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健康儿童和蛋白质能量营养不良儿童中脊髓灰质炎病毒抗体的血清阳性率。

Seroprevalence rate of Poliovirus antibodies among the Healthy and Protein Energy Malnutrition children.

作者信息

Yousuf Aliya, Syed Shah Skindar Ali, Syed Jaffery Imtiaz Ahmed, Ahmed Syed Azher, Khan M A Basit, Aslam Mohammad

机构信息

Dr. Aliya Nemat, MPH, Baqai Institute of Health Science, Baqai Medical University, Karachi, Pakistan.

Syed Skindar Ali Shah, Msc Medical Technology, Shahdadpur Institute of Medical Science, Sind, Pakistan.

出版信息

Pak J Med Sci. 2015 Mar-Apr;31(2):403-7. doi: 10.12669/pjms.312.5366.

Abstract

OBJECTIVE

To study the association between Protein energy malnutrition and polio-specific immunoglobulin G antibodies production among children in Gadap Town Karachi, Pakistan.

METHODS

Comparative cross sectional survey conducted at fixed EPI center and Pediatric OPD of a tertiary care hospital Karachi. Children were selected by convenient sampling method during the period from 17 March to 17 May 2013. It was ensured that they must have received more than seven oral polio vaccine doses as eligibility criteria for the study. A total of 170 blood samples were collected and tested for the presence of polio-specific IgG antibodies using Poliomyelitis IgG ELISA Test Kit produced.

RESULTS

Statistically significant relation was found between PEM and IgG antibodies production OR (P = 0.000). Overall Seroprevalence rate among the study population was 98.8%, PEM group 97.6% and healthy group 100%.

CONCLUSION

The study demonstrated that there is a need to focus on the protein energy malnutrition among the children as an immunization strategy for the 100% seroprevalence rate in all population against polio in Pakistan.

摘要

目的

研究巴基斯坦卡拉奇加达普镇儿童蛋白质能量营养不良与脊髓灰质炎特异性免疫球蛋白G抗体产生之间的关联。

方法

在卡拉奇一家三级护理医院的固定扩大免疫规划中心和儿科门诊进行比较性横断面调查。在2013年3月17日至5月17日期间,采用方便抽样法选取儿童。确保他们必须已接种超过七剂口服脊髓灰质炎疫苗,作为该研究的入选标准。共采集170份血样,并使用所生产的脊髓灰质炎IgG酶联免疫吸附测定试剂盒检测脊髓灰质炎特异性IgG抗体的存在情况。

结果

发现蛋白质能量营养不良与IgG抗体产生之间存在统计学显著关系,比值比(P = 0.000)。研究人群中总体血清阳性率为98.8%,蛋白质能量营养不良组为97.6%,健康组为100%。

结论

该研究表明,作为巴基斯坦全体人群实现100%脊髓灰质炎血清阳性率的免疫策略,有必要关注儿童中的蛋白质能量营养不良问题。

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