Barah Faraj, Chehada Amer G
Division of Microbiology, Faculty of Pharmacy, University of Kalamoon, PO Box 222, Deratiah, Syria.
Saudi Med J. 2010 Jan;31(1):78-81.
To examine the current sero-epidemiology of rubella IgG among Syrian females of childbearing age that missed rubella vaccination.
A cross-sectional study examined healthy female students of the Pharmacy College, Kalamoon University, Deratiah, Syria. Ninety sera were collected between March and May 2008, and were subject to rubella specific IgG screening and titration using an enzyme-linked immunosorbent assay-based technique provided by Diamed Eurogen in the Microbiology Laboratory, Faculty of Pharmacy.
The quantitative analysis for rubella IgG showed a noticeable variability in the values of antibodies that ranged between 0-363 IU/ml. A total of 77 participants were positive for rubella IgG giving a prevalence of 85.6%, and leaving a relatively high proportion of susceptibility (14.4%) among the tested group.
Although most women tested were seropositive for rubella IgG, suggesting a natural virus circulation within the community, screening for protective immunity followed by vaccination to those who missed the regular vaccine program should be enforced to prevent possible rubella congenital syndrome. In addition, adding a second shot of rubella vaccine to those who were subject to the national program of vaccination is a must since the concentration of antibodies may drop below the recommended levels necessary for protection.
调查未接种风疹疫苗的叙利亚育龄女性中当前风疹IgG的血清流行病学情况。
一项横断面研究对叙利亚德拉蒂亚卡拉穆恩大学药学院的健康女学生进行了检查。2008年3月至5月期间收集了90份血清,并在药学院微生物实验室使用由迪美欧洲基因公司提供的基于酶联免疫吸附测定的技术进行风疹特异性IgG筛查和滴定。
风疹IgG的定量分析显示抗体值存在显著差异,范围在0 - 363 IU/ml之间。共有77名参与者风疹IgG呈阳性,患病率为85.6%,在测试组中仍有相对较高比例的易感性(14.4%)。
尽管大多数接受测试的女性风疹IgG血清学呈阳性,表明社区内存在自然病毒传播,但仍应加强对保护性免疫的筛查,并对未接种常规疫苗计划的人群进行疫苗接种,以预防可能的风疹先天性综合征。此外,对于已接种国家疫苗计划的人群,必须接种第二剂风疹疫苗,因为抗体浓度可能会降至保护所需的推荐水平以下。