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[北京儿童医院下呼吸道感染住院患儿腺病毒-IgM抗体检测]

[Detection of adenovirus-IgM antibody in children hospitalized with lower respiratory tract infection in Beijing Children's Hospital].

作者信息

Zhang Hui, Liu Chun-Yan, Wang Yan, Xie Zheng-De

机构信息

Virology Laboratory, Beijing Children's Hospital, Capital Medical University, Beijing 100045, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2007 Jul;28(7):686-7.

Abstract

OBJECTIVE

To explore the characteristics of adenovirus (ADV) infection in children hospitalized with lower respiratory tract infection (LRTI) in Beijing Children's Hospital.

METHODS

One thousand and forty-six children hospitalized with pneumonia or bronchitis in Beijing Children's Hospital from October 2004 to December 2005, were enrolled in our study. Serum samples were collected from each patient and detected for ADV-IgM by indirect ELISA, excluding those serum samples which were positive for any of the antibodies as CMV, EBV, HSV, Enterovirus.

RESULTS

Eighty-seven (11.8%, 87/738) were positive for ADV-IgM in 738 cases which were negative on other pathogen. The percentage of LRTI with ADV infection was 8.3% (87/1046) during the period. Thirty-two cases were younger than 1 year of age while 42 cases were between 1-6 and 13 cases were older than 6 years old. The ratio of male to female was 1.4:1. ADV infection occurred throughout the year and relatively frequent in winter and spring.

CONCLUSION

ADV was one of the most important viral pathogens on lower respiratory tract infections in children under 5 year olds. Children aged from 6 months to 3-years were susceptible to ADV infection.

摘要

目的

探讨北京儿童医院下呼吸道感染(LRTI)住院患儿腺病毒(ADV)感染的特点。

方法

选取2004年10月至2005年12月在北京儿童医院住院的1046例肺炎或支气管炎患儿纳入研究。采集每位患者的血清样本,采用间接ELISA法检测ADV-IgM,排除巨细胞病毒(CMV)、EB病毒(EBV)、单纯疱疹病毒(HSV)、肠道病毒等任何抗体阳性的血清样本。

结果

738例其他病原体检测阴性的病例中,87例(11.8%,87/738)ADV-IgM阳性。该时期ADV感染所致LRTI的比例为8.3%(87/1046)。32例年龄小于1岁,42例年龄在1 - 6岁之间,13例年龄大于6岁。男女比例为1.4:1。ADV感染全年均有发生,冬春季相对多见。

结论

ADV是5岁以下儿童下呼吸道感染最重要的病毒病原体之一。6个月至3岁的儿童易发生ADV感染。

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