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[波尔图地区托斯卡纳病毒感染血清流行率调查]

[Seroprevalence survey of Toscana virus infection in Oporto region].

作者信息

Santos Lurdes, Cardoso Maria João, Marinho Ana Sofia, Guimarães Tiago, Sarmento António

机构信息

Serviço de Doenças Infecciosas, Hospital de SJoão, Faculdade de Medicina, Universidade do Porto, Portugal.

出版信息

Acta Med Port. 2011 Dec;24 Suppl 2:479-82. Epub 2011 Dec 31.

Abstract

UNLABELLED

Toscana virus (TOSV) endemic in central Italy, has been documented in several European countries of the Mediterranean region. It is a neurotropic virus and in some of these countries studies to investigate seroprevalence have been done. In a recent etiologic study of meningitis we chose 106 of 308 samples to be tested for TOSV using a nested RT-PCR assay, and found six (5.6%) cases of meningitis by Toscana virus.

AIM

To investigate the seroprevalence of antibodies against TOSV in a cohort of a population attended in our Hospital.

MATERIAL AND METHODS

In serum samples collected for routine study we have investigated the presence of antibodies for TOSV. The study included samples of patients hospitalized and others observed in ambulatory and includes children and adults. Immunocompromised patients were excluded. The test was based on the-ELISA technique ((ENZYWELL), according to the manufacture instructions, being positive for a cut-off>1.2, negative if the cut-off <0.8 and doubtful if the cut-off >0.8 e <1.2.

RESULTS

334 serum samples arbitrarily were used for seroprevalence study of antibodies to TOSV, 304 adults and 30 children. Positive results for anti-TOSV were obtained in 13 (3.9%) samples; in other 21 the result was doubtful and in those cases it was not possible to repeat because we have only one pair of serum and in the remaining 300 the result was negative. The positive samples were all from adults, 8 females and 5 males, 8 (62%) of them were older than 60 years. All children' samples were negative for TOSV antibodies.

CONCLUSION

We documented a seroprevalence of 3.9% to TOSV, namely in adults older than 60 years. Our prevalence is lower when compared to other European countries, namely Spain (5-22%).

摘要

未标注

托斯卡纳病毒(TOSV)在意大利中部流行,已在地中海地区的几个欧洲国家被记录。它是一种嗜神经病毒,在其中一些国家已开展了调查血清流行率的研究。在最近一项脑膜炎病因学研究中,我们从308份样本中选取106份使用巢式逆转录聚合酶链反应(RT-PCR)检测法检测托斯卡纳病毒,发现6例(5.6%)托斯卡纳病毒引起的脑膜炎病例。

目的

调查我院就诊人群队列中抗托斯卡纳病毒抗体的血清流行率。

材料与方法

在为常规研究收集的血清样本中,我们检测了抗托斯卡纳病毒抗体的存在情况。该研究包括住院患者以及在门诊观察的患者的样本,涵盖儿童和成人。免疫功能低下患者被排除。检测基于酶联免疫吸附测定技术((ENZYWELL)),按照制造商说明,临界值>1.2为阳性,临界值<0.8为阴性,临界值>0.8且<1.2为可疑。

结果

随机选取334份血清样本进行抗托斯卡纳病毒抗体血清流行率研究,其中304份为成人样本,30份为儿童样本。13份(3.9%)样本抗托斯卡纳病毒检测结果为阳性;另外21份结果可疑,由于我们只有一份血清样本,无法重复检测,其余300份结果为阴性。阳性样本均来自成人,8名女性和5名男性,其中8名(62%)年龄大于60岁。所有儿童样本抗托斯卡纳病毒抗体检测均为阴性。

结论

我们记录到托斯卡纳病毒血清流行率为3.9%,即年龄大于60岁的成人中。与其他欧洲国家(如西班牙,5%-22%)相比,我们的流行率较低。

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