. holmesii of 0.6% (12/1994). Because of its more aggressive behavior in immunosupressed patients and its different resistance pattern, routine screening of B. pertussis and B. holmesii is currently performed for all samples in which Bordetella sp PCR is initially detected.

Country
Chile
Keywords

Adult, DNA, Bacterial, Male, SYMPTOMS, IS481, Adolescent, diagnosis, POLYMERASE-CHAIN-REACTION, Bordetella, polymerase chain reaction, Extinction, Biological, Real-Time Polymerase Chain Reaction, Bordetella pertussis, Disease Outbreaks, 618, 03 Salud y bienestar, 616, Humans, Chile, Child, Bordetella holmesii, Infant, Newborn, Infant, insertion sequence IS481, Sequence Analysis, DNA, Middle Aged, TIME PCR ASSAY, INFECTIONS, Child, Preschool, 03 Good Health and Well-being, Female, Seasons, Epidemiologic Methods

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
12
Average
Average
Top 10%
gold