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Risk factors for pertussis hospitalizations in Australians aged 45 years and over: A population based nested case-control study.

Abstract：

:Although studies have described factors associated with pertussis hospitalization in children, data on adult hospitalization are sparse. We examined the association between patient characteristics and hospitalization among older adults with pertussis. We conducted a nested case-control study of participants in the 45 and Up prospective cohort in New South Wales, Australia, with an incident pertussis diagnosis during 2006-2012. Cases were defined as those with a hospitalization coded as 'whooping cough' or 'non-specific respiratory disease/cough' between a week prior and 6 weeks after the diagnosis of pertussis based on laboratory tests. Controls were participants diagnosed with pertussis but not hospitalized. Among 265,287 participants, the incidence of pertussis and pertussis hospitalization was 83.9 (95% [confidence interval] CI, 78.7-89.6) and 2.9 (95% CI, 2.1-4.1)/100,000 person-years, respectively. Among 33 cases and 882 controls, factors associated with hospitalization were increasing age (compared to those 45-54 years, adjusted odds ratio [aOR] 5.4 (95% CI, 1.6-18.2) and 8.9 (95% CI, 2.3-34.7) in those aged 65-74 years and 75+ years, respectively) and smoking (ever versus never, aOR 2.37 (95% CI, 1.11-5.06)). The risk of pertussis hospitalization is substantially higher in ≥65 years old. A booster dose of diphtheria-tetanus-pertussis vaccine could be readily integrated into routine vaccination for this age group.

journal_name

Vaccine

journal_title

Vaccine

authors

Karki S,McIntyre P,Newall AT,MacIntyre CR,Banks E,Liu B

doi

10.1016/j.vaccine.2015.08.068

subject

Has Abstract

pub_date

2015-10-13 00:00:00

pages

5647-5653

issue

42

eissn

0264-410X

issn

1873-2518

pii

S0264-410X(15)01206-2

journal_volume

33

pub_type

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