<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1137-6627</journal-id>
<journal-title><![CDATA[Anales del Sistema Sanitario de Navarra]]></journal-title>
<abbrev-journal-title><![CDATA[Anales Sis San Navarra]]></abbrev-journal-title>
<issn>1137-6627</issn>
<publisher>
<publisher-name><![CDATA[Gobierno de Navarra. Departamento de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1137-66272024000300009</article-id>
<article-id pub-id-type="doi">10.23938/assn.1091</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cambios en la epidemiología de la tosferina en Málaga (2017-2024)]]></article-title>
<article-title xml:lang="en"><![CDATA[Trends in the epidemiology of pertussis in Malaga, Spain (2017-2024)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Vergara-Pérez]]></surname>
<given-names><![CDATA[Ignacio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moscoso-Sánchez]]></surname>
<given-names><![CDATA[David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez-Fernández]]></surname>
<given-names><![CDATA[Julián Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montenegro-Jaramillo]]></surname>
<given-names><![CDATA[Sara Estefanía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amores-Alguacil]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario de Ceuta Servicio de Medicina Preventiva y Prevención de Riesgos Laborales ]]></institution>
<addr-line><![CDATA[Ceuta ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Servicio Andaluz de Salud Delegación Territorial de Salud y Consumo en Málaga Sección de Epidemiología]]></institution>
<addr-line><![CDATA[Málaga ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>47</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1137-66272024000300009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1137-66272024000300009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1137-66272024000300009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento: Describir la evolución epidemiológica de la tosferina en la provincia de Málaga en el periodo 2017-2024, la gravedad de la enfermedad y su vacunación.  Metodología: Estudio transversal de casos de tosferina declarados obtenidos de la red de notificación de Enfermedades de Declaración Obligatoria de Andalucía (RedAlerta). Se calculó el número de casos por 100.000 habitantes por distrito sanitario, trimestre y año. Se analizó la relación entre hospitalizaciones y estado vacunal.  Resultados: Se notificaron 181 casos de tosferina en el periodo de estudio, el 56,4% durante el periodo pre-pandémico (2017-2019) y solo el 9,95% durante 2020-2023. En el primer trimestre de 2024 aumentaron los casos notificados (n = 61; 33,7% del total) respecto a los años previos (1-46 casos). El grupo de 0 a 20 años supuso el 71,3% de los casos, y el 57,4% había recibido al menos la pauta parcial de vacunación antes de sufrir tosferina. El 25,6% de los casos requirieron ingreso, más frecuente entre los no vacunados (70 frente a 18,3%; p&lt;0,001); el 42,4% no tenían administrada ninguna dosis previa. El 47,1% de los 17 casos menores de 1 año no habían recibido ninguna dosis ni tenían antecedentes de vacunación materna frente a tosferina durante el embarazo.  Conclusiones: En el primer trimestre de 2024 se detectó un aumento de casos declarados de tosferina en Málaga, mientras que los casos hospitalizados se mantuvieron estables. Se detectó una relación significativa entre la vacunación previa frente a tosferina y su gravedad (hospitalización) en el grupo de 0 a 20 años.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background: Description of the epidemiological evolution of pertussis in the province of Malaga, Spain (2017-2024), disease severity, and vaccination coverage.  Methods: A cross-sectional study was conducted using reported cases from the Andalusian Notifiable Diseases Network (Red Alerta). The incidence of pertussis was calculated per 100,000 inhabitants for each health district, quarter, and year. Additionally, the relationship between severe cases (hospitalizations) and vaccination status was analyzed.  Results: A total of 181 pertussis cases were identified. Of these, 56.4% were reported during the pre-pandemic period (2017-2019), while 9.95% occurred between 2020 and 2023. An increase in cases was observed in the first quarter of 2024 (n = 61; 33.7% of the total cases), compared to previous years (1 to 46 cases). The 0 to 20-year group accounted for 71.3% of cases, of which 57.4% had received at least partial vaccination prior to contracting pertussis. Severe disease requiring hospitalization occurred in 25.6% of cases, with a higher frequently among unvaccinated individuals (70% vs 18.3%; p &lt; 0.001). Among hospitalized cases, 42.4% had not received any prior doses of the vaccine. Additionally, 47.1% of the 17 pertussis cases in children aged &#8804;1 year had not received any vaccination and had no history of maternal vaccination during pregnancy.  Conclusions: An increase in reported pertussis cases is observed in early 2024 in Malaga, but hospitalization rates among confirmed cases remained stable. A significant association is found between prior vaccination against pertussis and reduced disease severity (hospitalization) in the 0 to 20-year-old age group.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Tosferina]]></kwd>
<kwd lng="es"><![CDATA[Hospitalización]]></kwd>
<kwd lng="es"><![CDATA[Vacunación]]></kwd>
<kwd lng="es"><![CDATA[Notificación de Enfermedades]]></kwd>
<kwd lng="es"><![CDATA[Vigilancia en Salud Pública]]></kwd>
<kwd lng="en"><![CDATA[Whooping Cough]]></kwd>
<kwd lng="en"><![CDATA[Hospitalization]]></kwd>
<kwd lng="en"><![CDATA[Vaccination]]></kwd>
<kwd lng="en"><![CDATA[Disease Notification]]></kwd>
<kwd lng="en"><![CDATA[Public Health Surveillance]]></kwd>
</kwd-group>
</article-meta>
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