Articles

Immunity to diphtheria and tetanus among blood donors in Arak, central province of Iran

Abstract

Background and Objectives: Tetanus and diphtheria are vaccine-preventable, infectious diseases with significant morbidity and mortality. Immunization by the diphtheria and tetanus toxoid (DT) has been applied in Iran for almost 50 years. However, there are very few data about the rate of immunity to these diseases in the adult population. the humoral immunity to tetanus and diphtheria among blood donors in Arak city, central provice of Iran  were investigated.
Patients and Methods: A total of 530 consecutive blood donor samples were collected from Blood Transfusion Organization, Central province of Iran. All samples were tested for diphteria and tetanus IgG antibodies using enzyme-linked immunosorbent assay (ELISA).
Results: From 530 cases, 91.9% were male and 8.1% were female. 99.6% of cases had protective levels of diphtheria antibody. Protective levels of tetanus antibody were found in 96% of subjects. There was not any significant difference between diphtheria and tetanus antibodies levels and age and sex.
Conclusion: The obtained data showed that high proportion of the adult population in Arak have sufficient protection against diphtheria and tetanus. The high protective level of immunity to diphtheria and tetanus in Iran can be due to widespread use of booster vaccines in Iranian high schools and during the military services or for pregnant women in their 3rd trimester.

Karzon DT, Edwards KM. Diphtheria outbreaks in immunized populations. N Engl J Med 1988; 318: 41-43.

Palmer SR, Balfour AH, Jephcott AE. Immunization of adults during an outbreak of diphtheria. BMJ 1983;286: 624-626.

Aue A, Hennig H, Krüger S, Closius B, Kirchner H, Seyfarth M. Immunity against diphtheria and tetanus in German blood donors. Med Microbiol Immunol 2003;192(2): 93-97.

Stark K, Schönfeld C, Barg J, Molz B, Vornwald A, Bienzle U. Seroprevalence and determinants of diphtheria, tetanus and poliomyelitis antibodies among adults in Berlin, Germany. Vaccine 1999; 17(7-8): 844-850.

Zarei S, Jeddi-Tehrani M, Akhondi MM, Zeraati H, Pourheidari F, Ostadkarampour M, et al. Primary immunization with a triple diphtheria and tetanus- whole cell pertussis vaccine in Iranian infants: an analysis of antibody response. Iran J Allergy Asthma Immunol 2009; 8: 85-93.

Movahedi M, Haghdoost AA, Pournik O, Hajarizadeh B, Fallah MS. Temporal variations of health indicators in Iran comparing with other Eastern Mediterranean Region countries in the last two decades. J Public Health 2008; 30: 499-504.

Eslamifar A, Ramezani A, Banifazl M, Aghakhani A.Tetanus and Diphtheria Seroprevalence in Patients Infected With Human Immunodeficiency Virus. Iranian Journal of Pathology 2012; 7: 27-31.

Odile L, Christine t, Claire B, Elisabeth N, Karine P, Annie L, et al. Antibodies to tetanus, diphtheria and pertussis among healthy adults vaccinated according to the French vaccination recommendations. Hum Vaccin 2009; 5: 341-346.9. Damasco PV, Pimenta FP, Filardy AA, Brito SM, Andrade AF, Lopes GS, et al. Prevalence of IgG diphtheria antitoxin in blood donors in Rio de Janeiro. Epidemiol Infect 2005; 133: 911-4.

MacQuillan GM, Kruszon-Moran D, Deforest A, Chu S, Wharton M. Serologic immunity to diphtheria and tetanus in the United States. Ann Intern Med 2002; 136:660–666.

Saffar MJ, Khalilian AR, Ajami A, Saffar H, Qaheri A.Seroimmunity to diphtheria and tetanus among mother- infant pairs; the role of maternal immunity on infant immune response to diphtheria-tetanus vaccination. Swiss Med Wkly 2008;138(17-18): 256-60.

Allerdist H, Ehrengut-Lange J. Seroconversion in juvenile patients and adults after diphtheria immunization. Dtsch Med Wochenschr 1982; 107(46): 1755-60.

Gupta RK, Griffin P Jr, Xu J, Rivera R, thompson C, Siber GR. Diphtheria antitoxin levels in US blood and plasma donors. J Infect Dis 1996; 173: 1493-1497.

Simonson O. Vaccination against tetanus and diphtheria:evaluation of immunity in the Danish population, guideline for revaccination, and methods for control of vaccination programs. Danish Med Bull. 1989; 36:24-47.

de Melker HE, Berbers GA, Nagelkerke NJ, Conyn-van Spaendonck MA. Diphtheria Antibody Levels in the Netherlands: a Population-Based Study. Emerg Infect Dis 1999; 5: 694-700.|

Razzaghi R, Khalifesoltani A, Momen Heravi M, Akbari H. tetanus Immunity in Individuals Aged 50 Years or Older in Kashan, Iran. Acta Med Iran 2011;49: 379-382.

Ergönül O, Sözen t, tekeli E. Immunity to tetanus among adults in Turkey. Scand J Infect Dis 2001; 33:728-730.

Gergen PJ, McQuillan GM, Kiely M, Ezzati-Rice tM, Sutter RW, Virella G. A population-based serologic survey of immunity to tetanus in the United States. N Engl J Med 1995; 332: 761-766.

Kjeldsen K, Simonsen O, Heron I. Immunity against diphtheria and tetanus in the age group 30–70 years. Scand J Infect Dis 1988; 20: 177-185.

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IssueVol 6 No 3 (2014) QRcode
SectionArticles
Keywords
Antibody Level Blood Donor Diphtheria Tetanus

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How to Cite
1.
Eslamifar A, Ramezani A, Banifazl M, Sofian M, Alsadat-Mahdaviani F, Yaghmaie F, Aghakhani A. Immunity to diphtheria and tetanus among blood donors in Arak, central province of Iran. Iran J Microbiol. 1;6(3):190-193.