庞红, 刘红联, 吴美华. 上海市长宁区156例麻疹疑似病例血清IgM抗体检测结果分析[J]. 疾病监测, 2007, 22(3): 184-186. DOI: 10.3784/j.issn.1003-9961.2007.3.184
引用本文: 庞红, 刘红联, 吴美华. 上海市长宁区156例麻疹疑似病例血清IgM抗体检测结果分析[J]. 疾病监测, 2007, 22(3): 184-186. DOI: 10.3784/j.issn.1003-9961.2007.3.184
PANG Hong, LIU Hong-lian, WU Mei-hua. Analysis of the results of serum IgM antibody detection among 156 borderline cases of measles in Changning District of Shanghai[J]. Disease Surveillance, 2007, 22(3): 184-186. DOI: 10.3784/j.issn.1003-9961.2007.3.184
Citation: PANG Hong, LIU Hong-lian, WU Mei-hua. Analysis of the results of serum IgM antibody detection among 156 borderline cases of measles in Changning District of Shanghai[J]. Disease Surveillance, 2007, 22(3): 184-186. DOI: 10.3784/j.issn.1003-9961.2007.3.184

上海市长宁区156例麻疹疑似病例血清IgM抗体检测结果分析

Analysis of the results of serum IgM antibody detection among 156 borderline cases of measles in Changning District of Shanghai

  • 摘要: 目的分析近年来上海市长宁区麻疹的流行情况,评价麻疹疑似病例的血清学诊断。方法对2002年1月至2006年3月长宁区麻疹疑似病例的流行病学调查和血清学检测结果进行分析。结果156例麻疹疑似病例麻疹IgM抗体阳性率为85.90%。不同年龄组间IgM抗体阳性率差异有显著的统计学意义,8月龄组和20岁的成年人组IgM抗体阳性率较高,而8月龄至4岁及5~19岁组阳性率较低。不同免疫史组间IgM抗体阳性率差异也有显著的统计学意义,有免疫史组的阳性率低于无免疫史及免疫史不详组。不同采样时间IgM抗体阳性率不同,出疹当天采集的血清阳性率最低。结论继续做好麻疹疫苗的常规免疫和强化免疫工作,控制成年人麻疹病例的发生,提高麻疹实验室监测的敏感性和准确性可促进麻疹的控制与消除。

     

    Abstract: Objective The present study was conducted to investigate the results of the strategies for poliomyelitis eradication implemented in Xuzhou from 2004 to 2005. Methods 57 case investigation forms and following-up questionnaires of AFP were gathered from 2004 to 2005, and isolation of virus and antibody titer test were conducted respectively after collecting feces specimens in these case as well as pre-and post-immunization serum samples of first-vaccination subjects and serum samples of healthy subjects with the age of 0, 1, 2, 3, 4-9 years. Results The age range of 57 AFP cases was from 2 days to 14 years, and with 37 males and 20 females, who were distributed in 10 counties (districts). Those with more than 4 times of immunization accounted for 78.90%. Among children under 15 years, the morbidity rate of no-poliomyelitis AFP was 1.99/lakh and 1.67/lakh, respectively. The successful rate of basic immunization with type Ⅰ,Ⅱ and Ⅲ poliomyelitis vaccine was 96.67%,98.33% and 100.00%, respectively. The positive rate of poliomyelitis antibody with type Ⅰ,Ⅱ and Ⅲ poliomyelitis virus was 96.62%, 94.94%, 90.29%, respectively. Conclusion The results of poliomyelitis eradication in Xuzhou are satisfactory.

     

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