Seroprevalence of Anti-Rubella IgG Antibodies Among Women of Chilbearing Age: A Croos-Sectional Study
DOI:
https://doi.org/10.58222/jkm.v3i2.1201Keywords:
Vaccination, Anti-Rubella Antibodies, Pregnancy, Immunization, MR vaccineAbstract
Rubella infection, while typically mild and self-limiting in adults, poses significant teratogenic risks during pregnancy, potentially leading to Congenital Rubella Syndrome (CRS) with a 75-100% transmission rate during the first trimester. This study aimed to assess the need for adult vaccination by detecting anti-rubella IgG titers in women of childbearing age and examining the correlation between vaccination history and seroprevalence. A total of 130 women, including 35 pregnant women, were tested for anti-rubella IgG antibodies using Enzyme-Linked Immunosorbent Assay. Results showed that 102 women (78.47%) were seropositive while 28 (21.53%) were seronegative. Among those with complete vaccination history, 60 women (46.15%) were seropositive, while 6 were seronegative. Of those with unknown vaccination status, 42 women (32.30%) were seropositive and 7 were seronegative. All unvaccinated women were seronegative. In the pregnant women subgroup, 32 were seropositive while 3 showed seronegativity. The finding that 21.53% of women were seronegative, including some with vaccination history, highlights a significant population at risk for rubella infection during pregnancy. This study underscores the importance of evaluating rubella susceptibility in women of reproductive age and suggests the need for considering adult and adolescent vaccination strategies to prevent CRS, even in regions where rubella vaccination is included in the national immunization schedule.
References
Thayyil, J., Kuniyil, V., & Moorkoth, A. P. (2016). Prevalence of rubella-specific IgG antibodies in unimmunized young female population. Journal of Family Medicine and Primary Care, 5(3), 658-662.
Zhou, Q., Acharya, G., Zhang, L., Wei, X., Wang, K., Li, F., ... & Ge, H. (2017). Rubella virus immunization status in preconception period among Chinese women of reproductive age: A nation-wide, cross-sectional study. Vaccine, 35(23), 3076-3081.
World Health Organization. (2011). Rubella vaccines: WHO position paper. Weekly Epidemiological Record, 86(29), 301-316.
Lambert, N., Strebel, P., Orenstein, W., Icenogle, J., & Poland, G. A. (2015). Rubella. The Lancet, 385(9984), 2297-2307.
Muliyil, D. E., Singh, P., & Jois, S. K. (2018). Sero-prevalence of rubella among pregnant women in India. Vaccine, 36(52), 7909-7912.
Murhekar, M., Verma, S., Singh, K., Bavdekar, A., Benakappa, N., Santhanam, S., ... & Venkateswarlu, V. (2020). Epidemiology of Congenital Rubella Syndrome (CRS) in India, 2016-18, based on data from sentinel surveillance. PLoS Neglected Tropical Diseases, 14(3), 1-11.
Greenwood, D., Barer, M., Slack, R., & Irving, W. (2012). Topley and Wilson's microbiology and microbial infections: Virology (10th ed.). Wiley-Blackwell.
Kaushik, A., Verma, S., & Kumar, K. (2018). Congenital rubella syndrome: A brief review of public health perspectives. Indian Journal of Public Health, 62(2), 152-154.
World Health Organization. (2015). WHO rubella fact sheet. http://www.who.int/mediacentre/factsheets/fs367/en/
Dimech, W., Grangeot-Keros, L., & Vauloup-Fellous, C. (2015). Standardization of assays that detect anti-rubella virus IgG antibodies. Clinical Microbiology Reviews, 29(1), 163-174.
Rustagi, R., Deka, D., & Singh, S. (2005). Rubella serology in Indian adolescent girls and its relation to socio-economic status. Journal of Obstetrics and Gynecology of India, 55(2), 167-169.
Varghese, V. P. (2017). Introducing rubella vaccine into national immunisation schedule. Indian Journal of Medical Microbiology, 35(1), 143-145.
Lee, J. Y., & Bowden, D. S. (2000). Rubella virus replication and links to teratogenicity. Clinical Microbiology Reviews, 13(4), 571-587.
Forbes, J. A. (1969). Rubella: Historical aspects. American Journal of Diseases of Children, 118(1), 5-11.
Brooks, G. F., Carroll, K. C., Butel, J. S., Morse, S. A., & Mietzner, T. A. (2013). Jawetz, Melnick & Adelberg's medical microbiology (27th ed.). McGraw-Hill.
Sastry, A. S., & Bhat, S. (2019). Essentials of medical microbiology (1st ed.). Jaypee Brothers Medical Publishers.
Raveendran, R., Panicker, C. K. J., & Ananthanarayan, R. (2017). Ananthanarayan and Paniker's textbook of microbiology (10th ed.). Universities Press.
Cordoba, P., Langeveld, J. P. M., Minderhoud, M. M., Huynen, P., & Meloen, R. H. (2000). Evaluation of antibodies against a rubella virus neutralizing domain for determination of immune status. Clinical and Diagnostic Laboratory Immunology, 7(6), 964-966.
Robinson, J. L., Lee, B. E., & Preiksaitis, J. K. (2006). Prevention of Congenital Rubella Syndrome - What makes sense in 2006? Epidemiologic Reviews, 28(1), 81-87.
Miller, E. M., Cradock-Watson, J. E., & Pollock, T. M. (1982). Consequences of confirmed maternal rubella at successive stages of pregnancy. The Lancet, 320(8302), 781-784.
DIA.PRO Diagnostic Bioprobes Srl. (n.d.). Kit literature [Product manual]. Sesto San Giovanni, Milano, Italy.
Gohil, D. J., Kothari, S. T., Chaudhari, A. B., & Gunale, B. K. (2016). Seroprevalence of measles, mumps, and rubella antibodies in college students in Mumbai, India. Viral Immunology, 29(3), 159-163.
Phalgune, D. S., Yervadekar, R. C., & Sharma, H. J. (2014). Sero-surveillance to assess rubella susceptibility and assessment of immunogenicity and reactogenicity of rubella vaccine in Indian girls aged 18-24 years. Human Vaccines & Immunotherapeutics, 10(9), 2813-2818.
Arunkumar, G., Vandana, K. E., & Sathiakumar, N. (2013). Prevalence of measles, mumps, rubella, and varicella susceptibility among health science students in a university in India. American Journal of Industrial Medicine, 56(1), 58-64.
Singla, N., Jindal, N., & Aggarwal, A. (2004). The seroepidemiology of rubella in Amritsar (Punjab). Indian Journal of Medical Microbiology, 22(1), 61-63.
Honarvar, B., Moghadami, M., Moattari, A., Emami, A., Odoomi, N., & Lankarani, K. B. (2013). Seroprevalence of anti-rubella and anti-measles IgG antibodies in pregnant women in Shiraz, Southern Iran: Outcomes of a nationwide measles-rubella mass vaccination campaign. PLoS One, 8(1), e55043.
Koshy, A. K., Varghese, J. G., & Issac, J. (2018). Seroprevalence of rubella in an urban infertility clinic - 2020 observations and challenges ahead. Journal of Human Reproductive Sciences, 11(4), 384-387.
Kandasamy, S., Jeyakumari, D., & Premalatha, D. (2019). Seroprevalence of rubella immunity (IgG antibody) among female health care workers of our hospital in Southern India. Journal of Clinical & Diagnostic Research, 13(7), 10-13.
Sharma, H., Chowdhari, S., & Raina, T. R. (2010). Sero-surveillance to assess immunity to rubella and assessment of immunogenicity and safety of a single dose of rubella vaccine in school girls. Indian Journal of Community Medicine, 35(1), 134-137.
Sharma, H. J., Padbidri, V. S., & Kapre, S. V. (2011). Seroprevalence of rubella and immunogenicity following rubella vaccination in adolescent girls in India. Journal of Infection in Developing Countries, 5(12), 874-881.
Wang, X., Xu, Y., Zhang, X., Zhang, X., Du, J., Che, X., Gu, W., Wang, J., Jiang, W., & Liu, Y. (2023). Do adolescents need a rubella vaccination campaign? Rubella serosurvey among healthy children in Hangzhou, China. Human Vaccines & Immunotherapeutics, 19(2), 2254536. https://doi.org/10.1080/21645515.2023.2254536
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Sruthi G, Rashmi, Soumya GS

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.














_1.png)
