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[广州某医院秋冬季腹泻儿童人杯状病毒感染的分子流行病学研究]

[Molecular epidemiological study of human calicivirus infection in diarrhea children in autumn and winter at a hospital in Guangzhou].

作者信息

Zhan Hui-chun, Nie Jun, Liu Yi, Tang Ya-li, Dai Ying-chun, Li Jian-dong, Chen Qing, Yu Shou-yi

机构信息

Department of Epidemiology, Southern Medical University, Guangzhou 510515, China.

出版信息

Nan Fang Yi Ke Da Xue Xue Bao. 2006 Jul;26(7):967-70.

Abstract

OBJECTIVE

To investigate the epidemiological features of human calicivirus( HuCV) infection in children with diarrhea in a hospital in Guangzhou.

METHODS

Stool specimens were collected from children with viral diarrhea diagnosed between October, 2003 and January, 2004 and between October, 2004 and January, 2005. HuCV was detected by means of RT-PCR and sequence analysis of the PCR products.

RESULTS

Eighty specimens positive for Norwalk-like viruses (NLVs) were identified from 648 stool specimens, with a positivity rate of 12.35%, and sapporo-like viruses (SLVs) were identified in 2 specimens (0.31%). The monthly NLV positivity rate was 11.74% (Oct.), 14.16% (Nov.), 9. 09% (Dec.) and 13.95% (Jan.), respectively, showing no significant variation in these months. NLVs mainly infected children below 2 years old. Twenty-two strains of NLVs were sequenced and analyzed, and 21 of them were identified as GII and the genotype of 1 strain could not be determined. The prevalent viral population were GII-3 and GII-4 in 2003 and was GII-4 in 2004, and both of the SLVs belong to GI-1.

CONCLUSION

NLVs is one of the important pathogens causing sporadic acute gastroenteritis in children admitted in the hospital in Guangzhou, and the prevalent strains are GII-3 and GII-4 , but different prevalent strains are possible in different periods.

摘要

目的

调查广州某医院腹泻儿童人杯状病毒(HuCV)感染的流行病学特征。

方法

收集2003年10月至2004年1月以及2004年10月至2005年1月期间诊断为病毒性腹泻的儿童粪便标本。采用逆转录聚合酶链反应(RT-PCR)及PCR产物序列分析检测HuCV。

结果

从648份粪便标本中鉴定出80份诺如病毒样病毒(NLVs)阳性标本,阳性率为12.35%,2份标本中鉴定出札幌样病毒(SLVs)(0.31%)。NLVs的月度阳性率分别为11.74%(10月)、14.16%(11月)、9.09%(12月)和13.95%(1月),这几个月无显著差异。NLVs主要感染2岁以下儿童。对22株NLVs进行测序分析,其中21株鉴定为GII型,1株基因型无法确定。2003年流行毒株为GII-3和GII-4,2004年为GII-4,2株SLVs均属于GI-1型。

结论

NLVs是广州某医院收治儿童散发性急性胃肠炎的重要病原体之一,流行毒株为GII-3和GII-4,但不同时期可能有不同的流行毒株。

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