Table 2.
Demographic and clinical characteristics of household contacts and their index cases
| ID | Sex | Age, years | Clinical form of the index casea | Bacillary index of the index case | Number of BCG scars b | Anti-PGL-I (OD450 value)c | Positive/N egative for anti-PGL-I |
|---|---|---|---|---|---|---|---|
| Household contacts that did not develop leprosy (HCNDL) | |||||||
| HCNDL01 | Female | 62 | BT | 0 | ns | 0.113 | negative |
| HCNDL02 | Female | 66 | BL | 1.00 | ns | 0.19 | negative |
| HCNDL03 | Male | 27 | LL | 5.50 | 2 | 0.292 | negative |
| HCNDL04 | Male | 55 | BL | 1.00 | ns | 0.011 | negative |
| HCNDL05 | Male | 50 | TT | 0 | 1 | 0.028 | negative |
| HCNDL06 | Female | 62 | BL | 1.00 | ns | 0.466 | positive |
| HCNDL07 | Female | 31 | BL | 0.50 | 1 | 0.15 | negative |
| HCNDL08 | Female | 55 | BL | 1.00 | 1 | 0.031 | negative |
| HCNDL09 | Male | 60 | BT | 0 | ns | 0.008 | negative |
| HCNDL10 | Male | 22 | BL | 0.50 | 2 | 0.029 | negative |
| HCNDL11 | Female | 45 | BL | 4.25 | 1 | 0.121 | negative |
| HCNDL12 | Female | 21 | BT | 0 | 2 | 0.100 | negative |
| HCNDL13 | Female | 26 | BL | 1.00 | 2 | 0.034 | negative |
| HCNDL14 | Male | 42 | BL | 1.00 | ns | 0.055 | negative |
| HCNDL15 | Female | 48 | BL | 1.00 | 1 | 0.149 | negative |
| HCNDL16 | Female | 65 | LL | 4.25 | 1 | 0.079 | negative |
| HCNDL17 | Male | 32 | BL | 1.00 | 1 | 0.050 | negative |
| Household contacts that developed leprosy (HCDL) | |||||||
| HCDL01 | Female | 54 | BL | 1.83 | 1 | 0.13 | negative |
| HCDL02 | Female | 57 | BL | 3.33 | ns | 0.46 | positive |
| HCDL03 | Female | 67 | BL | 3.00 | ns | 0.22 | negative |
| HCDL04 | Male | 24 | LL | 2.16 | 1 | 0.390 | positive |
| HCDL05 | Female | 24 | LL | 2.50 | 2 | 0.840 | positive |
| HCDL06 | Male | 21 | LL | 4.75 | 1 | 0.470 | positive |
| HCDL07 | Male | 48 | LL | 4.25 | ns | 0.63 | positive |
| HCDL08 | Male | 21 | BL | 3.00 | 2 | 0.410 | positive |
| HCDL09 | Male | 18 | LL | 4.16 | 1 | 0.32 | positive |
| HCDL10 | Female | 34 | BB | 1.33 | ns | 1.26 | positive |
| HCDL11 | Female | 37 | LL | 3.66 | 1 | 0.50 | positive |
| HCDL12 | Male | 55 | LL | 4.25 | ns | 0.51 | positive |
| HCDL13 | Female | 31 | LL | 4.66 | ns | 0.200 | negative |
| HCDL14 | Female | 42 | BL | 3.00 | ns | 0.340 | positive |
| HCDL15 | Female | 23 | BB | 1.75 | 1 | 0.179 | negative |
| HCDL16 | Female | 39 | BL | 1.50 | ns | 0.350 | positive |
| HCDL17 | Female | 36 | LL | 4.25 | 1 | 0.114 | negative |
Abbreviations: na - not available; ns - no scars were found it; TT - tuberculoid leprosy; BT - borderline tuberculoid; BB - borderline borderline; BL - borderline lepromatous; LL - lepromatous leprosy. The sera samples were collected from the household contacts (HCDL and HCNDL) at the diagnosis of index case (considered as time zero). According to the National Notifiable Conditions System database (SINAM; ministry of health of Brazil) none of the HCNDL individuals exhibited clinical signs or symptoms of leprosy during the period of January/2007 – December/2020.
clinical manifestations of leprosy were classified according to Ridley-Jopling criteria 2.
Similar to many previous studies, we used the number of BCG scars as a proxy for BCG vaccination record (Supplementary methods).
Sera collected were assayed for the presence of anti-phenolic glycolipid 1 immunoglobulin M by a specific enzyme-linked immunosorbent assay. The antigen used in ELISA was NT-P-BSA (synthetic native trisaccharide of PGL-1 coupled to BSA through a 3-phenylpropanoyl). A cutoff value of 0.30, at an optical density at 450 nm (OD450), was set for positive responses.