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[瓜拉廷格塔城乡人群风疹血清阳性率]

[Seroprevalence of rubella in urban and rural populations, Guaratinguetá].

作者信息

Figueiredo Cristina A, Afonso Ana M S, Curti Suely P, Oliveira Maria I, Souza Luisa T M, Sato Helena Keico, Azevedo Raymundo S

机构信息

Serviço de Virologia, Instituto Adolfo Lutz, São Paulo, SP.

出版信息

Rev Assoc Med Bras (1992). 2009 Mar-Apr;55(2):117-20. doi: 10.1590/s0104-42302009000200011.

Abstract

OBJECTIVE

To investigate seroprevalence of rubella antibodies in a 15 to 39 year old population in the municipal district of Guaratinguetá.

METHODS

The 996 samples studied were collected in urban and rural zones, after informed and elucidated consent from men and women stratified by age (15 -39 years). Rubella IgG antibodies were detected by ELISA using the commercial kit Rubenostika IgGII (Organon Teknika THE, Holland). Age groups were stratified in 3 categories: 15-19; 20-29 and 30-39 years of age. Statistical analyses were accomplished with the software MINITAB version 14.0 (Minitab Inc, USA).

RESULTS

The proportion of seropositives for antibodies of the IgG class were: 92.7.% positive for 15-19 years; 82.4% for 20 to 29 years and 90.7% for 30-39 years, with a significant difference in the seropositive proportions by age group (p <0.001). Variation of intensity of antibody response was calculated and results show a significant difference (p = 0.002) between means of the 3 age groups studied. In relation to rural and urban zone average of the ratio DO/CO for each age group, a significant tendency towards a lower average was observed in the rural zone. The same was true when the seropositive proportions were calculated.

CONCLUSION

Results showed that the percentage and individuals with antibodies of the IgG class against rubella in the 20-29 year age group was lower than that in the younger and older age groups. Furthermore, the difference between seropositivity in the urban and rural zones discloses susceptibility with a potential for continued circulation of the virus in this zone.

摘要

目的

调查瓜拉廷格塔市辖区15至39岁人群中风疹抗体的血清流行率。

方法

在获得15 - 39岁按年龄分层的男性和女性的知情同意并进行解释说明后,在城市和农村地区采集了996份研究样本。使用商业试剂盒Rubenostika IgGII(荷兰欧加农公司)通过酶联免疫吸附测定法(ELISA)检测风疹IgG抗体。年龄组分为3类:15 - 19岁;20 - 29岁和30 - 39岁。使用MINITAB 14.0版软件(美国Minitab公司)进行统计分析。

结果

IgG类抗体血清阳性比例分别为:15 - 19岁组92.7%呈阳性;20至29岁组为82.4%;30 - 39岁组为90.7%,各年龄组血清阳性比例存在显著差异(p <0.001)。计算了抗体反应强度的变化,结果显示所研究的3个年龄组的平均值之间存在显著差异(p = 0.002)。关于每个年龄组城乡地区的DO/CO比值平均值,在农村地区观察到明显的较低平均值趋势。计算血清阳性比例时情况相同。

结论

结果表明,20 - 29岁年龄组中抗风疹IgG类抗体的百分比和个体低于较年轻和较年长年龄组。此外,城乡地区血清阳性率的差异揭示了该地区病毒持续传播的潜在易感性。

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