Volume 27, Number 3—March 2021
Dispatch
Addressing Reemergence of Diphtheria among Adolescents through Program Integration in India
Kiran Kumar Maramraj
, M.L. Kavitha Latha, Rukma Reddy, Samir V. Sodha, Suneet Kaur, Tanzin Dikid, Sukrutha Reddy, S.K. Jain, and Sujeet Kumar Singh
, M.L. Kavitha Latha, Rukma Reddy, Samir V. Sodha, Suneet Kaur, Tanzin Dikid, Sukrutha Reddy, S.K. Jain, and Sujeet Kumar Singh
Table 2
Risk factors for mortality for 99 study patients with confirmed diphtheria cases, Telangana, India, 2017
| Risk factor | Died, no. (%), n = 19 | Survived, no. (%), n = 80 | CFR, % |
RR (95% CI) | p value | |
|---|---|---|---|---|---|---|
| Among exposed | Among nonexposed | |||||
| Not fully immunized with DTP3 | 15 (79) | 32 (40) | 32 | 8 | 4.1 (1.5–11.7) | 0.002 |
| Delayed hospital admission | 13 (68) | 30 (38) | 30 | 11 | 2.8 (1.2–6.8) | 0.01 |
| <10 y of age | 12 (63) | 32 (37) | 27 | 13 | 2.1 (0.9–4.9) | 0.06 |
| Muslim | 14 (74) | 48 (60) | 23 | 14 | 1.7 (0.7–4.3) | 0.27 |
| Female | 12 (63) | 40 (50) | 23 | 15 | 1.5 (0.7–3.6) | 0.30 |
| Rural residence | 10 (53) | 38 (47) | 21 | 18 | 1.2 (0.5–2.6) | 0.68 |
*Bold indicates statistical significance. CFR, case-fatality rate; DTP, diphtheria-tetanus-pertussis vaccine; RR, relative risk.
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