ÿþ<HTML><HEAD><TITLE>25º Congresso Brasileiro de Microbiologia </TITLE><link rel=STYLESHEET type=text/css href=css.css></HEAD><BODY aLink=#ff0000 bgColor=#FFFFFF leftMargin=0 link=#000000 text=#000000 topMargin=0 vLink=#000000 marginheight=0 marginwidth=0><table align=center width=700 cellpadding=0 cellspacing=0><tr><td align=left bgcolor=#cccccc valign=top width=550><font face=arial size=2><strong><font face=Verdana, Arial, Helvetica, sans-serif size=3><font size=1>25º Congresso Brasileiro de Microbiologia </font></font></strong><font face=Verdana size=1><b><br></b></font><font face=Verdana, Arial,Helvetica, sans-serif size=1><strong> </strong></font></font></td><td align=right bgcolor=#cccccc valign=top width=150><font face=arial size=2><strong><font face=Verdana, Arial, Helvetica, sans-serif size=1><font size=1>ResumoID:1292-2</font></em></font></strong></font></td></tr><tr><td colspan=2><br><br><table align=center width=700><tr><td>Área: <b>Imunologia ( Divisão E )</b><p align=justify><strong><SPAN STYLE="FONT-FAMILY: ARIAL,HELVETICA,SANS-SERIF;"></SPAN><P>DIPHTHERIA ANTITOXIN IGG LEVELS IN MILITARY AND CIVIL BLOOD DONORS FROM RIO DE JANEIRO, BRAZIL<BR></P> </strong></p><p align=justify><b>Francisco Almeida Braga Speranza </b> (<i>UERJ</i>); <b><u>Louisy Sanches dos Santos </u></b> (<i>UERJ</i>); <b>Solange Kiyoko Ishii </b> (<i>MEX</i>); <b>Raphael Hirata Junior </b> (<i>UERJ</i>); <b>Ana Luiza de Mattos-guaraldi </b> (<i>UERJ</i>); <b>Lucimar Gonçalves Milagres </b> (<i>UERJ</i>)<br><br></p><b><font size=2>Resumo</font></b><p align=justify class=tres><font size=2><div style="text-align: justify;"><span style="font-family: Arial,Helvetica,sans-serif;">Diphtheria is a</span><span style="font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;" lang="EN-US"> life-threatening disease that can be prevented through immunization. The recommended vaccination schedule in Brazil consists of three doses of diphtheria-tetanus-pertussis vaccine (DTP) in the first year of life, followed by a booster dose at 5-6 years of age. In 2002, the Public Health Agency of Rio de Janeiro (SES-RJ 2002) stated a shifting in the age distribution of cases of diphtheria to persons over 15 years of age. Current information also indicated the circulation of <i>Corynebacterium diphtheriae</i> in our population, including cancer patients and healthy vaccinated adults. In response to the huge epidemic that hit the countries of the Russian confederation, since 2004 the Brazilian Ministry of Health recommended an additional diphtheria-tetanus booster dose to be provided every subsequent 10 years. Serologic data on diseases that are preventable by vaccine are useful to evaluate the success of immunization programs and to identify susceptible subgroups. However, there are <em><span style="font-weight: normal;">few</span></em> published data regarding regular immunization coverage and immunity of Brazilian adult population. A previous survey carried out on serum samples collected from blood donors of a universitary hospital of Rio de Janeiro from July to October 2002 showed that a high proportion (~70%) of individuals from 18 to 30 years of age had non-protective antibody levels against the diphtheria toxin. Considering the potential risk of low antibody levels, these data highlight the need for additional seroepidemiological surveys in <st1:country-region w:st="on"><st1:place w:st="on">Brazil</st1:place></st1:country-region>.<span style="">&nbsp; </span>Due to the possibility of outbreaks of respiratory diphtheria among military, several studies have been performed in order to assess the immune status against diphtheria of soldiers in different countries.<span style="color: red;"><span style="">&nbsp; </span></span>In Brazil, little is known about antibody levels against the diphtheria toxin in individuals joining military service.<span style="">&nbsp; </span>In this report we determined serum IgG levels to diphtheria toxin of military and civil blood donors, <span style="">aged 18-64 years, </span>from the Brazilian Army Biology Institute, <st1:place w:st="on"><st1:city w:st="on">Rio de Janeiro</st1:city></st1:place>, using a commercial diphtheria-ELISA kit. Most (63.6%) unprotected militaries were from the older age group; 33 to 64 years. In contrast, the majority (72%) of young militaries (18 to 32 years) were fully protected. Concerning to the civilians, 50% of persons from 18 to 32 years had protective antibody levels to diphtheria as well 52% of individuals aged 33 to 64 years. Civilians had similar antibody response (mean of 0.66 IU/ml) independent of the age group. Militaries of 18-32 years had high IgG levels (mean of 0.87 IU/ml) than militaries of 33-64 years (mean of 0.59 IU/ml) (P = 0.03). <span style="">Concluding, t</span></span><span style="font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;" lang="EN-US">he existence of susceptible military and civilian adults creates an epidemic potential in our community and reinforces</span><span style="font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;" lang="EN-US"> that reliable data on the immune status of the population should be routinely maintained. Financial support: CNPq, CAPES, FAPERJ, SR-2/UERJ</span><b style=""><span style="font-size: 10pt; font-family: &quot;Arial&quot;,&quot;sans-serif&quot;;" lang="EN-US"> <o:p></o:p></span></b></div> </font></p><br><b>Palavras-chave: </b>&nbsp;Diphtheria, Diphtheria antitoxin, Rio de Janeiro</td></tr></table></tr></td></table></body></html>