
Vol. 23, No. 6, 2004
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Original Paper
Childhood Infections as Risk Factors for Multiple Sclerosis: Belgrade Case-Control Study
Tatjana Pekmezovica,b, Mirjana Jarebinskia, Jelena Drulovic
aInstitute of Epidemiology, School of Medicine, Belgrade, bInstitute of Neurology, Clinical Centre of Serbia, Belgrade, Yugoslavia
Address of Corresponding Author
Neuroepidemiology 2004;23:285-288 (DOI: 10.1159/000080094)
Key Words
- Multiple sclerosis
- Childhood infection
- Vaccines
Abstract
The aim of this case-control study was to analyze the role of childhood infections and vaccinations in patients with MS in the Belgrade population. The study group comprised 110 cases with definite MS according to Poser's criteria, in whom onset symptoms occurred up to 2 years prior to the interview. An equal number of controls, individually matched by sex, age and area of residence, was recruited from patients with various nonautoimmune neurological disorders. Measles (OR = 2.6, 95%CI 1.4-5.0), chickenpox (OR = 3.0, 95%CI 1.5-6.0), rubella (OR = 2.4, 95%CI 1.2-4.7), whooping cough (OR = 1.9, 95%CI 0.8-4.4), and mumps (OR = 1.8, 95%CI 0.8-4.5), at age 7 years, were more frequently reported by MS cases. The total number of childhood viral infections (including measles, rubella, chickenpox, and mumps) at age 7 years was significantly higher in MS cases than in controls (OR = 1.8, 95%CI 1.4-2.5). Concerning vaccinations, no statistically significant differences were found between groups. According to multivariate analysis, rubella (OR = 2.5, 95%CI 1.4-4.4, p = 0.001) and measles (OR = 2.4, 95%CI 1.3-4.3, p = 0.003) at age 7 years were significantly related to MS. Copyright © 2004 S. Karger AG, Basel
Author Contacts
Dr. Tatjana Pekmezovic Institute of Epidemiology, School of Medicine Visegradska 26A YU-11000 Belgrade (Serbia and Montenegro) Tel./Fax +381 11 361 5768, E-Mail pekmezovic@sezampro.yu
Article Information
Published online: August 5, 2004
Number of Print Pages : 4
Number of Figures : 0, Number of Tables : 2, Number of References : 22 |
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