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[53起流感暴发疫情的病原体检测分析]

[Analysis on pathogen detection for 53 influenza outbreaks].

作者信息

Tong Jing, Yang Jin-Chuan, Zhang Chuan-Ling, Wang Bao-An, Ding Ren, Du Yang-Guang, Yan Jia-Lu, Zhang Lei, Tang Liu-Ying

机构信息

Xuzhou Disease Control and Prevention Center, China.

出版信息

Zhonghua Shi Yan He Lin Chuang Bing Du Xue Za Zhi. 2012 Dec;26(6):419-21.

PMID:23627018
Abstract

OBJECTIVE

In order to provide a scientific basis for influenza prevention and control, analyzing the epidemic characteristics and laws of influenza outbreaks in Xuzhou area during 2005-2011.

METHOD

Using fluorescent-PCR method to detect influenza virus nucleic acid on Nasopharyngeal swab specimens collected from influenza outbreak cases during 2005-2011 and fast classifying influenza virus A1 (H1N1), A3 (H3N2), new H1N1 BV (Victoria) and BY (Yamagate) on subtypes. At the same time, isolating the influenza virus with MDCK cells, and sending them to the National Influenza Center for review, after the preliminary identification of the isolated influenza virus.

RESULTS

During 2005-2011, there are 53 influenza outbreaks in Xuzhou area, which caused by influenza virus subtype BV accounting for 26.42% (14/53), A3 accounting for 49.1% (26/53), A3 and A1 mixture accounting for 3.77% (2/53) and the new H1N1 accounting for 20.75% (11/53). The outbreaks in 2007 and 2009 mainly caused by A3, and show that the winter spring (January) and summer autumn (September) as two popular peaks during 2005-2011; BV mainly causes the outbreaks from Feb. to Jun.

CONCLUSION

In Xuzhou area, since the winter of 2005, influenza virus subtype BV, the A3, and new H1N1 has alternately as mainly predominant strain, caused local influenza outbreaks. In which BV has increased trend year by year during 2005-2011. The students in primary and secondary schools are the major crowd of influenza outbreaks. Fluorescent-PCR detection methods could be a preferred method for reliable and rapid diagnostic of epidemic influenza outbreaks.

摘要

目的

分析2005 - 2011年徐州地区流感暴发的流行特征及规律,为流感防控提供科学依据。

方法

采用荧光PCR法对2005 - 2011年流感暴发病例采集的鼻咽拭子标本进行流感病毒核酸检测,并对甲型流感病毒A1(H1N1)、A3(H3N2)、新型H1N1 BV(维多利亚)和BY(山形)亚型进行快速分型。同时,用MDCK细胞分离流感病毒,经初步鉴定后送国家流感中心复核。

结果

2005 - 2011年徐州地区共发生53起流感暴发疫情,其中由流感病毒BV亚型引起的占26.42%(14/53),A3亚型占49.1%(26/53),A3与A1混合占3.77%(2/53),新型H1N1占20.75%(11/53)。2007年和2009年的暴发主要由A3亚型引起,2005 - 2011年呈现冬春(1月)和夏秋(9月)两个流行高峰;BV亚型主要引起2 - 6月的暴发。

结论

2005年冬季以来,徐州地区流感病毒以BV亚型、A3亚型和新型H1N1交替为主导毒株,引起局部流感暴发。其中2005 - 2011年BV亚型呈逐年上升趋势。中小学学生是流感暴发的主要人群。荧光PCR检测方法可作为流感暴发疫情可靠、快速诊断的首选方法。

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