徐鹭, 丁筱竹, 路坚. 江苏省南京市30岁以下健康人群百日咳、白喉、破伤风血清学抗体水平监测[J]. 疾病监测, 2010, 25(12): 958-961. DOI: 10.3784/j.issn.1003-9961.2010.12.009
引用本文: 徐鹭, 丁筱竹, 路坚. 江苏省南京市30岁以下健康人群百日咳、白喉、破伤风血清学抗体水平监测[J]. 疾病监测, 2010, 25(12): 958-961. DOI: 10.3784/j.issn.1003-9961.2010.12.009
XU Lu, DING Xiao-zhu, LU Jian. Serological surveillance on antibody levels to pertussis, diphtheria and tetanus among healthy people aged<30 years in Nanjing[J]. Disease Surveillance, 2010, 25(12): 958-961. DOI: 10.3784/j.issn.1003-9961.2010.12.009
Citation: XU Lu, DING Xiao-zhu, LU Jian. Serological surveillance on antibody levels to pertussis, diphtheria and tetanus among healthy people aged<30 years in Nanjing[J]. Disease Surveillance, 2010, 25(12): 958-961. DOI: 10.3784/j.issn.1003-9961.2010.12.009

江苏省南京市30岁以下健康人群百日咳、白喉、破伤风血清学抗体水平监测

Serological surveillance on antibody levels to pertussis, diphtheria and tetanus among healthy people aged<30 years in Nanjing

  • 摘要: 目的 了解南京市30岁以下健康人群百日咳、白喉、破伤风抗体免疫水平。评价百白破疫苗的免疫效果,为今后免疫规划工作制定科学的免疫方案和接种质量监测提供依据。 方法 采集696名30岁以下健康人群血清,采用微量凝集试验测定百日咳抗体水平,采用间接血凝法(IHA)测定白喉和破伤风抗体水平。 结果 百日咳的几何平均滴度(GMT)为1 ∶ 69.23,抗体阳性率为85.1%,抗体保护率为24.3%;白喉的GMT为1 ∶ 38.90;抗体阳性率和保护率分别为86.9%,76.1%;破伤风的GMT为1 ∶ 48.92;抗体阳性率为85.9%,保护率为78.4%。百日咳的各年龄组之间抗体阳性率差异无统计学意义,但抗体保护率和GMT差异均有统计学意义;白喉和破伤风的各年龄组之间抗体阳性率、抗体保护率和GMT差异均有统计学意义。 结论 百日咳、白喉和破伤风抗体在30岁以下人群中形成了较好的免疫屏障,但GMT在15岁以后有明显降低,因此要加强对大年龄组百日咳、白喉和破伤风的预防控制工作。

     

    Abstract: Objective To understand the immunity levels of pertussis, diphtheria and tetanus among healthy people aged<30 years in Nanjing, evaluate the effect of DPT vaccination and provide scientific evidence for the development of vaccination protocol and monitoring of vaccination effect. Methods The serum samples were collected from 600 healthy people aged<30 years to detect pertussis antibody level by micro agglutination test and antibody level of diphtheria and tetanus by indirect hemagglutination (IHA). Results The positive rate and protective rate of antibody to pertussis was 85.1% and 24.3% respectively with the geometric mean titer (GMT) of 1 ∶ 69.23, the positive rate and protective rate of antibody to diphtheria was 86.9% and 76.1%, respectively with the GMT of 1 ∶ 38.90, and the positive rate and protective rate of antibody to tetanus was 85.9% and 78.4% respectively with GMT of 1 ∶ 48.92. The difference on positive rate of antibody to pertussis in all age groups was not significant statistically, but the differences on protective rate and GMT were significant statistically. The differences on positive rates, protective rates and GMTs of antibodies to diphtheria and tetanus in all age groups were statistical significant. Conclusion Herd immunity to pertussis, diphtheria and tetanus had formed among healthy people aged<30 years in Nanjing, but the GMTs declined significantly among people aged>15 years. It is necessary to strengthen the prevention and control of pertussis, diphtheria and tetanus in older age group

     

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