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中国北京 2011-2013 年腺病毒相关性急性结膜炎。

Adenovirus-associated acute conjunctivitis in Beijing, China, 2011-2013.

机构信息

Beijing Center for Disease Prevention and Control, No.16, Hepingli Middle Road, Beijing, 100013, People's Republic of China.

Research Centre for Preventive Medicine of Beijing, No.16, Hepingli Middle Road, Beijing, 100013, People's Republic of China.

出版信息

BMC Infect Dis. 2018 Mar 20;18(1):135. doi: 10.1186/s12879-018-3014-z.

Abstract

BACKGROUND

Human adenovirus (HAdV)-associated acute conjunctivitis is a common infectious disease and causes significant morbidity among residents in Beijing, China. However, little is known about the epidemiology and type distribution of acute adenoviral conjunctivitis in Beijing.

METHODS

Acute conjunctivitis surveillance was conducted in 18 hospitals in Beijing from July through October during 2011-2013. HAdVs were detected by PCR from eye swab and types were determined by partial hexon and fiber gene sequencing. Risk factors associated with adenoviral conjunctivitis were analyzed.

RESULTS

Of 876 conjunctivitis cases, 349 (39.8%) were HAdV positive. HAdV detection was most common in conjunctivitis patients aged 18-40 years; patients with contact history with a conjunctivitis case; patients with specimen collected on days 4-6 post symptom onset and patients who worked in food service as catering attendants. Fifteen types were identified among adenoviral conjunctivitis cases. Five HAdV types (HAdV-4, - 37, - 53, - 64 and - 8) accounted for 81.1% of all adenoviral conjunctivitis cases. HAdV-37, - 4 and - 53 were the most common types associated with adenoviral conjunctivitis in 2011, 2012 and 2013, respectively.

CONCLUSION

Multiple HAdV types were associated with acute conjunctivitis in Beijing. Predominant types associated with adenoviral conjunctivitis circulating in Beijing varied from year to year.

摘要

背景

人腺病毒(HAdV)相关性急性结膜炎是一种常见的传染病,在中国北京的居民中发病率较高。然而,目前对于北京地区急性腺病毒结膜炎的流行病学和型别分布情况知之甚少。

方法

2011-2013 年 7 月至 10 月,在北京的 18 家医院进行了急性结膜炎监测。通过眼拭子 PCR 检测 HAdV,通过部分六邻体和纤维基因测序确定型别。分析与腺病毒结膜炎相关的危险因素。

结果

876 例结膜炎患者中,349 例(39.8%)HAdV 阳性。HAdV 检测在 18-40 岁结膜炎患者中最常见;有结膜炎病例接触史的患者;症状发作后第 4-6 天采集标本的患者;以及从事餐饮服务的餐饮服务员。在腺病毒结膜炎病例中鉴定出 15 种类型。五种 HAdV 型(HAdV-4、-37、-53、-64 和 -8)占所有腺病毒结膜炎病例的 81.1%。HAdV-37、-4 和 -53 分别是 2011 年、2012 年和 2013 年与腺病毒结膜炎相关的最常见型别。

结论

多种 HAdV 型别与北京的急性结膜炎有关。与腺病毒结膜炎相关的优势型别在北京的流行情况各不相同。

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