Publications by authors named "Lucia C Pawloski"

Article Synopsis
  • In 2020, the CSTE revised the pertussis case definition, recognizing PCR-positive cases as confirmed, regardless of cough duration, to improve case reporting.
  • The evaluation showed that 9.5% of reported cases in Enhanced Pertussis Surveillance were newly classified under the updated definition, leading to an estimated additional 582 cases nationally.
  • The change in definition allowed for better tracking of pertussis cases, even during a significant decline in reported cases due to COVID-19, enhancing opportunities for public health measures.
View Article and Find Full Text PDF

Pertussis, caused by , can cause debilitating respiratory symptoms, so whole-cell pertussis vaccines (wPVs) were introduced in the 1940s. However, reactogenicity of wPV necessitated the development of acellular pertussis vaccines (aPVs) that were introduced in the 1990s. Since then, until the COVID-19 pandemic began, reported pertussis incidence was increasing, suggesting that aPVs do not induce long-lasting immunity and may not effectively prevent transmission.

View Article and Find Full Text PDF
Article Synopsis
  • Respiratory diphtheria is a severe infection primarily spread through respiratory droplets, and a significant outbreak occurred among Myanmar nationals in Bangladesh from 2017 to 2019.
  • Whole-genome sequencing (WGS) was used to analyze isolates from 53 diphtheria cases, revealing that they were toxigenic biovar mitis strains with resistance to penicillin and grouped into four phylogenetic clusters across refugee camps.
  • The study highlighted high levels of antibiotic resistance in co-circulating non-diphtheritic species, underscoring WGS's effectiveness in tracking microbial relationships and resistance factors during diphtheria outbreaks.
View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the presence of SARS-CoV-2 on surfaces in households with confirmed COVID-19 cases, highlighting the potential for transmission through fomites.
  • It involved sampling 15 surfaces in 10 households, finding SARS-CoV-2 RNA in 15% of the samples, predominantly on nightstands, pillows, and light switches.
  • Although viable virus was detected from one sample, the findings suggest that while surface contamination can occur, the risk of transmission through surfaces is relatively low, particularly early in the infection.
View Article and Find Full Text PDF

Background: Maternal Tetanus, diphtheria, and acellular pertussis (Tdap) vaccination provides antibody transfer to newborn infants and may affect their antibody response to the primary vaccination series. This study aimed to assess the effect of Tdap vaccination during pregnancy on infant antibody response to the whole cell pertussis (DTwP) primary series.

Methods: Plasma from 318 pregnant women (243 Tdap-vaccinated and 75 unvaccinated) and their infants (cord blood) was collected at delivery; infant blood was again collected at 2 and 7 months, before and after their primary DTwP series.

View Article and Find Full Text PDF

Background: Pertussis remains an important global public health concern, despite the presence of extensive immunization programs. Incidence and severity of pertussis are typically higher in neonates and young infants. As a strategy to protect these young infants, maternal vaccination with Tdap (tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis) has been recommended in Brazil.

View Article and Find Full Text PDF

We characterized 170 complete genome assemblies from clinical Bordetella pertussis isolates representing geographic and temporal diversity in the United States. These data capture genotypic shifts, including increased pertactin deficiency, occurring amid the current pertussis disease resurgence and provide a foundation for needed research to direct future public health control strategies.

View Article and Find Full Text PDF

Introduction: The appropriate use of clinically accurate diagnostic tests is essential for the detection of pertussis, a poorly controlled vaccine-preventable disease. The purpose of this study was to estimate the sensitivity and specificity of different diagnostic criteria including culture, multi-target polymerase chain reaction (PCR), anti-pertussis toxin IgG (IgG-PT) serology, and the use of a clinical case definition. An additional objective was to describe the optimal timing of specimen collection for the various tests.

View Article and Find Full Text PDF

Despite high vaccine coverage, pertussis cases in the United States have increased over the last decade. Growing evidence suggests that disease resurgence results, in part, from genetic divergence of circulating strain populations away from vaccine references. The United States employs acellular vaccines exclusively, and current isolates are predominantly deficient in at least one immunogen, pertactin (Prn).

View Article and Find Full Text PDF

Background: In the United States, infants have the highest reported pertussis incidence and death rates. Improved understanding of infant risk factors is needed to optimize prevention strategies.

Methods: We prospectively enrolled infants ≤4 months of age with incident-confirmed pertussis from 4 sites during 2002-2005 (preceding pertussis antigen-containing vaccination recommendations for adolescents/adults); each case-patient was age and site matched with 2 control subjects.

View Article and Find Full Text PDF
Article Synopsis
  • Pertussis serodiagnosis is becoming more common in the US, even without FDA-approved tests, leading researchers to assess the effectiveness of various serology assays for diagnosing pertussis.
  • In the study, 43 different antigen-antibody combinations were tested, using serum samples from confirmed pertussis cases, a reference standard, and healthy donors to evaluate their precision and clinical accuracy.
  • Results showed that while there was some variability in the assays, notably in their positive and negative agreement rates, tests calibrated to reference standards demonstrated high accuracy, suggesting these seroassays could enhance pertussis diagnosis criteria.
View Article and Find Full Text PDF

Pertussis remains an important public health problem in many countries despite extensive immunization. Cultures and real-time PCR (RT-PCR) assays are the recommended pertussis diagnostic tests, but they lack sensitivity at the later stage of the disease. This study introduces the IgG anti-pertussis toxin enzyme-linked immunosorbent assay (PT ELISA) in our routine diagnosis to improve disease burden estimation.

View Article and Find Full Text PDF

An anti-pertussis toxin (PT) IgG enzyme-linked immunosorbent assay (ELISA) was analytically validated for the diagnosis of pertussis at a cutoff of 94 ELISA units (EU)/ml. Little was known about the performance of this ELISA in the diagnosis of adults recently vaccinated with tetanus-diphtheria-acellular pertussis (Tdap) vaccine, which contains PT. The goal of this study was to determine when the assay can be used following Tdap vaccination.

View Article and Find Full Text PDF

Background And Objectives: We investigated a pertussis outbreak characterized by atypical cases, confirmed by polymerase chain reaction (PCR) alone at a single laboratory, which persisted despite high vaccine coverage and routine control measures. We aimed to determine whether Bordetella pertussis was the causative agent and advise on control interventions.

Methods: We conducted case ascertainment, confirmatory testing for pertussis and other pathogens, and an assessment for possible sources of specimen contamination, including a survey of clinic practices, sampling clinics for B pertussis DNA, and review of laboratory quality indicators.

View Article and Find Full Text PDF

Novel nontoxigenic Corynebacterium diphtheriae was isolated from a domestic cat with severe otitis. Contact investigation and carrier study of human and animal contacts yielded 3 additional, identical isolates from cats, although no evidence of zoonotic transmission was identified. Molecular methods distinguished the feline isolates from known C.

View Article and Find Full Text PDF

Adequately sensitive and specific methods to diagnose pertussis in adolescents and adults are not widely available. Currently, no Food and Drug Administration-approved diagnostic assays are available for the serodiagnosis of Bordetella pertussis. Since concentrations of B.

View Article and Find Full Text PDF

Background: We present 2 case reports in the United States and investigations of diphtheria-like illness caused by toxigenic Corynebacterium ulcerans. A fatal case occurred in a 75-year-old male Washington resident who was treated with clindamycin but did not receive equine diphtheria antitoxin. A second, nonfatal case occurred in a 66-year-old female Tennessee resident who received erythromycin and diphtheria antitoxin.

View Article and Find Full Text PDF

Diphtheria surveillance depends on the rapid and reliable recognition of the toxin gene in Corynebacterium diphtheriae. Real-time PCR is a rapid tool to confirm the presence of the diphtheria toxin gene (tox) in an isolate or specimen. We report that some toxigenic Corynebacterium ulcerans strains show atypical results in a real-time PCR for tox.

View Article and Find Full Text PDF

In angiosperms the late pollen actins (LPAs) are strongly expressed in mature pollen and pollen tubes and at much lower levels in ovules. Four Arabidopsis lines with homozygous knockout mutations in the four individual LPA genes displayed normal flowers, pollen, and seed set. However, when all four LPAs were silenced simultaneously with a single RNA interference (RNAi) construct targeting the 3'UTR of each mRNA, obvious reproductive defects were observed.

View Article and Find Full Text PDF

Expressing stem-loop RNAs in plants, fungi, and animals efficiently silences homologous target gene expression. We devised a novel PCR strategy, called inverted repeat PCR (IR-PCR), which allows rapid assembly and cloning of stem-loop-containing constructs in any vector. IR-PCR relies on differentially tagging antisense and sense copies of the target in one round of PCR and assembling them in a second.

View Article and Find Full Text PDF

Arabidopsis contains eight actin genes. Of these ACT7 is the most strongly expressed in young plant tissues and shows the greatest response to physiological cues. Adult plants homozygous for the act7 mutant alleles show no obvious above-ground phenotypes, which suggests a high degree of functional redundancy among plant actins.

View Article and Find Full Text PDF

The ACT2 gene, encoding one of eight actin isovariants in Arabidopsis, is the most strongly expressed actin gene in vegetative tissues. A search was conducted for physical defects in act2-1 mutant plants to account for their reduced fitness compared with wild type in population studies. The act2-1 insertion fully disrupted expression of ACT2 RNA and significantly lowered the level of total actin protein in vegetative organs.

View Article and Find Full Text PDF