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[哥伦比亚临床诊断为病毒性肝炎患者的戊型肝炎病毒感染情况]

[Hepatitis E virus infection in patients with clinical diagnosis of viral hepatitis in Colombia].

作者信息

Peláez Dioselina, Hoyos María Cristina, Rendón Julio César, Mantilla Carolina, Ospina Martha Cecilia, Cortés-Mancera Fabián, Pérez Olga Lucía, Contreras Lady, Estepa Yaneth, Arbeláez María Patricia, Navas María Cristina

机构信息

Laboratorio de Virología, Instituto nacional de salud, Bogotá, D.C, Colombia.

Facultad de Medicina, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.

出版信息

Biomedica. 2014 Jul-Sep;34(3):354-65. doi: 10.1590/S0120-41572014000300006.

Abstract

INTRODUCTION

Hepatitis E virus (HEV) is an emergent virus of global importance; it is the etiological agent of sporadic cases and outbreaks of hepatitis. The epidemiology of this infection in Colombia is unknown.

OBJECTIVE

To determine the seropositivity for hepatitis E virus in Colombia in cases with clinical diagnosis of viral hepatitis.

MATERIALS AND METHODS

Serum samples from patients that were sent to the Instituto Nacional de Salud during the period 2005-2010 (group 1) and samples sent to the Laboratorio Departamental de Salud Pública de Antioquia during the 2008-2009 period were included in this study (group 2). Serum samples were analyzed by immunoassay with commercial kits.

RESULTS

From the 344 analyzed samples, 8.7% were positive for anti-HEV; the frequency of anti-HEV IgM was 1.74% (6/344) and the frequency of anti-HEV IgG was 7.5% (26/344). A difference in frequency of anti-HEV between group 1 (6.3%) and group 2 (1.3%) was observed. The cases were identified in nine departments of Colombia.

CONCLUSIONS

This is the first study of hepatitis E virus infection in patients with diagnosis of hepatitis in Colombia. The frequency of anti-HEV described in this population of patients in Colombia is similar to that described in other Latin American countries like Brazil, Perú and Uruguay. Considering the results of this study, it could be necessary to include hepatitis E virus infection serological markers in the differential diagnosis of viral hepatitis in Colombia.

摘要

引言

戊型肝炎病毒(HEV)是一种具有全球重要性的新兴病毒;它是散发性病例和肝炎暴发的病原体。哥伦比亚这种感染的流行病学情况尚不清楚。

目的

确定哥伦比亚临床诊断为病毒性肝炎的病例中戊型肝炎病毒的血清阳性率。

材料与方法

本研究纳入了2005 - 2010年期间送至国家卫生研究所的患者血清样本(第1组)以及2008 - 2009年期间送至安蒂奥基亚省公共卫生实验室的样本(第2组)。血清样本采用商业试剂盒进行免疫分析。

结果

在344份分析样本中,8.7%的抗HEV呈阳性;抗HEV IgM的频率为1.74%(6/344),抗HEV IgG的频率为7.5%(26/344)。观察到第1组(6.3%)和第2组(1.3%)之间抗HEV频率存在差异。这些病例在哥伦比亚的9个部门被发现。

结论

这是哥伦比亚对诊断为肝炎的患者进行戊型肝炎病毒感染的首次研究。哥伦比亚这一患者群体中描述的抗HEV频率与巴西、秘鲁和乌拉圭等其他拉丁美洲国家描述的频率相似。考虑到本研究结果,在哥伦比亚病毒性肝炎的鉴别诊断中可能有必要纳入戊型肝炎病毒感染的血清学标志物。

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