Emergence of Epidemic Neisseria meningitidis Serogroup X Meningitis in Togo and Burkina Faso

被引:103
作者
Delrieu, Isabelle [1 ]
Yaro, Seydou [2 ]
Tamekloe, Tsidi A. S. [3 ]
Njanpop-Lafourcade, Berthe-Marie [1 ]
Tall, Haoua [1 ]
Jaillard, Philippe [1 ]
Ouedraogo, Macaire S. [4 ]
Badziklou, Kossi [5 ]
Sanou, Oumarou [1 ]
Drabo, Aly [2 ]
Gessner, Bradford D. [1 ]
Kambou, Jean L. [6 ]
Mueller, Judith E. [1 ]
机构
[1] Agence Med Prevent, Paris, France
[2] Ctr Muraz, Bobo Dioulasso, Burkina Faso
[3] Minist Hlth, Lome, Togo
[4] Ctr Hosp Univ Souro Sanou, Bobo Dioulasso, Burkina Faso
[5] Natl Inst Hyg, Lome, Togo
[6] Minist Hlth, Ouagadougou, Burkina Faso
关键词
MENINGOCOCCAL MENINGITIS; CARRIAGE; IMPACT; NIGER; BELT; W135;
D O I
10.1371/journal.pone.0019513
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Serogroup X meningococci (NmX) historically have caused sporadic and clustered meningitis cases in sub-Saharan Africa. To study recent NmX epidemiology, we analyzed data from population-based, sentinel and passive surveillance, and outbreak investigations of bacterial meningitis in Togo and Burkina Faso during 2006-2010. Cerebrospinal fluid specimens were analyzed by PCR. In Togo during 2006-2009, NmX accounted for 16% of the 702 confirmed bacterial meningitis cases. Kozah district experienced an NmX outbreak in March 2007 with an NmX seasonal cumulative incidence of 33/100,000. In Burkina Faso during 2007-2010, NmX accounted for 7% of the 778 confirmed bacterial meningitis cases, with an increase from 2009 to 2010 (4% to 35% of all confirmed cases, respectively). In 2010, NmX epidemics occurred in northern and central regions of Burkina Faso; the highest district cumulative incidence of NmX was estimated as 130/100,000 during March-April. Although limited to a few districts, we have documented NmX meningitis epidemics occurring with a seasonal incidence previously only reported in the meningitis belt for NmW135 and NmA, which argues for development of an NmX vaccine.
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页数:8
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