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[肾综合征出血热的实际问题]

[Actual problems of hemorrhagic fever with renal syndrome].

作者信息

Tkachenko E A, bernshtein A D, Dzagurova T K, Morozov V G, Slonova R A, Ivanov L I, Trankvilevskiĭ D V, Kruger D

出版信息

Zh Mikrobiol Epidemiol Immunobiol. 2013 Jan-Feb(1):51-8.

Abstract

From 2000 to 2011 85 600 cases of hemorrhagic fever with renal syndrome (HFRS) were registered in Russian Federation. Epidemically active foci of HFRS infection are located generally in temperate latitudes of the European part and the Far East. In the Far East regions whose fraction of all the HFRS disease cases in Russia is around 2%, the causative agents of the infection are Hantaan, Amur, Seoul hantaviruses, the natural reservoir for those are striped field mouse, Korean field mouse and brown rat. In the European part of Russia the causative agent of the infection are Puumala hantavirus as well as 2 genetic subtypes of Dobrava virus, the main reservoirs of those in the nature are bank vole, striped field mouse and Black Sea field mouse, respectively. 9 strain of Puumala and 10 strains of Dobrava virus were isolated. Based on sequencing of Dobrava virus strains significant differences were detected between Dobrava virus strains isolated from Black Sea field mouse from Sochi and striped field mouse from Lipetsk Region. Cultural inactivated vaccine against HFRS was developed and completed preclinical trials.

摘要

2000年至2011年期间,俄罗斯联邦共登记了85600例肾综合征出血热(HFRS)病例。肾综合征出血热感染的流行活跃疫源地一般位于欧洲部分和远东的温带地区。在俄罗斯所有肾综合征出血热病例中占比约2%的远东地区,感染病原体为汉坦病毒、阿穆尔病毒、汉城汉坦病毒,其自然宿主分别为黑线姬鼠、朝鲜姬鼠和褐家鼠。在俄罗斯欧洲部分,感染病原体为普马拉汉坦病毒以及多布拉瓦病毒的2个基因亚型,其在自然界的主要宿主分别为棕背鼠平、黑线姬鼠和黑海田鼠。分离出了9株普马拉病毒和10株多布拉瓦病毒。基于对多布拉瓦病毒株的测序,发现从索契的黑海田鼠和利佩茨克地区的黑线姬鼠分离出的多布拉瓦病毒株之间存在显著差异。研发了肾综合征出血热的细胞培养灭活疫苗并完成了临床前试验。

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