陈劲华, 傅涛, 骆淑英, 陈步青, 翁正军, 陈文先. 浙江省义乌市登革病毒核酸及IgM抗体检测结果分析[J]. 疾病监测, 2010, 25(8): 629-631. DOI: 10.3784/j.issn.1003-9961.2010.08.013
引用本文: 陈劲华, 傅涛, 骆淑英, 陈步青, 翁正军, 陈文先. 浙江省义乌市登革病毒核酸及IgM抗体检测结果分析[J]. 疾病监测, 2010, 25(8): 629-631. DOI: 10.3784/j.issn.1003-9961.2010.08.013
CHEN Jin-hua, FU Tao, LUO Shu-ying, CHEN Bu-qing, WENG Zheng-jun, CHEN Wen-xian. Detections of RNA and IgM antibody of dengue virus in Yiwu, Zhejiang province[J]. Disease Surveillance, 2010, 25(8): 629-631. DOI: 10.3784/j.issn.1003-9961.2010.08.013
Citation: CHEN Jin-hua, FU Tao, LUO Shu-ying, CHEN Bu-qing, WENG Zheng-jun, CHEN Wen-xian. Detections of RNA and IgM antibody of dengue virus in Yiwu, Zhejiang province[J]. Disease Surveillance, 2010, 25(8): 629-631. DOI: 10.3784/j.issn.1003-9961.2010.08.013

浙江省义乌市登革病毒核酸及IgM抗体检测结果分析

Detections of RNA and IgM antibody of dengue virus in Yiwu, Zhejiang province

  • 摘要: 目的 对浙江省义乌市义亭镇等部分辖区内登革热疑似病例及其周围人群(未发病)进行登革病毒核酸及IgM抗体检测,及时查找病原,明确病因,为登革热疫情的防制工作提供技术支持。 方法 分别用实时荧光定量PCR法检测登革病毒核酸和ELISA法检测登革病毒IgM抗体。 结果 登革热疑似病例血清标本98份,检出登革3型病毒核酸阳性标本57份,阳性检出率为58.16%(57/98);发病后1~3 d采血与4~6 d采血进行核酸检测,阳性检出率差异有统计学意义(2=6.6147,P<0.05);登革病毒核酸检测阴性标本进行登革病毒IgM抗体检测,阳性检出率为56.10%(23/41);病例周围人群监测登革病毒IgM抗体,阳性检出率为22.73%(83/365)。 结论 此次传染病疫情由登革3型病毒引起,实时荧光定量PCR法更适合登革病毒感染者的早期诊断。周围人群中存在登革病毒隐性感染者。

     

    Abstract: Objective To detect RNA and IgM antibody of dengue virus isolated from the suspect dengue fever patients and the people living nearby in Yiwu, identify the pathogen of the disease and provide technical support for the prevention and control of dengue fever. Methods Real-time fluorescence quantitative PCR was used to detect dengue virus RNA, and dengue virus IgM antibody was detected by ELISA. Results A total of 98 serum samples were collected from suspect cases, of which 57 were positive for dengue virus type 3 (58.16%). The difference on the detection of dengue fever virus was significant between the blood samples collected at 1-3 days and at 4-6 days after onset (2=6.6147, P<0.05). The IgM was detected by ELISA for the samples with negative real time PCR results, the positive rate was 56.10% (23/41). The serum samples collected from the people living nearby were detected by ELISA, the positive rate was 22.73% (83/365). Conclusion The disease was caused by dengue virus type 3. Real time fluorescence quantitative PCR method is suitable for dengue virus-infected patients in early phase. Latent infection might occur among the people living nearby.

     

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