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Peer reviewedPertussis

Multicenter Study on Children With Bordetella parapertussis Infections

Pediatric Infectious Disease Journal·

Yusuke Isobe, Kenta Ito, Munehiro Furuichi, Masatoshi Nozaki, Takemi Murai, Kunihiro Oba, Isao Miyairi, Yuho Horikoshi

DOI
10.1097/inf.0000000000005383
PMID
42642803
PMCID
OpenAlex
Study type
Journal article
Publisher
Ovid Technologies (Wolters Kluwer Health)
Article type
journal-article
Integrity
current

Why this research matters now

The findings provide clinical context for B. parapertussis monoinfection in children, including symptom patterns, hospitalization, and antimicrobial use. The abstract indicates that further research is needed to clarify antibiotic-use indications.

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Structured evidence summary

Research question

The study examined the clinical course and management of Bordetella parapertussis infection in children with confirmed monoinfection, including symptoms, hospitalization, and antimicrobial treatment.

Study design

This was a multicenter retrospective study conducted at 10 hospitals from April 2023 through March 2024. Children with B. parapertussis detected by BioFire Respiratory Panel 2.1 were included after cases with coinfections were excluded.

Population and setting

The study included patients aged 15 years or younger who underwent multiplex respiratory PCR testing at 10 hospitals. Of 139 patients with B. parapertussis detected, 29 without coinfection were analyzed; the median age was 3 years.

Main findings

Among the 29 analyzed children, 72.4% were hospitalized and 62.1% received antimicrobial therapy; 55.2% had comorbidities. Cough and fever were common, no inspiratory whoop or cyanosis was reported, and there were no fatalities. The abstract reports more frequent febrile illness than in classical pertussis and notes that some patients recovered without antimicrobial treatment.

Public-health relevance

The findings provide clinical context for B. parapertussis monoinfection in children, including symptom patterns, hospitalization, and antimicrobial use. The abstract indicates that further research is needed to clarify antibiotic-use indications.

Important limitations

The retrospective design, analysis of only 29 monoinfection cases, and exclusion of coinfections limit the scope of the reported findings. This summary relies on the supplied single-article abstract and metadata; the original paper is required for decision-grade interpretation.

GIDS interpretation

The article is discoverable in the supplied classification under Pertussis and Treatment and concerns pediatric B. parapertussis infection. The supplied evidence does not establish or confirm any live surveillance signal.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

03

Evidence relationships

This article has 8 auditable classifier relationships to diseases, places, topics, and study design.

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