Abstract:
:Patients with immunodeficiency-associated vaccine-derived poliovirus (iVDPV) are potential poliovirus reservoirs in the posteradication era that might reintroduce polioviruses into the community. We update the iVDPV registry in Iran by reporting 9 new patients. In addition to national acute flaccid paralysis surveillance, cases were identified by screening nonparalyzed primary immunodeficiency (PID) patients. Overall, 23 iVDPV patients have been identified since 1995. Seven patients (30%) never had paralysis. Poliovirus screening accelerated the iVDPV detection rate in Iran after 2014.The iVDPV infection rate among nonparalyzed patients with adaptive PID was 3.1% (7/224), several folds higher than previous estimates. Severe combined immunodeficiency patients had the highest risk for asymptomatic infection (28.6%) compared with other PIDs. iVDPV2 emergence has decreased after the switch from trivalent to bivalent oral poliovirus vaccine in 2016. However, emergence of iVDPV1 and iVDPV3 continued. Poliovirus screening in PID patients is an essential step in the endgame of polio eradication.
journal_name
Emerg Infect Disjournal_title
Emerging infectious diseasesauthors
Shaghaghi M,Shahmahmoodi S,Nili A,Abolhassani H,Madani SP,Nejati A,Yousefi M,Kandelousi YM,Irannejad M,Shaghaghi S,Zahraei SM,Mahmoudi S,Gouya MM,Yazdani R,Azizi G,Parvaneh N,Aghamohammadi Adoi
10.3201/eid2511.190540subject
Has Abstractpub_date
2019-11-01 00:00:00pages
2005-2012issue
11eissn
1080-6040issn
1080-6059journal_volume
25pub_type
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