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Lenis-Ballesteros V, Ochoa J, Hincapié-Palacio D, León-Álvarez A, Vargas-Restrepo F, Ospina MC, Buitrago-Giraldo S, Díaz FJ, Gonzalez-Ortíz D. Seroprevalence of Varicella in Pregnant Women and Newborns in a Region of Colombia. Vaccines (Basel) 2021; 10:52. [PMID: 35062713 PMCID: PMC8781242 DOI: 10.3390/vaccines10010052] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2021] [Revised: 12/20/2021] [Accepted: 12/21/2021] [Indexed: 11/23/2022] Open
Abstract
We estimate the seroprevalence of IgG antibodies to varicella zoster virus (VZV) based on the first serological study in a cohort of pregnant women and newborns from the Aburrá Valley (Antioquia-Colombia) who attended delivery in eight randomly chosen hospitals. An indirect enzyme immunoassay was used to determine anti-VZV IgG antibodies. Generalized linear models were constructed to identify variables that modify seropositivity. In pregnant women, seropositivity was 85.8% (95% CI: 83.4-85.9), seronegativity was 12.6% (95% CI: 10.8-14.6), and concordance with umbilical cord titers was 90.0% (95% CI: 89-91). The seropositivity of pregnant women was lower in those who lived in rural areas (IRR: 0.4, 95% CI: 0.2-0.7), belonged to the high socioeconomic status (IRR: 0.4, 95% CI: 0.2-0.7), and had studied 11 years or more (IRR: 0.6, 95% CI: 0.4-0.8). Among newborns, seropositivity was lower in those who weighed less than 3000 g (IRR: 0.8, 95% CI: 0.6-1.0). The high seropositivity and seronegativity pattern indicates the urgent need to design preconception consultation and vaccination reinforcement for women of childbearing age according to their sociodemographic conditions, to prevent infection and complications in the mother and newborn.
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Affiliation(s)
- Viviana Lenis-Ballesteros
- Hector Abad Gómez National Faculty of Public Health, Universidad de Antioquia UdeA, Medellin 050010, Colombia; (J.O.); (D.H.-P.); (A.L.-Á.); (F.V.-R.)
| | - Jesús Ochoa
- Hector Abad Gómez National Faculty of Public Health, Universidad de Antioquia UdeA, Medellin 050010, Colombia; (J.O.); (D.H.-P.); (A.L.-Á.); (F.V.-R.)
| | - Doracelly Hincapié-Palacio
- Hector Abad Gómez National Faculty of Public Health, Universidad de Antioquia UdeA, Medellin 050010, Colombia; (J.O.); (D.H.-P.); (A.L.-Á.); (F.V.-R.)
| | - Alba León-Álvarez
- Hector Abad Gómez National Faculty of Public Health, Universidad de Antioquia UdeA, Medellin 050010, Colombia; (J.O.); (D.H.-P.); (A.L.-Á.); (F.V.-R.)
| | - Felipe Vargas-Restrepo
- Hector Abad Gómez National Faculty of Public Health, Universidad de Antioquia UdeA, Medellin 050010, Colombia; (J.O.); (D.H.-P.); (A.L.-Á.); (F.V.-R.)
| | - Marta C. Ospina
- Laboratory of Public Health of the Regional Secretariat of Health and Social Protection of Antioquia, Medellin 050010, Colombia; (M.C.O.); (S.B.-G.)
| | - Seti Buitrago-Giraldo
- Laboratory of Public Health of the Regional Secretariat of Health and Social Protection of Antioquia, Medellin 050010, Colombia; (M.C.O.); (S.B.-G.)
| | - Francisco J. Díaz
- School of Medicine, Universidad de Antioquia UdeA, Medellin 050010, Colombia;
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Valencia CM, Burwick R, Velásquez JA, Silva JL, Gutiérrez-Marín J, Edna-Estrada F, Trujillo-Otálvaro J, Bernal Y, Quintero A, Gómez AM, González N, Cabas C, Rincón M, Lenis-Ballesteros V, Tolosa JE. 67: Improved diagnosis of preeclampsia with severe features and end organ injury using complement activation measurement in urine and plasma. Am J Obstet Gynecol 2018. [DOI: 10.1016/j.ajog.2017.10.478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Velasquez J, Burwick R, Valencia CM, Vargas J, Silva JL, Edna-Estrada F, Gutiérrez-Marín JH, Trujillo-Otálvaro J, Gómez AM, Rincón M, Cabas C, Quintero A, González N, Lenis-Ballesteros V, Tolosa JE. 329: Excess complement activation is associated with adverse outcomes in women with hypertensive disorders of pregnancy. Am J Obstet Gynecol 2018. [DOI: 10.1016/j.ajog.2017.10.265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Cadavid-Betancur DA, Ospina MC, Hincapié-Palacio D, Bernal-Restrepo LM, Buitrago-Giraldo S, Perez-Toro O, Santacruz-Sanmartín E, Lenis-Ballesteros V, Almanza-Payares R, Díaz FJ. Seroprevalence of hepatitis B and factors potentially associated in a population-based study in Medellin, Colombia. Vaccine 2017; 35:4905-4912. [PMID: 28780978 DOI: 10.1016/j.vaccine.2017.07.084] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2017] [Revised: 06/27/2017] [Accepted: 07/25/2017] [Indexed: 10/19/2022]
Abstract
The seroprevalence of hepatitis B (HB) and of potentially associated factors in Medellin, Colombia, were investigated 17years after the start of universal vaccination. Biological and sociodemographic data from a population survey with a multistage random sampling were analyzed in 6-64year old individuals. HB surface antigen, total HB core antibodies and HB surface antibodies, and in some cases IgM antibodies to HB core antigen, were tested in 2077 samples. Factors potentially associated with and natural, and vaccine immunity relative to susceptibility (absence of any marker) were analyzed using a multinomial logistic regression. The prevalence of serological patterns was: chronic infection 0.20% (95% CI 0.11-0.71), vaccine immunity 25.10% (95% CI 21.72-28.83) and natural immunity 2.60% (95% CI 1.80-3.74). No markers were detected in 71.30% (95% CI 67.70-74.83) of the individuals and evidence of recent infection was not detected. Relative to the absence of markers, natural immunity was potentially associated with age (6-17years and 41-64years) and sleeping less than 6 hours, while vaccine immunity was associated with age (6-17years), reporting vaccination against HB, belonging to high socioeconomic strata, home ownership and being obese, after adjusting for other variables. These results may be a population effect of mass vaccination. It is recommended to complete the vaccination schedule and to study in detail, persistence of antibodies and the role of obesity and socioeconomic strata in the vaccine immunity.
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Affiliation(s)
- David A Cadavid-Betancur
- Group of Epidemiology, National School of Public Health, 'Héctor Abad Gómez' - University of Antioquia, Calle 62 # 52-29 Of. 226, Medellín, Colombia; GIVET Research Group, Facultad de Ciencias Administrativas y Agropecuarias, Corporación Universitaria Lasallista, Caldas, Colombia.
| | - Marta C Ospina
- Laboratory of Public Health of the Regional Secretariat of Health and Social Protection of Antioquia, Carrera 72a # 78b-141, tercer piso, Medellín, Colombia.
| | - Doracelly Hincapié-Palacio
- Group of Epidemiology, National School of Public Health, 'Héctor Abad Gómez' - University of Antioquia, Calle 62 # 52-29 Of. 226, Medellín, Colombia.
| | - Luz M Bernal-Restrepo
- Laboratory of Public Health of the Regional Secretariat of Health and Social Protection of Antioquia, Carrera 72a # 78b-141, tercer piso, Medellín, Colombia.
| | - Seti Buitrago-Giraldo
- Laboratory of Public Health of the Regional Secretariat of Health and Social Protection of Antioquia, Carrera 72a # 78b-141, tercer piso, Medellín, Colombia.
| | - Olga Perez-Toro
- Laboratory of Public Health of the Regional Secretariat of Health and Social Protection of Antioquia, Carrera 72a # 78b-141, tercer piso, Medellín, Colombia.
| | | | - Viviana Lenis-Ballesteros
- National School of Public Health, 'Héctor Abad Gómez' - University of Antioquia, Calle 62 # 52-29 Of. 226, Medellín, Colombia.
| | - Rita Almanza-Payares
- Secretariat of Health, Calle 44 N 52 - 165 Centro Administrativo La Alpujarra, Medellín, Colombia.
| | - Francisco J Díaz
- Group of Inmunovirology, School of Medicine - University of Antioquia, Calle 62 #52-59, Medellín, Colombia.
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Santacruz-Sanmartín E, Hincapié-Palacio D, Ospina MC, Perez-Toro O, Bernal-Restrepo LM, Buitrago-Giraldo S, Lenis-Ballesteros V, Díaz FJ. Seroprevalence of mumps in an epidemic period in Medellín, Colombia. Vaccine 2015; 33:5606-5612. [DOI: 10.1016/j.vaccine.2015.08.088] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2015] [Revised: 08/26/2015] [Accepted: 08/31/2015] [Indexed: 11/30/2022]
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