Azithromycin to Prevent Pertussis in Household Contacts, Catalonia and Navarre, Spain, 2012-2013

We retrospectively assessed the effectiveness of azithromycin in preventing transmission of pertussis to a patient's household contacts. We also considered the duration between symptom onset in the primary patient and azithromycin administration. We categorized contacts into 4 groups: those tre...

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Detalles Bibliográficos
Autores: Álvarez, Josep, Godoy i García, Pere, Plans Rubio, Pedro, Camps, Neus, Carol, Mónica, Carmona i Parcerisa, Glòria, Solano, Rubén, Rius, Cristina, Minguell, Sofía, Barrabeig i Fabregat, Irene, Sala Farré, Maria Rosa, Rodríguez, Raquel, Garcia Cenoz, Manuel, Muñoz Almagro, Carmen, Domínguez García, Àngela, Transmission of Pertussis in Households Working Group
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/194952
Acceso en línea:https://hdl.handle.net/2445/194952
Access Level:acceso abierto
Palabra clave:Tos ferina
Terapèutica
Whooping cough
Therapeutics
Descripción
Sumario:We retrospectively assessed the effectiveness of azithromycin in preventing transmission of pertussis to a patient's household contacts. We also considered the duration between symptom onset in the primary patient and azithromycin administration. We categorized contacts into 4 groups: those treated within <7 days, 8-14 days, 15-21 days, and >21 days after illness onset in the primary patient. We studied 476 primary index patients and their 1,975 household contacts, of whom 4.5% were later identified as having pertussis. When contacts started chemoprophylaxis within <21 days after the primary patient's symptom onset, the treatment was 43.9% effective. Chemoprophylaxis started >14 days after primary patient's symptom onset was less effective. We recommend that contacts of persons with pertussis begin chemoprophylaxis within <14 days after primary patient's symptom onset.