Down`s Syndrome and Infection
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Transcript Down`s Syndrome and Infection
Down’s Syndrome and
Infection
Known
high mortality (1960-71)
– Respiratory diseases
– Infectious diseases
– Cardiac diseases
– Malignancies
x62
x12
x6
x?
Down’s Syndrome and
Infection
Predisposition
to Infection
– Structural
»Cardiac disease
»ENT anatomy
– Immunological
»Primary
»Secondary
Down’s Syndrome and
Infection
Predisposition
to Infection
– Primary
»Cellular
»Humoral
– Secondary
»Diabetes
»Coeliac disease
Down’s Syndrome and
Infection
Evidence
for immune dysfunction
Rate of infections
Production of antibodies after
immunisation (variable)
Cellular function (variable)
Down’s Syndrome and
Immunisation - 1
All
routine
Influenza
Pneumococcal
?Hepatitis B
Special consideration when abroad
Down’s Syndrome and
Immunisation - 2
So
many unknowns therefore
?multicentre trial
– usual immunisations
– pneumococcal
– influenza
– ?hepatitis B
»monitor immunological responses
»monitor infection rates