González-Escalada Alba, García-García Laura, Viguera-Ester Pablo, Marín-García Patricia, García Jesus, Gil-de-Miguel Angel, Gil-Prieto Ruth
Departments of Preventive Medicine and Public Health and Medical Immunology and Microbiology; University Rey Juan Carlos; Madrid, Spain.
Hum Vaccin Immunother. 2013 Sep;9(9):1918-25. doi: 10.4161/hv.25127. Epub 2013 Jun 21.
In recent years, there has been an increase in the number of cases of certain immunopreventable diseases in our country. A high proportion of these have been recorded among the young adult population. The aim of this study was to determine the seroprevalence of antibodies against immunopreventable diseases with the greatest health impacts on the young adult population (19-39 y of age) in Madrid. We collected a total of 1,153 serum samples from healthy volunteers undergoing routine medical visits and used ELISA to determine the presence of IgG antibodies against measles, rubella, mumps, and varicella zoster, as well as Bordetella pertussis. The Pearson's χ(2) test was used to compare prevalences, the Mann-Whitney U test was used to compare means, and the Kruskal-Wallis test was applied for variables with more than 2 categories. Statistical significance was achieved with p values of<0.05. The global prevalence of antibodies was 92.1% for measles, 94.4% for rubella, 88.3% for mumps, 92.8% for varicella zoster, and 70.2% for B. pertussis. No statistically significant differences were found between genders. The prevalence of antibodies against measles was more than 95% in the group of individuals born after 1986, and the percentage of individuals susceptible to rubella was less than 5% in women born after 1986. In spite of adequate vaccination coverage, in our region, a population of young adults exists who have not achieved the objectives of the WHO for the elimination of measles and congenital rubella syndrome.
近年来,我国某些可通过免疫预防的疾病病例数量有所增加。其中很大一部分病例出现在青年成人人群中。本研究的目的是确定马德里对青年成人人群(19至39岁)健康影响最大的可通过免疫预防疾病的抗体血清流行率。我们从接受常规体检的健康志愿者中总共收集了1153份血清样本,并使用酶联免疫吸附测定法(ELISA)来确定抗麻疹、风疹、腮腺炎、水痘带状疱疹以及百日咳博德特氏菌的IgG抗体的存在情况。使用Pearson卡方检验比较流行率,使用曼-惠特尼U检验比较均值,对于有超过2个类别的变量应用Kruskal-Wallis检验。p值<0.05时具有统计学显著性。抗体的总体流行率分别为:麻疹92.1%、风疹94.4%、腮腺炎88.3%、水痘带状疱疹92.8%、百日咳博德特氏菌70.2%。未发现性别之间存在统计学显著差异。1986年以后出生的人群中抗麻疹抗体的流行率超过95%,1986年以后出生的女性中对风疹易感的个体比例不到5%。尽管疫苗接种覆盖率充足,但在我们地区,仍有一部分青年成人未实现世界卫生组织消除麻疹和先天性风疹综合征的目标。