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在印度南部村庄开展的关于蚊子感染日本脑炎病毒及山羊血清转化的纵向研究。

Longitudinal studies in South Indian villages on Japanese encephalitis virus infection in mosquitoes and seroconversion in goats.

作者信息

Rajendran R, Thenmozhi V, Tewari S C, Balasubramanian A, Ayanar K, Manavalan R, Gajanana A, Kabilan L, Thakare J P, Satyanarayana K

机构信息

Centre for Research in Medical Entomology (Indian Council of Medical Research), Chinna Chokkikulam, Madurai, India.

出版信息

Trop Med Int Health. 2003 Feb;8(2):174-81. doi: 10.1046/j.1365-3156.2003.01003.x.

Abstract

Japanese encephalitis (JE) is endemic in Cuddalore district, Tamil Nadu, where Culex tritaeniorhynchus Giles was the major vector. We screened 45 100 adult female Cx. tritaeniorhynchus (902 pools) by enzyme-linked immunosorbent assay and isolated and confirmed JE virus (JEV) by using an insect bioassay system. We had 69 isolates of which 62 (90%) were identified as JEV. The average vector abundance per man hour for Cx. tritaeniorhynchus was 324.5 per month for the period June 1998-May 2000. The average minimum infection rate (MIR) per month in Cx. tritaeniorhynchus was 1.4 (range 0.0-5.6). Every year, a new batch of goats, 20 in the first year and 31 in the second year, born during the non-JE transmission period (January-June), aged <6 months and negative for haemagglutination inhibition (HI) antibodies were procured and placed in the villages as sentinels. Fortnightly, blood specimens were collected from these goats and tested for JE antibodies by HI test. Seroconversions (SCs) were recorded in 14 goats (70%) in the first year and 23 goats (74%) in the second year. JE HI antibody titres in goats were low (1:10-1:80) and these levels declined to undetectable levels in about 4 weeks following SCs. The time sequence of events indicated that four of five peaks of MIR in mosquitoes were followed 1-3 months later by peaks in the proportion of seroconverted goats. We suggest the screening of goats and cattle as a more feasible tool to stratify areas according to JE infection risk to the human population through the regular health system rather than screening mosquitoes using monoclonal antibodies, which is possible only in specialized laboratories.

摘要

日本脑炎(JE)在泰米尔纳德邦的库德洛尔地区呈地方流行,该地区三带喙库蚊(Culex tritaeniorhynchus Giles)是主要传播媒介。我们通过酶联免疫吸附试验对45100只成年雌性三带喙库蚊(902组)进行了筛查,并使用昆虫生物测定系统分离并确认了日本脑炎病毒(JEV)。我们共分离出69株病毒,其中62株(90%)被鉴定为JEV。1998年6月至2000年5月期间,三带喙库蚊每人每小时的平均媒介丰度为每月324.5只。三带喙库蚊每月的平均最低感染率(MIR)为1.4(范围为0.0 - 5.6)。每年,都会采购一批新的山羊,第一年20只,第二年31只,这些山羊在非日本脑炎传播期(1月至6月)出生,年龄小于6个月,血凝抑制(HI)抗体呈阴性,并作为哨兵放置在村庄中。每两周从这些山羊身上采集血液样本,通过HI试验检测日本脑炎抗体。第一年有14只山羊(70%)出现血清转化(SC),第二年有23只山羊(74%)出现血清转化。山羊体内的日本脑炎HI抗体滴度较低(1:10 - 1:80),在血清转化后约4周,这些水平下降到无法检测到的水平。事件的时间顺序表明,蚊子中MIR的五个峰值中有四个在1 - 3个月后伴随着血清转化山羊比例的峰值出现。我们建议,通过常规卫生系统,将山羊和牛的筛查作为一种更可行的工具,根据日本脑炎对人群的感染风险对地区进行分层,而不是使用单克隆抗体筛查蚊子,因为后者仅在专业实验室中可行。

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