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尼日利亚贝努埃州马库尔迪孕妇血清中特异性风疹病毒 IgM 的血清学调查。

Serologic survey of specific rubella virus IgM in the sera of pregnant women in Makurdi, Benue State, Nigeria.

作者信息

Pennap Grace, Amauche Ginikanwa, Ajoge Hannah, Gabadi Sarah, Agwale Simon, Forbi Joseph

机构信息

Department of Microbiology, Nasarawa State University, Keffi, Nigeria.

出版信息

Afr J Reprod Health. 2009 Jun;13(2):69-73.

Abstract

Although a major section of pregnant women in Nigeria are immune to rubella infection, cases of congenital rubella syndrome are still been seen in hospitals. Rubella is not a reportable disease in Nigeria and data of its epidemiology are extremely rare. In this study, we estimate the burden of acute rubella virus infection among pregnant women during their first trimester in Makurdi-Benue State-Nigeria. Anti-rubella IgM were detected using a commercially available quantitative enzyme immunoassay. Of the 534 (mean age = 28.1 +/- 1.7 years) sera sample tested, 21 (3.9%; 95% CI = +/- 1.64%) were positive for Rubella IgM antibodies. We also extrapolated by mathematical modeling that 4.2% represents the actual/real susceptible population in Nigeria. There was no significant correlations between rubella infection and age (p > 0.05). Although the incidence of rubella is low we suggest the antenatal screening and vaccination of all females of child bearing age to eliminate this potentially devastating virus in the county.

摘要

尽管尼日利亚大部分孕妇对风疹感染具有免疫力,但医院仍能见到先天性风疹综合征病例。风疹在尼日利亚并非法定报告疾病,其流行病学数据极为罕见。在本研究中,我们估算了尼日利亚马库尔迪-贝努埃州孕妇在孕早期急性风疹病毒感染的负担。使用市售定量酶免疫测定法检测抗风疹IgM。在所检测的534份血清样本(平均年龄=28.1±1.7岁)中,21份(3.9%;95%CI=±1.64%)风疹IgM抗体呈阳性。我们还通过数学模型推断,4.2%代表尼日利亚实际的易感人群。风疹感染与年龄之间无显著相关性(p>0.05)。尽管风疹发病率较低,但我们建议对所有育龄女性进行产前筛查和接种疫苗,以在该国消除这种具有潜在破坏性的病毒。

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