朱可, 张瑾, 薛晓宁, 徐翮飞, 陈晓光, 张娟. 2009-2015年青岛国际旅行者中乙型肝炎和丙型肝炎病毒感染的血清流行病学调查[J]. 疾病监测, 2017, 32(3): 222-226. DOI: 10.3784/j.issn.1003-9961.2017.03.013
引用本文: 朱可, 张瑾, 薛晓宁, 徐翮飞, 陈晓光, 张娟. 2009-2015年青岛国际旅行者中乙型肝炎和丙型肝炎病毒感染的血清流行病学调查[J]. 疾病监测, 2017, 32(3): 222-226. DOI: 10.3784/j.issn.1003-9961.2017.03.013
ZHU Ke, ZHANG Jin, XUE Xiao-ning, XU He-fei, CHEN Xiao-guang, ZHANG Juan. Sero-epidemiology of hepatitis B and C virus infections in international travelers in Qingdao[J]. Disease Surveillance, 2017, 32(3): 222-226. DOI: 10.3784/j.issn.1003-9961.2017.03.013
Citation: ZHU Ke, ZHANG Jin, XUE Xiao-ning, XU He-fei, CHEN Xiao-guang, ZHANG Juan. Sero-epidemiology of hepatitis B and C virus infections in international travelers in Qingdao[J]. Disease Surveillance, 2017, 32(3): 222-226. DOI: 10.3784/j.issn.1003-9961.2017.03.013

2009-2015年青岛国际旅行者中乙型肝炎和丙型肝炎病毒感染的血清流行病学调查

Sero-epidemiology of hepatitis B and C virus infections in international travelers in Qingdao

  • 摘要: 目的 了解常驻青岛的国际旅行者中乙型肝炎(乙肝)病毒(HBV)和丙型肝炎病毒(HCV)感染状况和流行特征,为防治工作提供理论依据。方法 收集2009-2015年申请来华居住1年或1年以上入境人员的个人资料和实验室检测数据,包括血清中乙肝表面抗原(HBsAg)、抗-HCV抗体以及血浆谷丙转氨酶(ALT)水平。对其进行描述性流行病学分析。结果 2009-2015年,共收集 23 720例常驻青岛的国际旅行者血液样本,其中男性15 653人,女性8 067人。776份(3.27%)样本血清学检测有异常(HBsAg阳性或抗-HCV抗体阳性)。HBsAg阳性率和抗-HCV抗体阳性率分别为2.81%和0.46%。多因素分析显示,国际旅行者中HBsAg阳性率与年龄、性别、国籍明显相关,而抗-HCV抗体阳性率仅与年龄相关。HBsAg阳性或抗-HCV抗体阳性合并ALT异常都主要发生在男性。HBsAg阳性合并血浆ALT异常主要发生在青壮年组(20~29岁),而抗-HCV抗体阳性合并血浆ALT异常主要发生在中老年组(50~60岁)。结论 国际旅行者中年龄、性别、国籍等因素对HBsAg阳性率和抗-HCV抗体阳性率影响有所不同,应根据各自的流行病学特点制定更有针对性的监测和干预措施,并建议开展血清病毒学检测,结合ALT结果,对血清阳性样本进行明确确诊和提供后续医疗服务。

     

    Abstract: Objective To understand the sero-epidemiology of hepatitis B virus (HBV) and hepatitis C virus (HCV) infections in international travelers in Qingdao and provide evidence for the prevention and control of HBV and HCV. Methods A retrospective study was conducted in Qingdao port from 2009 to 2015. Blood samples and demographic information were collected from 23 720 international travelers who would stay in China for at least 1 year. HBV surface antigen (HBsAg), anti-HCV antibody were detected by using enzyme linked immunosorbent assay (ELISA). Alanine aminotransferase (ALT) levels were detected. Results A total of 23 720 international travelers, including 15 653 males and 8 067 females, were included in the study. Their mean age was 37.2712.72 years. Overall, 776 (3.27%) of international travelers were HBsAg or anti-HCV antibody positive. The sero-prevalence of HBV and HCV infections were 2.81% and 0.46%, respectively. Further survey results showed that the sero-prevalence of HBsAg were associated with age, gender and nationality, but the anti HCV positive rate was only associated with age. Abnormal ALT levels in both HBV infection and HCV infection occurred mainly males and abnormal ALT level in HCV infection was observed mainly in age group 50-60 years. Conclusion The study results indicated that the prevalence of HBV and HCV infections differed with age, gender and nationality in international travelers in Qingdao, it is necessary to take targeted surveillance and intervention measures. Virus detection based on ALT detection results and follow up service are recommended.

     

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