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几内亚比绍农村幼儿的轮状病毒血清学与母乳喂养情况

Rotavirus serology and breast-feeding in young children in rural Guinea-Bissau.

作者信息

Gunnlaugsson G, Smedman L, da Silva M C, Grandien M, Zetterström R

机构信息

Centre of Maternal and Child Health, Bissau, Guinea-Bissau.

出版信息

Acta Paediatr Scand. 1989 Jan;78(1):62-6. doi: 10.1111/j.1651-2227.1989.tb10888.x.

Abstract

One hundred and forty-four children aged 9-20 months living in 14 villages in a rural area of Guinea-Bissau were examined for circulating rotavirus antibodies twice in a 15-month period. An immunofluorescence technique was used. About 3/4 of the children seroconverted, independent of age on entering the study. The age-specific proportion of seropositivity increased from 4/40 (10%) at 9-11 months to 26/29 (90%) at 33-35 months of age. All the initially seropositive children retained detectable antibodies to rotavirus. The relative risk of seroconversion was 1.4 times (95% confidence interval 1.0-2.0) more common among children living in villages by the mainroad as compared to those living off the road. Contact rate is probably dependent on population density and mobility but not on age. Breast-feeding, decreasing sharply through the age interval covered by the follow-up (9-35 months), had no apparent influence on seroconversion at the ages concerned.

摘要

在15个月的时间里,对几内亚比绍农村地区14个村庄的144名9至20个月大的儿童进行了两次轮状病毒循环抗体检测。采用免疫荧光技术。约3/4的儿童发生了血清转化,这与进入研究时的年龄无关。血清阳性的年龄特异性比例从9至11个月时的4/40(10%)增加到33至35个月时的26/29(90%)。所有最初血清阳性的儿童均保留了可检测到的轮状病毒抗体。与居住在远离公路村庄的儿童相比,居住在主干道沿线村庄的儿童血清转化的相对风险高1.4倍(95%置信区间1.0 - 2.0)。接触率可能取决于人口密度和流动性,而与年龄无关。在随访涵盖的年龄区间(9至35个月)内,母乳喂养率急剧下降,在所涉年龄的血清转化方面没有明显影响。

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