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对7804例有流感样症状的患者进行流感病毒筛查。

Screening for influenza viruses in 7804 patients with influenza-like symptoms.

作者信息

Li Xuehui, Lv Nan, Hangwei Chen, You Lanhua, Wang Huimin

机构信息

Department of Respiratory Medicine, Military General Hospital of Beijing People's Liberation Army, China.

出版信息

Saudi Med J. 2010 Dec;31(12):1337-40.

Abstract

OBJECTIVE

To screen a large number of patients with influenza-like symptoms by using the gold-immunochromatographic assay kit.

METHODS

All patients with influenza-like symptoms visiting the outpatient department of the General Hospital of Beijing Military Region, Beijing, China between May 2009 and January 2010 were enrolled in the study. Nasopharyngeal swabs were collected immediately after the patient visited, then a gold-immunochromatographic assay was performed for screening of influenza A and B viruses according to the kit protocol.

RESULTS

Among the 7804 patients enrolled in this study, 202 patients were influenza virus-positive; the positive cases accounted for 2.6% of all cases detected. Among the 202 influenza virus-positive patients, 171 patients were influenza virus A-positive, 24 were influenza virus B-positive, and 7 were co-infected with influenza virus A and B. More than 57% of the virus-positive patients were younger than 30 years old. Symptoms such as fever, sore throat, nasal congestion, sneezing, runny nose, and joint pain were more frequently observed in influenza virus A-positive patients than in influenza virus B-positive and influenza virus-negative patients.

CONCLUSION

The gold immunochromatographic assay kit is very useful for screening a large number of patients with influenza-like symptoms. A higher number of influenza virus A-positive patients have sore throat, nasal congestion, sneezing, runny nose, and joint pain than influenza virus B-positive and influenza virus-negative patients.

摘要

目的

使用金免疫层析检测试剂盒对大量有流感样症状的患者进行筛查。

方法

纳入2009年5月至2010年1月期间在中国北京军区总医院门诊部就诊的所有有流感样症状的患者。患者就诊后立即采集鼻咽拭子,然后根据试剂盒说明书进行金免疫层析检测以筛查甲型和乙型流感病毒。

结果

在本研究纳入的7804例患者中,202例为流感病毒阳性;阳性病例占所有检测病例的2.6%。在202例流感病毒阳性患者中,171例为甲型流感病毒阳性,24例为乙型流感病毒阳性,7例为甲型和乙型流感病毒合并感染。超过57%的病毒阳性患者年龄小于30岁。甲型流感病毒阳性患者比乙型流感病毒阳性患者和流感病毒阴性患者更常出现发热、咽痛、鼻塞、打喷嚏、流涕和关节疼痛等症状。

结论

金免疫层析检测试剂盒对大量有流感样症状的患者进行筛查非常有用。甲型流感病毒阳性患者比乙型流感病毒阳性患者和流感病毒阴性患者出现咽痛、鼻塞、打喷嚏、流涕和关节疼痛的人数更多。

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