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[The re-emergence of pertussis in Tunisia]
A Zouari1, H Smaoui, E Njamkepo
1Laboratoire de Microbiologie, Hôpital d'Enfants de Tunis, Tunis, Tunisie. zouariasma1@yahoo.fr
Insights
Pertussis remains a concern in Tunisia, particularly among infants. Real-time PCR offers rapid diagnosis for whooping cough, though culture methods are also recommended.
Area of Science:
- Pediatric infectious diseases
- Microbiology
- Epidemiology
Background:
- Pertussis, commonly known as whooping cough, poses a significant public health challenge globally.
- Infant pertussis cases require prompt diagnosis and management due to potential severity.
Purpose of the Study:
- To investigate the epidemiology of pertussis in Tunisian infants.
- To evaluate diagnostic methods for pertussis in hospitalized infants.
Main Methods:
- Nasopharyngeal samples were collected from infants suspected of having pertussis between March 2007 and March 2008.
- Laboratory confirmation utilized Bordetella species culture and real-time PCR.
Main Results:
- Of 74 infants studied, 59% were under two months old.
- Real-time PCR confirmed pertussis in 41% of cases.
- Bacterial cultures were negative in all investigated infants.
Conclusions:
- Pertussis remains prevalent in Tunisia, even with high vaccination rates.
- Real-time PCR is a valuable tool for rapid pertussis diagnosis.
- Combining PCR with culture methods is advisable for comprehensive diagnosis.
Objective:
The authors had for aim to analyze pertussis epidemiology in Tunisia by studying nasopharyngeal specimens of infants hospitalized in Tunis.
Methods:
Between march 2007 and march 2008, clinical nasopharyngeal samples were collected from infants with a suspected diagnosis of whooping cough, pertussoid cough, or pertussis-like syndrome, admitted at the Tunis children's hospital. The laboratory diagnostic criteria were culture isolation of Bordetella species on Bordet-Gengou medium and real-time PCR.
Results:
Fifty-nine percent of the 74 investigated children with suspected pertussis were less than two months of age. The diagnosis of pertussis was proved positive by real-time PCR for 41%. Culture was negative in all cases.
Conclusions:
Whooping cough is still prevalent in Tunisia despite an important vaccination coverage. Real-time PCR is an invaluable tool for the rapid diagnosis of pertussis, however culture must also be associated.
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