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[波兰B19细小病毒血清流行率研究]

[Seroprevalence study of parvovirus B19 in Poland].

作者信息

Siennicka Joanna, Stefanoff Paweł, Trzcińska Agnieszka, Rosińska Magdalena, Litwińska Bogumiła

机构信息

Zakład Epidemiologii Pańistwowego Zakładu Higieny, Warszawa.

出版信息

Przegl Epidemiol. 2006;60(3):571-80.

PMID:17249182
Abstract

The aim of the study was to assess the seroprevalence of parvovirus B19 in the Polish general population. Serum samples (n=2,500) were randomly selected from a serum bank comprising materials coming from inhabitants of all 16 polish provinces, collected by the Department of Virology in 1995-2004. Testing was performed using ELISA kits. Association of seropositive results with age, gender, residence type, and geographical location was assessed by bivariate and multivariate analyses. Of the 2,500 samples tested, 1,321 (52.9%) were seropositive for parvovirus B19. First peak of seropositive persons was observed in pre-school children, the proportion of seropositives achieving 80% among 40 year-olds. Up to 40% women of child-bearing age were established susceptible to parvoviral infection. No association between seropositivity and gender, year of sample collection, residence type and place was observed. Analysis of proportion of seropositive children aged 1, 2 and 3 by year of sample collection permitted identification of epidemic year occurrence in 1999. Results of the present study indicate that parvovirus B19 infections are widespread in Poland and are not associated with gender, residence type or geographic region. Up to 40% women of child-bearing age were established susceptible to parvovirus B19 infection, which indicates that it can constitute an important factor of miscariages, especially during epidemic years.

摘要

本研究的目的是评估波兰普通人群中B19微小病毒的血清阳性率。血清样本(n = 2500)是从一个血清库中随机选取的,该血清库包含来自波兰所有16个省份居民的材料,由病毒学系在1995年至2004年收集。检测使用ELISA试剂盒进行。通过双变量和多变量分析评估血清阳性结果与年龄、性别、居住类型和地理位置之间的关联。在检测的2500个样本中,1321个(52.9%)对B19微小病毒呈血清阳性。血清阳性人群的第一个高峰出现在学龄前儿童中,40岁人群中的血清阳性比例达到80%。高达40%的育龄妇女被确定易感染细小病毒。未观察到血清阳性与性别、样本采集年份、居住类型和地点之间的关联。通过按样本采集年份分析1、2和3岁血清阳性儿童的比例,确定了1999年为流行年份。本研究结果表明,B19微小病毒感染在波兰广泛存在,且与性别、居住类型或地理区域无关。高达40%的育龄妇女被确定易感染B19微小病毒,这表明它可能是流产的一个重要因素,尤其是在流行年份。

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