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在疫苗接种计划实施之前爱尔兰儿科人群中的轮状病毒流行基因型。

Circulating rotavirus genotypes in the Irish paediatric population prior to the introduction of the vaccination programme.

作者信息

Yandle Z, Coughlan S, Drew R J, O'Flaherty N, O'Gorman J, De Gascun C

机构信息

National Virus Reference Laboratory, University College Dublin, Dublin 4, Ireland.

Temple Street Children's University Hospital, Dublin 7, Ireland.

出版信息

Ir J Med Sci. 2017 Nov;186(4):1003-1007. doi: 10.1007/s11845-017-1604-1. Epub 2017 May 5.

Abstract

BACKGROUND

Rotavirus is the leading cause of viral gastroenteritis in children, and it is anticipated that the introduction of the Rotarix™ vaccine (GlaxoSmithKline Biologicals S.A., Rixensart, Belgium) into the Irish immunisation schedule will result in a significant reduction of rotavirus-associated disease. In the pre- and post-vaccination eras, it is important to determine circulating strains of rotavirus to assess vaccine effectiveness, to monitor vaccine failures, and to detect potential emerging strains.

AIM

This study was a collaboration between the Temple Street Children's University Hospital (TSCUH), Dublin, and the National Virus Reference Laboratory (NVRL), Dublin, to determine the then circulating rotavirus strains in a paediatric hospital.

METHOD

In the 2015/2016 period (July 2015-June 2016) 89 faecal samples from paediatric patients (53 from TSCUH, 36 from other hospitals) were characterised.

RESULTS

The results showed G1P[8] to be the predominant genotype (57%), followed by G9P[8] (34%), G4P[8] (6%), G2P[4] (2%), and G12P[8] (1%).

CONCLUSION

This distribution of genotypes is comparable to those found in other European countries prior to vaccination suggesting that the vaccine should be highly efficacious in the Irish population.

摘要

背景

轮状病毒是儿童病毒性肠胃炎的主要病因,预计将Rotarix™疫苗(葛兰素史克生物制品公司,比利时里克森萨特)纳入爱尔兰免疫计划将显著减少轮状病毒相关疾病。在疫苗接种前后的时期,确定轮状病毒的流行毒株对于评估疫苗效果、监测疫苗失效情况以及检测潜在的新出现毒株非常重要。

目的

本研究是都柏林坦普尔街儿童医院(TSCUH)与都柏林国家病毒参考实验室(NVRL)的合作项目,旨在确定一家儿科医院当时的轮状病毒流行毒株。

方法

在2015/2016年期间(2015年7月至2016年6月),对89份儿科患者的粪便样本(53份来自TSCUH,36份来自其他医院)进行了特征分析。

结果

结果显示G1P[8]是主要基因型(57%),其次是G9P[8](34%)、G4P[8](6%)、G2P[4](2%)和G12P[8](1%)。

结论

这种基因型分布与疫苗接种前在其他欧洲国家发现的情况相似,这表明该疫苗在爱尔兰人群中应该具有很高的效力。

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