Seroprotection against tetanus in HIV-exposed and HIV-unexposed infants in Malawi in 2019-2020.


Journal

BMJ paediatrics open
ISSN: 2399-9772
Titre abrégé: BMJ Paediatr Open
Pays: England
ID NLM: 101715309

Informations de publication

Date de publication:
24 Sep 2024
Historique:
received: 23 04 2024
accepted: 09 09 2024
medline: 25 9 2024
pubmed: 25 9 2024
entrez: 24 9 2024
Statut: epublish

Résumé

In Malawi, tetanus toxoid vaccination (TTV) is recommended in pregnancy, but few studies have assessed the prevalence of infant seroprotection against tetanus. Anti-TT levels from 84 6-week-old infants, born in 2019-2020 to mothers living with HIV (HEU: HIV-exposed-uninfected) infants and to HIV-negative women (HUU: HIV-unexposed-uninfected) infants were determined by ELISA assay. Although 94% of the infants (HEU=94.8%, HUU=92.3%) showed protective levels (>0.1 IU/mL), the mean titers observed (0.51 IU/mL) suggest an incomplete compliance with TT vaccination. The only factor positively correlated to anti-TT IgG levels was the duration of maternal antiretroviral therapy in HEU.

Identifiants

pubmed: 39317654
pii: 10.1136/bmjpo-2024-002718
doi: 10.1136/bmjpo-2024-002718
pii:
doi:

Substances chimiques

Tetanus Toxoid 0
Antibodies, Bacterial 0

Types de publication

Journal Article Letter

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Auteurs

Silvia Baroncelli (S)

National Center for Global Health, Istituto Superiore di Sanita, Rome, Italy silvia.baroncelli@iss.it.

Clementina Maria Galluzzo (CM)

National Center for Global Health, Istituto Superiore di Sanita, Rome, Italy.

Stefano Orlando (S)

University of Rome Tor Vergata Department of Biomedicine and Prevention, Rome, Lazio, Italy.

Richard Luhanga (R)

DREAM Program, Community of S. Egidio, Blantyre, Malawi.

Robert Mphwere (R)

DREAM Program, Community of S. Egidio, Blantyre, Malawi.

Thom Kavalo (T)

DREAM Program, Community of S. Egidio, Blantyre, Malawi.

Roberta Amici (R)

National Center for Global Health, Istituto Superiore di Sanita, Rome, Italy.

Marco Floridia (M)

National Center for Global Health, Istituto Superiore di Sanita, Rome, Italy.

Mauro Andreotti (M)

National Center for Global Health, Istituto Superiore di Sanita, Rome, Italy.

Fausto Ciccacci (F)

UniCamillus, Rome, Italy.

Maria Cristina Marazzi (MC)

LUMSA, Roma, Italy.

Marina Giuliano (M)

National Center for Global Health, Istituto Superiore di Sanita, Rome, Italy.

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Classifications MeSH