J Korean Med Sci.  2005 Aug;20(4):542-547. 10.3346/jkms.2005.20.4.542.

Distributions of Antibody Titers to Mycoplasma pneumoniae in Korean Children in 2000-2003

Affiliations
  • 1Department of Pediatrics, Dongguk University Interna-tional Hospital, Ilsan, Seoul, Korea.
  • 2Department of Pediatrics, Korea University Anam Hospital, Seoul, Korea.
  • 3Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea. kohyy@plaza.snu.ac.kr
  • 4Department of Pediatrics, Korea University Guro Hospital, Seoul, Korea.

Abstract

The aim of study was to describe Mycoplasma pneumoniae epidemics in a hospital-based population. Special attention was paid to the relationship between antibody titer to M. pneumoniae and sex, age, and atopy. During the eight 6-month periods between January 2000 and December 2003, serum samples were obtained from 1,319 Korean children who presented with respiratory symptoms, and were examined for antibodies to M. pneumoniae using the indirect particle agglutination test. Geometric mean antibody titers peaked in the second half of 2000 and then decreased gradually, a second peak occurred in the second half of 2003. Likewise, the frequency of high antibody titers (>or=1:640) also peaked during these two periods. Antibody titers in children aged 0-3 yr were lower than in older children during both peak periods and for 2 yr after the first peak. Sex and atopy had no effect on antibody titers. During the years 2000-2003, geometric mean antibody titers and the frequencies of high antibody titers varied with time. These changes suggest a cyclic pattern of M. pneumoniae infection, with two epidemic peaks separated by 3 yr.

Keyword

Mycoplasma pneumoniae; Disease Outbreaks; Serologic Tests; Child; Sex; Age; Atopy; Korea

MeSH Terms

Adolescent
Age Distribution
Antibodies, Bacterial/*blood
Child
Child, Preschool
Disease Outbreaks/statistics & numerical data
Female
Humans
Infant
Infant, Newborn
Korea/epidemiology
Male
Mycoplasma pneumoniae/*immunology
Pneumonia, Mycoplasma/*blood/epidemiology/immunology
Research Support, Non-U.S. Gov't
Sex Distribution
Time Factors

Figure

  • Fig. 1 Antibody titers to Mycoplasma pneumoniae during the eight consecutive 6-month periods (2000-2003). Closed circles and short horizontal bars indicate geometric means and 95% confidence intervals, respectively. *p<0.001; †p<0.01, compared with the titer in the first half of 2000.

  • Fig. 2 Distributions of antibody titers to Mycoplasma pneumoniae during the eight consecutive 6-month periods.


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