陈明文, 李文, 陆沛超, 卢然. 广西壮族自治区玉林市急性弛缓性麻痹病例病原学监测结果分析[J]. 疾病监测, 2015, 30(5): 385-388. DOI: 10.3784/j.issn.1003-9961.2015.05.011
引用本文: 陈明文, 李文, 陆沛超, 卢然. 广西壮族自治区玉林市急性弛缓性麻痹病例病原学监测结果分析[J]. 疾病监测, 2015, 30(5): 385-388. DOI: 10.3784/j.issn.1003-9961.2015.05.011
CHEN Ming-wen, LI Wen, LU Pei-chao, LU Ran. Surveillance for acute flaccid paralysis in Yulin, Guangxi, 2008-2013[J]. Disease Surveillance, 2015, 30(5): 385-388. DOI: 10.3784/j.issn.1003-9961.2015.05.011
Citation: CHEN Ming-wen, LI Wen, LU Pei-chao, LU Ran. Surveillance for acute flaccid paralysis in Yulin, Guangxi, 2008-2013[J]. Disease Surveillance, 2015, 30(5): 385-388. DOI: 10.3784/j.issn.1003-9961.2015.05.011

广西壮族自治区玉林市急性弛缓性麻痹病例病原学监测结果分析

Surveillance for acute flaccid paralysis in Yulin, Guangxi, 2008-2013

  • 摘要: 目的 分析2000-2013年玉林市急性弛缓性麻痹(AFP)病例病毒学监测情况,为维持无脊髓灰质炎(脊灰)提供依据. 方法 按照世界卫生组织要求对玉林市2000-2013年所有AFP病例进行病毒分离与鉴定并对其进行流行病学分析. 结果 在451例AFP病例标本中,分离出脊灰病毒(PV)13株,非脊灰肠道病毒(NPEV)39株,分离率分别为2.88%和8.65%;13例PV阳性标本进行型内鉴定,共检出1株疫苗变异脊灰病毒,其余均为疫苗相关脊灰病毒,其中Ⅱ型7例,未发现脊灰野病毒.PV与NPEV全年均可检出,PV分离率12月较高;全市除陆川县、兴业县外,均检出脊灰病毒阳性病例;各年龄组之间PV分离率以 1岁最高,其次为1~4岁和 4岁组,分别为11.90%、9.60%和4.27%.完成脊灰减毒口服活疫苗(OPV)3次以上全程免疫的AFP病例的PV分离率低于未完成全程免疫者. 结论 玉林市2000-2013年未发现脊灰野病毒,维持了无脊灰状态.在实现无脊灰目标后,仍应加强AFP病例的病毒学监测工作,以确保最终实现全球消灭脊灰的目标.

     

    Abstract: Objective To understand the epidemiological characteristics of acute flaccid paralysis (AFP) in Yulin, Guangxi zhuang autonomous region, from 2000 to 2013 and provide evidence to maintain polio-free status in Yulin. Methods Virus isolation and identification were conducted for all the AFP cases reported in Yulin from 2000 to 2013 according to the requirements of WHO. Results Among 451 AFP cases reported during this period, 13 strains of polio virus (2.88%) and 39 strains of non-polio enteroviruses (8.65%) were isolated. Intratypic differentiation was conducted for 13 polio virus strains, and 1 strains of vaccine derived polio virus (VDPV) was detected, the others were vaccine related viruses, including 7 type Ⅱ strains, no wild polio virus was detected. Polio virus and non-polio enteroviruses could be detected all the year round, but the isolation rate of polio virus was high in December. The polio positive cases were distributed in all the counties, except Luchuan, and Xingye. The polio virus detection rate was highest in age group 1 year (11.90%), followed by age groups 1-4 years (9.60%) and 4 years (4.27%). The polio virus detection rate in AFP cases receiving all the doses of oral polio vaccine (OPV) was lower than those receiving incomplete OPV immunization. Conclusion No wild polio virus circulation was found in Yulin during 2000-2013, the polio free status was maintained. It is still necessary to strengthen local AFP surveillance to contribute to global polio eradication.

     

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