Resurgence of Bordetella pertussis, including one macrolide-resistant isolate, France, 2024

Author:

Rodrigues Carla123,Bouchez Valérie123,Soares Anaïs4,Trombert-Paolantoni Sabine5,Aït El Belghiti Fatima6,Cohen Jérémie F78,Armatys Nathalie23,Landier Annie23,Blanchot Thomas4,Hervo Marie4,Toubiana Julie9823,Brisse Sylvain923,

Affiliation:

1. These authors contributed equally to this work and share first authorship.

2. National Reference Center for Whooping Cough and other Bordetella infections, Institut Pasteur, Paris, France

3. Institut Pasteur, Université Paris Cité, Biodiversity and Epidemiology of Bacterial Pathogens, Paris, France

4. Laboratoire Eurofins Biomnis, Lyon, France

5. Laboratoire Cerba, Saint Ouen l’Aumône, France

6. Santé publique France, Infectious Diseases Department, The French Public Health Agency, Saint-Maurice, France

7. Centre for Research in Epidemiology and Statistics (Inserm UMR 1153), Université Paris Cité, Paris, France

8. Department of General Paediatrics and Paediatric Infectious Diseases, Université Paris Cité, Hôpital Necker-Enfants Malades, APHP, Paris, France

9. These authors co-supervised the work and share last authorship.

Abstract

As other European countries, France is experiencing a resurgence of pertussis in 2024. Between 1 January and 31 May 2024, 5,616 (24.9%) positive Bordetella pertussis qPCR tests were identified, following a 3-year period of almost null incidence. Of 67 cultured and whole genome sequenced B. pertussis isolates, 66 produced pertactin and 56 produced FIM2, in contrast to pre-COVID-19 years. One isolate of genotype Bp-AgST4 was resistant to macrolides. Pertussis resurgence may favour isolates that produce FIM2 and pertactin.

Publisher

European Centre for Disease Control and Prevention (ECDC)

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