Low seroprotection against diphtheria and tetanus in Lao adolescents

Trop Med Int Health. 2023 Jun;28(6):501-506. doi: 10.1111/tmi.13882. Epub 2023 May 18.

Abstract

Objectives: There is currently no booster diphtheria or tetanus vaccine for Lao children before adolescence, despite international recommendations. We investigated seroprotection against diphtheria and tetanus among Lao adolescents.

Methods: Seven hundred seventy-nine serum samples were tested for anti-diphtheria and anti-tetanus antibodies.

Results: Overall, 25.8% of the adolescents had antibody titers corresponding to protection against diphtheria and 30.9% to sufficient immunity against tetanus. Female participants >16 years were more likely to be protected against diphtheria (p < 0.001) and tetanus (p < 0.029).

Conclusion: Low protection against diphtheria and tetanus, possibly due to low vaccination coverage or antibody waning, suggests booster doses are warranted before adolescence.

Keywords: Laos; diphtheria; seroprevalence; tetanus; vaccination.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Antibodies, Bacterial
  • Child
  • Diphtheria* / prevention & control
  • Female
  • Humans
  • Immunization, Secondary
  • Laos / epidemiology
  • Tetanus Toxoid
  • Tetanus* / prevention & control

Substances

  • Antibodies, Bacterial
  • Tetanus Toxoid