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[1974年至1985年法国的非脊髓灰质炎肠道病毒。从30个医院病毒学实验室系统收集的数据]

[Non-polio enterovirus in France from 1974 to 1985. Data collected from a system of 30 hospital virology laboratories].

作者信息

Celers J, Celers P, Bertocchi A

机构信息

Laboratoire National de la Santé, Paris, France.

出版信息

Pathol Biol (Paris). 1988 Dec;36(10):1221-6.

PMID:2853324
Abstract

A total of 12,097 isolates of NPEV was reported in France from 1974 through 1985 by 30 volunteers laboratories (71% of all virology laboratories). The 14 most common types which accounted for 75% of all isolates are echoviruses 4, 6, 7, 9, 11, 14, 30 and 33, coxsackieviruses A9, B1 to B5. Among them, 12 are equally reported as the most common types isolated in the United States from 1970 through 1983. Echoviruses 14 and 33 are specially found in France; Echoviruses 3 and 5 in the United States. We can estimate that those 16 types are the most common EVNP in human pathology. The pattern of each type is different in the United States and in France: it seems not possible to assign an epidemic character specific to each of them. Yet epidemic types accounted for 13 to 27% of isolates in March, April, May. Among clinical manifestations, aseptic meningitis are the most frequently reported: 37% of 3,619 cases. Echoviruses are significantly most often associated with meningitis than coxsackieviruses (p less than 0.001) and coxsackieviruses more often associated with other neurological manifestations, myocarditis and pericarditis. From these results wa can suggest to simplify the typing procedures of NPEV for routine diagnosis.

摘要

1974年至1985年期间,法国30个志愿实验室(占所有病毒学实验室的71%)共报告了12097株非脊髓灰质炎肠道病毒(NPEV)分离株。14种最常见的类型占所有分离株的75%,包括埃可病毒4型、6型、7型、9型、11型、14型、30型和33型,柯萨奇病毒A9型、B1至B5型。其中,有12种同样被报告为1970年至1983年在美国分离出的最常见类型。埃可病毒14型和33型在法国特别常见;埃可病毒3型和5型在美国特别常见。我们可以估计,这16种类型是人类病理学中最常见的非脊髓灰质炎肠道病毒。在美国和法国,每种类型的模式都不同:似乎不可能为它们中的每一种赋予特定的流行特征。然而,在3月、4月、5月,流行类型占分离株的13%至27%。在临床表现中,无菌性脑膜炎报告最为频繁:在3619例病例中占37%。与柯萨奇病毒相比,埃可病毒与脑膜炎的关联显著更常见(p小于0.001),而柯萨奇病毒与其他神经表现、心肌炎和心包炎的关联更常见。根据这些结果,我们可以建议简化非脊髓灰质炎肠道病毒常规诊断的分型程序。

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