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越南两个地区的伤寒热调查。

Typhoid fever survey in two localities in Vietnam.

作者信息

Prokopec J, Müllerová H, Serý V, Radkovský J

机构信息

Institute of Tropical Health, Prague, Czechoslovakia.

出版信息

J Hyg Epidemiol Microbiol Immunol. 1991;35(1):9-16.

PMID:1880411
Abstract

As a part of multipurpose health survey of the population in Vietnam the antibodies against S. typhi were determined by the micromethod using haemagglutination test (O-antigen 9, 12) and agglutination test using standard H-diagnostic antigen (d). Totally 292 sera were examined, 139 from Duyen Thai village and 154 from Mai Chau. The data on vaccination against typhoid fever are recorded only in 102 persons. The positivity on Vi antibodies is very high--70% in Duyen Thai and 47% in Mai Chau. This finding is significant according to the high titres in the carriers of S. typhi. The titres of all antibodies are lower in Mai Chau area situated in mountains then in crowded lowlands of Duen Thai. The level of antibodies is decreasing with age. The frequency distribution of antibodies by age proves endemicity of the disease in area, where a large part of population is infected already before reaching 20 years of age. The effectivities of vaccination is discussed.

摘要

作为越南全国多用途健康调查的一部分,采用微量血凝试验(O抗原9、12)和使用标准H诊断抗原(d)的凝集试验,对伤寒沙门菌抗体进行了检测。共检测了292份血清,其中139份来自Duyen Thai村,154份来自Mai Chau。仅记录了102人的伤寒疫苗接种数据。Vi抗体阳性率非常高——Duyen Thai村为70%,Mai Chau为47%。鉴于伤寒沙门菌携带者中的高滴度,这一发现具有重要意义。位于山区的Mai Chau地区所有抗体的滴度均低于人口密集的低地地区Duen Thai。抗体水平随年龄增长而下降。按年龄划分的抗体频率分布证明该地区疾病具有地方性,在该地区很大一部分人口在20岁之前就已受到感染。文中还讨论了疫苗接种的效果。

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