Serological evidence of acute rubella infection among under-fives in Mwanza (Record no. 18970)

MARC details
000 -LEADER
fixed length control field 02986nam a22002297a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 210825b |||||||| |||| 00| 0 eng d
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Mariam M. Mirambo
9 (RLIN) 22927
222 ## - KEY TITLE
Key title Rubella; IgM; Under-fives; Mwanza; Tanzania; Congenital rubella syndrome
245 ## - TITLE STATEMENT
Title Serological evidence of acute rubella infection among under-fives in Mwanza
Remainder of title a threat to increasing rates of congenital rubella syndrome in Tanzania
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza, Tanzania
Name of publisher, distributor, etc. Catholic University of Health and Allied Sciences CUHAS - Bugando &
-- BioMed Central
Date of publication, distribution, etc. 25 May 2016
300 ## - PHYSICAL DESCRIPTION
Extent Pages 1-5
490 ## - SERIES STATEMENT
Materials specified Italian Journal of Pediatrics volume 42, Article number: 54 (2016)
Series statement Italian Journal of Pediatrics volume 42, Article number: 54 (2016)
Volume/sequential designation Italian Journal of Pediatrics Volume 42 Issue 1
520 ## - SUMMARY, ETC.
Summary, etc. Abstract<br/><br/>Background: Control of rubella infection is essential for preventing congenital rubella syndrome (CRS) and one of the important steps is to define a target population for vaccination. Therefore this study was done to determine serological evidence of acute rubella infection among under-fives in order to anticipate the magnitude of rubella virus transmission in Tanzania.<br/><br/>Methods: A cross-sectional study involving children aged between 1 and 59 months was conducted between September and October 2014 before national rubella vaccination campaigns commenced. Rubella IgM antibodies were detected using commercial indirect enzyme-linked immunosorbent assay (ELISA). Data were analyzed using STATA version 11.<br/><br/>Results: A total of230 under-fives were enrolled, their median age was 14 (Interquartile range (IQR) 7–26) months. The overall seroprevalence of rubella IgM antibodies was 10.9 % (25/230) with two confirmed cases of CRS. Two-sample Wilcoxon rank-sum test showed that the median age of rubella IgM seropositive children was significantly higher than that of IgM seronegative children (39 IQR: 18-51months vs. 14 IQR: 7–24 months, P < 0.001). On multivariate logistic regression analysis increase in age (OR: 1.07, 95 % CI; 1.03–1.1, P < 0.001) and residing in rural areas (OR: 8.07, 95 % CI; 1.43–45.6, P = 0.018) were independently found to predict acute rubella infection among under-fives.<br/><br/>Conclusion: Our findings indicate that rubella virus is prevalent in our setting posing a risk of transmitting to childbearing aged women hence increasing the risk of CRS. Increasing prevalence of acute infection with age in under-fives indicates the protective role of maternal antibodies among infants. The sustained vaccination programme of under-fives as effective measure to control CRS should be emphasized in developing countries.<br/><br/>
700 ## - ADDED ENTRY--PERSONAL NAME
9 (RLIN) 23519
9 (RLIN) 19663
9 (RLIN) 23365
9 (RLIN) 22970
9 (RLIN) 23520
9 (RLIN) 15820
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://doi.org/10.1186/s13052-016-0264-5">https://doi.org/10.1186/s13052-016-0264-5</a>
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme ddc
Koha item type RESEARCH ARTICLES
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