title: Epidemiology of pertussis in adolescents and adults in Turkey.
abstract: Two hundred and fourteen patients who had a cough illness lasting at least 2 weeks were studied to investigate Bordetella pertussis as a cause of prolonged cough in adolescents and adults. Medical history and nasopharyngeal swab specimens for culture and polymerase chain reaction (PCR) were obtained at presentation. Three (1·4%) patients were B. pertussis culture-positive; 15 (7%) were B. pertussis PCR-positive (including the culture-positive patients) and 11 (5·1%) were Bordetella spp. PCR-positive. Symptom combinations were significantly high both in patients with pertussis and patients with indeterminate results (P < 0·05). We conclude that B. pertussis should be considered among differential diagnoses of prolonged cough in adolescents and adults and PCR and culture should be used to detect these cases and facilitate public health response.
authors.affiliation: Department of Clinical Microbiology,Akdeniz University Faculty of Medicine,Antalya,Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Karagul
authors.affiliation: Department of Clinical Microbiology,Akdeniz University Faculty of Medicine,Antalya,Turkey.
authors.forename: D
authors.initials: D
authors.lastname: Ogunc
authors.affiliation: Department of Clinical Microbiology,Istanbul University Cerrahpasa Faculty of Medicine,İstanbul,Turkey.
authors.forename: K
authors.initials: K
authors.lastname: Midilli
authors.affiliation: Department of Clinical Microbiology,Akdeniz University Faculty of Medicine,Antalya,Turkey.
authors.forename: G
authors.initials: G
authors.lastname: Ongut
authors.affiliation: Department of Clinical Microbiology,Akdeniz University Faculty of Medicine,Antalya,Turkey.
authors.forename: B
authors.initials: B
authors.lastname: Ozhak Baysan
authors.affiliation: Department of Public Health,Akdeniz University Faculty of Medicine,Antalya,Turkey.
authors.forename: L
authors.initials: L
authors.lastname: Donmez
authors.affiliation: Department of Clinical Microbiology,Antalya Research and Training Hospital,Antalya,Turkey.
authors.forename: D
authors.initials: D
authors.lastname: Daglar
authors.affiliation: Department of Clinical Microbiology,Istanbul University Cerrahpasa Faculty of Medicine,İstanbul,Turkey.
authors.forename: M A
authors.initials: MA
authors.lastname: Kuskucu
authors.affiliation: Department of Pediatrics,Akdeniz University Faculty of Medicine,Antalya,Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Bingol
authors.affiliation: Department of Pulmonary Medicine,Akdeniz University Faculty of Medicine,Antalya,Turkey.
authors.forename: O
authors.initials: O
authors.lastname: Ozbudak
authors.affiliation: Department of Clinical Microbiology,Akdeniz University Faculty of Medicine,Antalya,Turkey.
authors.forename: D
authors.initials: D
authors.lastname: Colak
authors.affiliation: Department of Infectious Diseases and Clinical Microbiology,Akdeniz University Faculty of Medicine,Antalya,Turkey.
authors.forename: F
authors.initials: F
authors.lastname: Gunseren
mesh_terms: D000293:Adolescent; D000328:Adult; D001886:Bordetella pertussis / Q000235:genetics / Q000302:isolation & purification*; D002648:Child; D002908:Chronic Disease; D003371:Cough / Q000382:microbiology*; D004269:DNA, Bacterial / Q000032:analysis; D005260:Female; D006801:Humans; D008297:Male; D008487:Medical History Taking; D009666:Nose / Q000382:microbiology; D010614:Pharynx / Q000382:microbiology; D014421:Turkey / Q000453:epidemiology; D014839:Vomiting / Q000382:microbiology; D014917:Whooping Cough / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology*; D055815:Young Adult
chemical_list: D004269:DNA, Bacterial
keywords: Bordetella pertussis; Turkey; adolescents; adults; prolonged cough