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所罗门群岛登革热血清流行率研究——证实登革热既往有传播

Solomon Islands dengue seroprevalence study--previous circulation of dengue confirmed.

作者信息

Darcy A, Clothier H, Phillips D, Bakote'e B, Stewart T

机构信息

Pathology Laboratory, National Referral Hospital, Ministry of Health, Honiara, Solomon Islands.

出版信息

P N G Med J. 2001 Mar-Jun;44(1-2):43-7.

Abstract

Since there were no confirmed outbreaks of dengue on record an extensive search of available records and a seroprevalence study were undertaken to determine if there was evidence of past dengue virus infections in the Solomon Islands. Hospital and Health Department records revealed a suspected dengue outbreak in 1982 and deaths attributed to dengue in 1995 and 1996. Serum samples from blood donors were analyzed for the presence of IgG antibodies specific for flavivirus and dengue virus. A total of 39% of the 515 samples, predominantly from adult males from Honiara, demonstrated IgG antibodies specific for dengue; 28% (26 of 93) were monotypically positive by plaque reduction neutralization test for dengue 2 antibody and the remaining samples had antibodies to more than one dengue serotype. A good correlation was found between the presence of flavivirus and dengue IgG confirming that dengue virus had circulated in the past in the Solomon Islands.

摘要

由于记录中没有确诊的登革热疫情,因此进行了广泛的现有记录搜索和血清流行率研究,以确定所罗门群岛过去是否有登革热病毒感染的证据。医院和卫生部记录显示,1982年有疑似登革热疫情,1995年和1996年有登革热致死病例。对献血者的血清样本进行分析,以检测是否存在针对黄病毒和登革热病毒的IgG抗体。在515份样本中,共有39%的样本(主要来自霍尼亚拉的成年男性)显示出针对登革热的IgG抗体;28%(93份中的26份)通过空斑减少中和试验对登革热2型抗体呈单型阳性,其余样本对不止一种登革热血清型有抗体。发现黄病毒和登革热IgG的存在之间有良好的相关性,证实登革热病毒过去在所罗门群岛传播过。

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