Despite high levels of vaccination coverage, pertussis remains a serious problem. Pertussis cases are registered among infants, adolescents, and adults. Infants younger than three months of age have the highest rate of serious clinical course of pertussis. Transplacental transfer of pertussis-specific antibodies induce protection against infection. The available data on antibody level against pertussis among pregnant women in Russia are fragmentary. To evaluate the humoral immunity to Bordetella pertussis in pregnant women and factors associated with seronegative status we performed cross-sectional study including 388 participants. “SeroPertussis IgG” (Israel) enzyme linked immunosorbent assay test-system was used for quantitative measurement of antibodies to pertussis toxin / hemagglutinin. Binary logistic regression analysis was performed to assess factors associated with seronegative status. The median age of the participants was 30 years. The majority of them (51,3%) did not provide documented vaccination against pertussis. A positive (protective) level of anti-pertussis antibodies (10-50 BU/ml) was revealed in the venous blood of 46,9% of pregnant women. In 25,8% of seropositive women, concentration of specific antibodies was high (> 50 BU/ml). That may indirectly indicate recent Bordetella pertussis infection. More than half of the women surveyed (53,1%) did not have a protective titer of antibodies and were considered susceptible to pertussis. Their children will not receive transplacental immunity to infection. Gestational age was significantly associated with seronegative status. Compared to women tested during the first trimester, participants in their third trimester of pregnancy were more likely to be seronegative to pertussis. The odds of being susceptible increased with increased gestational period (p for linear trend < 0,01). There were no significant differences between the seropositive and seronegative participants with regard to age, gravidity and vaccination status. Pertussis booster vaccinations for preschool children, adolescence and healthcare workers dealing with pregnant women and newborns, as well as cocoon vaccination strategy and vaccination during pregnancy, are required to be implemented to protect infants against pertussis.

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Болезни костно-мышечной системы и соединительной ткани (БКМС), относимые к XIII классу Международной класси-фикации болезней 10-го пересмотра (МКБ-10), составляют основную группу ревматических заболеваний (РЗ), медицинское О р и г и н а л ь н ы е и с с л е д о в а н и я ФГБОУ ВО «Северный государственный медицинский университет» Минздрава России 163000 Архангельск, Троицкий проспект, 51

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