Cited by 63Viral Infections and Immunology ResearchImmunodeficiency and Autoimmune DisordersVirology and Viral Diseases

Poliovirus excretion among persons with primary immune deficiency disorders: Summary of a seven-country study series

Li, Li, Ivanova, Olga, Driss, Nadia, Tiongco-Recto, Marysia, da Silva, Rajiva, Shahmahmoodi, Shohreh, Sazzad, Hossain M. S., Mach, Ondrej +2 more·2014·The Journal of Infectious Diseases

Abstract

BACKGROUND: Persons with primary immune deficiency disorders (PID), especially those disorders affecting the B-cell system, are at substantially increased risk of paralytic poliomyelitis and can excrete poliovirus chronically. However, the risk of prolonged or chronic excretion is not well characterized in developing countries. We present a summary of a country study series on poliovirus excretion among PID cases. METHODS: Cases with PID from participating institutions were enrolled during the first year and after obtaining informed consent were tested for polioviruses in stool samples. Those cases excreting poliovirus were followed on a monthly basis during the second year until 2 negative stool samples were obtained. RESULTS: A total of 562 cases were enrolled in Bangladesh, China, Iran, Philippines, Russia, Sri Lanka, and Tunisia during 2008-2013. Of these, 17 (3%) shed poliovirus, including 2 cases with immunodeficient vaccine-derived poliovirus. Poliovirus was detected in a single sample from 5/17 (29%) cases. One case excreted for more than 6 months. None of the cases developed paralysis during the study period. CONCLUSIONS: Chronic polioviruses excretion remains a rare event even among individuals with PID. Nevertheless, because these individuals were not paralyzed they would have been missed by current surveillance; therefore, surveillance for polioviruses among PID should be established.

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  • Immunocompromised individuals may be unable to clear intestinal replication of the vaccine virus, resulting in persistent intestinal poliovirus infection and prolonged shedding.

    “Immunocompetent individuals clear attenuated vaccine virus from their bodies after a limited period of shedding, unlike immunocompromised individuals, who may be unable to clear the intestinal replication of the vaccine virus, resulting in persistent intestinal poliovirus infection and prolonged shedding [105,106].”

    From The Fight against Poliovirus Is Not Over (2023) · cites this paper as [105]

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  1. [8]8. Sutter R, Prevots D. Vaccine-associated paralytic poliomyelitis among immunologically abnormal persons. Infect Medicine 1994; 11:426, 429-30, 435-8.
  2. [27]27. Tiongco-Recto M, Sumpaico MW. Sumpaico, Regina Dionisio- Capulong ea. Prevalence of Prolonged and Chronic Poliovirus Excre- tion among Persons with Primary Immune Deficiency Disorders in the Philippines. Acta Medica Philippina 2012; 46:1-11.

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Authors
Li, L., Ivanova, O., Driss, N., Tiongco-Recto, M., da Silva, R., Shahmahmoodi, S., Sazzad, H. M. S., Mach, O., Kahn, A.-L., & Sutter, R. W.
Affiliations
  • Chinese Center For Disease Control and Prevention (CN)
  • Chumakov Institute of Poliomyelitis and Viral Encephalitides (RU)
  • Tunis El Manar University (TN)
  • Tehran University of Medical Sciences (IR)
  • International Centre for Diarrhoeal Disease Research (BD)
  • World Health Organization (CH)
Venue
The Journal of Infectious Diseases
Published
2014-11
Volume
210
Issue
suppl_1
Pages
S368-S372
ISSN
  • 0022-1899 (ISSN-L)
  • 1537-6613
OpenAlex
W2117654306
Cited by
63
References
29
Citations by year
2026: 1 · 2025: 1 · 2024: 2 · 2023: 6 · 2022: 1 · 2021: 6 · 2020: 6 · 2019: 5 · 2018: 5 · 2017: 7 · 2016: 15 · 2015: 6 · 2014: 2
FWCI
6.87
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of Infectious Diseases (publishedVersion)
  • PubMed (publishedVersion)
  • HAL (submittedVersion)
  • HighWire Press Open Archive (submittedVersion)
Funders
World Health Organization
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Viral Infections and Immunology Research
  • Life Sciences › Immunology and Microbiology › Immunology › Immunodeficiency and Autoimmune Disorders
  • Health Sciences › Medicine › Epidemiology › Virology and Viral Diseases
Keywords
primary immunodeficiency, B-cell disorders, paralytic poliomyelitis, vaccine-derived poliovirus, polio surveillance, fecal samples, developing countries
MeSH terms
Adolescent, Adult, Africa, Asia, Child, Child, Preschool, Female, Humans, Immunologic Deficiency Syndromes, Infant, Male, Poliomyelitis, Russia, Immunocompromised Host, Virus Shedding, Poliovirus, Young Adult

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