香金萍, 高德玉, 马生吉, 王安辉, 冯淑贤, 张雪莲, 李喜梅. 2011-2012年甘肃省武威市婴幼儿腹泻病毒监测结果分析[J]. 疾病监测, 2014, 29(9): 704-708. DOI: 10.3784/j.issn.1003-9961.2014.09.009
引用本文: 香金萍, 高德玉, 马生吉, 王安辉, 冯淑贤, 张雪莲, 李喜梅. 2011-2012年甘肃省武威市婴幼儿腹泻病毒监测结果分析[J]. 疾病监测, 2014, 29(9): 704-708. DOI: 10.3784/j.issn.1003-9961.2014.09.009
XIANG Jin-ping, GAO De-yu, MA Sheng-ji, WANG An-hui, FENG Shu-xian, ZHANG Xue-lian, LI Xi-mei. Surveillance for viruses causing diarrhea in infants in Wuwei, Gansu, 2011-2012[J]. Disease Surveillance, 2014, 29(9): 704-708. DOI: 10.3784/j.issn.1003-9961.2014.09.009
Citation: XIANG Jin-ping, GAO De-yu, MA Sheng-ji, WANG An-hui, FENG Shu-xian, ZHANG Xue-lian, LI Xi-mei. Surveillance for viruses causing diarrhea in infants in Wuwei, Gansu, 2011-2012[J]. Disease Surveillance, 2014, 29(9): 704-708. DOI: 10.3784/j.issn.1003-9961.2014.09.009

2011-2012年甘肃省武威市婴幼儿腹泻病毒监测结果分析

Surveillance for viruses causing diarrhea in infants in Wuwei, Gansu, 2011-2012

  • 摘要: 目的 了解甘肃省武威市婴幼儿腹泻患者中病毒性腹泻病原体的分布状况。 方法 收集2011年1月至2012年 12月武威市凉州医院住院确诊腹泻婴幼儿的基本信息及其粪便标本,采用酶联免疫吸附试验和反转录-聚合酶链反应(RT-PCR)法检测轮状病毒、星状病毒、肠道腺病毒、杯状病毒。 结果 630份粪便标本中4种腹泻病毒总的检出率为68.4%(431/630)、女性婴幼儿腹泻病毒检出率75.0%(147/196)显著高于男性婴幼儿65.4%(284/434)。2012年腹泻病毒检出率73.1%(226/309)显著高于2011年检出率63.9%(205/321)。腹泻病毒检测阳性率依次为杯状病毒34.6%(218/630),轮状病毒 34.0%(214/630)、星状病毒13.0%(82/630)、肠道腺病毒10.6%(67/630)。431份检出腹泻病毒的样本中有124份为混合感染,占28.8%(124/431),2012年腹泻病毒混合感染所占比例35.0%(79/226)显著高于2011年腹泻病毒所占比例22.0%(45/205)。214份轮状病毒阳性的标本中病毒毒株G分型以G3,G1为主,P分型以P8,P4为主。 结论 武威市婴幼儿病毒性腹泻的主要病原体是杯状病毒和轮状病毒。

     

    Abstract: Objective To understand the distribution of the viruses causing diarrhea in infants in Wuwei, Gansu province. Methods Infants with diarrhea hospitalized in Liangzhou hospital were selected for investigation and stool samples were collected among them between January 2011 and December.2012. ELISA, RT-PCR and PCR were conducted to detect the pathogens causing viral diarrhea in the infants Results Among 630 stool samples, 431 (68.4%) were positive for viral diarrhea pathogens. The positive rate was significantly higher in female infants (75.0%, 147/196) than in male infants (65.4%, 284/434). The positive rate in 2012 (73.1%, 226/309) were significantly higher than that in 2011 (63.9%, 205/321). The positive rates of human caliciviruses (HuCVs), human rotavirus (HRV), human astrovirus (HAstV) and enteral adenovirus (EAdV) were 34.6% (218/630), 34.0% (214/630), 13.0% (82/630) and 10.6% (67/630) respectively. Of 431 diarrhea cases, 124 (28.8%) were co-infected with 2 or more viral diarrhea pathogens. And the proportion of co-infection in 2012 (35.0%, 79/226) was higher than that in 2011 (22.0%, 45/205). Among the 214 HRV positive samples, HRV type G3, G1 and P8, P4 were most frequently detected. Conclusion The major pathogens causing viral diarrhea in infants in Wuwei area were HuCVs and HRV. More research are needed to reveal the reasons for increased rates of infection and co-infection with pathogens causing viral diarrhea in 2012.

     

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