Shiraishi Tadashi, Nakagawa Mikiko, Nakagawa Yoshito, Tominaga Makoto, Yoshitani Sumako
Division of Pharmacy, Yamagata University Hospital.
Kansenshogaku Zasshi. 2005 May;79(5):322-8. doi: 10.11150/kansenshogakuzasshi1970.79.322.
For infection control against measles, rubella, mumps and varicella-zoster viruses in the hospital, it is important to assess the immunity of the medical staff against those viruses and to achieve high immunocompetence in the medical staff by vaccination. We estimated the specific antibodies against measles, rubella, mumps and varicella-zoster viruses by ELISA in 686 care workers (240 men, 446 women) of Yamagata University Hospital. The members (frequencies) without antibodies for each virus were 59 (8.6%) for measles virus, 68 (9.9%) for rubella virus, 104 (18.2%) for mumps virus and 5 (0.7%) for varicella-zoster virus. The ratios of positive antibodies, especially against rubella and mumps viruses, were higher among women than men. To see the relationship between the immunity and age, we studied the numbers without antibodies by dividing the persons by age. The numbers of negative IgG for measles virus were 45 (17.5%) in the persons age of 21-30, 8 (4.3%) in 31-40, 4 (2.4%) in 41-50 and 2 (2.7%) in over 51. The numbers of negative IgG for rubella virus were 21 (8.2%) in the persons age of 21-30, 22 (11.7%) in 31-40, 22 (13.2%) in 41-50 and 3 (4.1%) in over 51. The numbers of negative IgG for mumps virus were 35 (13.6%) in the persons age of 21-30, 39 (20.7%) in 31-40, 22 (13.2%) in 41-50 and 8 (10.8%) in over 51. The numbers of negative IgG for varicella-zoster virus were 4 (1.6%) in the persons age of 21-30 and 1 (0.5%) in 31-40. The rate of the persons without antibodies but who had received vaccination in the past were the following: 46% for measles virus, 21% for rubella virus and 21% for mumps. The results of antibodies were informed individually and the persons without antibody against each virus were recommended to receive a vaccination for each virus.
为在医院内防控麻疹、风疹、腮腺炎和水痘 - 带状疱疹病毒感染,评估医护人员对这些病毒的免疫力并通过接种疫苗使医护人员具备高免疫能力至关重要。我们通过酶联免疫吸附测定法(ELISA)对山形大学医院的686名护理人员(240名男性,446名女性)进行了针对麻疹、风疹、腮腺炎和水痘 - 带状疱疹病毒的特异性抗体检测。每种病毒无抗体的人员数量(频率)分别为:麻疹病毒59人(8.6%),风疹病毒68人(9.9%),腮腺炎病毒104人(18.2%),水痘 - 带状疱疹病毒5人(0.7%)。女性中抗体阳性率,尤其是针对风疹和腮腺炎病毒的阳性率高于男性。为了解免疫力与年龄之间的关系,我们按年龄对人员进行划分来研究无抗体的人数。21 - 30岁人群中麻疹病毒IgG阴性人数为45人(17.5%),31 - 40岁为8人(4.3%),41 - 50岁为4人(2.4%),51岁以上为2人(2.7%)。21 - 30岁人群中风疹病毒IgG阴性人数为21人(8.2%),31 - 40岁为22人(11.7%),41 - 50岁为22人(13.2%),51岁以上为3人(4.1%)。21 - 30岁人群中腮腺炎病毒IgG阴性人数为35人(13.6%),31 - 40岁为39人(20.7%),41 - 50岁为22人(13.2%),51岁以上为8人(10.8%)。21 - 30岁人群中水痘 - 带状疱疹病毒IgG阴性人数为4人(1.6%),31 - 40岁为1人(0.5%)。过去接种过疫苗但仍无抗体的人员比例如下:麻疹病毒为46%,风疹病毒为21%,腮腺炎病毒为21%。抗体检测结果已逐一告知,建议每种病毒无抗体的人员接种相应疫苗。