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[普马拉汉坦病毒抗体血清学检测中的交叉反应和非特异性反应]

[The cross and unspecific reactions in serological examination for antibodies against hantavirus Puumala].

作者信息

Gut Włodzimierz, Siennicka Joanna, Sadkowska-Todys Małgorzata, Gozdowska Jolanta, Litwińska Bogumiła

机构信息

Zakład Wirusologii Państwowego Zakładu Higieny w Warszawie.

出版信息

Przegl Epidemiol. 2007;61(3):489-95.

Abstract

A serological survey of 78 zoologist capturing small wild rodents in their environment, 9 patients with suspected hantavirus infections and 21 patients with acute renal dysfunction for antibodies to hantaviruses was conducted in Poland. Survey was done by the indirect ELISA with Puumala and Hantaan virus antigens. Out of the 78 mammalogists 15 were seropositive for hantavirus Puumala IgG without history of clinical illness. Analysis of relation between reactive zoologist's sera IgG with antigens of Puumala and Hantaan viruses suggests that these persons had contact with Puumala/Tula viruses rather than with Dobrava/Saaremaa complex. Analysis of results of IgG and IgM presence by ELISA test have confirmed correct interpretation criteria proposed by manufacturer for serological diagnosis of suspected hantavirus infection. Both cross and unspecific reactions in the some sera have been observed. Low number of patients with suspected hantavirus infection suggests the existence of underestimation in registration of data collected in Poland and existence of non-diagnosed infections with hantaviring.

摘要

在波兰,对78名在野外捕捉小型野生啮齿动物的动物学家、9名疑似汉坦病毒感染患者以及21名急性肾功能不全患者进行了汉坦病毒抗体血清学调查。采用间接ELISA法,以普马拉病毒和汉滩病毒抗原进行检测。在78名哺乳动物学家中,有15人汉坦病毒普马拉IgG血清学阳性,但无临床疾病史。对反应性动物学家血清IgG与普马拉病毒和汉滩病毒抗原之间关系的分析表明,这些人接触的是普马拉/图拉病毒,而非多布拉瓦/萨雷马病毒复合体。通过ELISA检测IgG和IgM存在情况的结果分析,证实了制造商提出的疑似汉坦病毒感染血清学诊断的正确解读标准。在部分血清中观察到了交叉反应和非特异性反应。疑似汉坦病毒感染患者数量较少,这表明波兰收集的数据存在低估情况,且存在未被诊断出的汉坦病毒感染。

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