Park Geunha, Lee Joo Young, Lee Soo Young, Kim Jong-Hyun, Kang Jin Han, Choi Ui Yoon
1 Department of Pediatrics, College of Medicine, The Catholic University of Korea , Seoul, Republic of Korea.
2 Department of Pediatrics, St. Paul's Hospital, College of Medicine, The Catholic University of Korea , Seoul, Republic of Korea.
Viral Immunol. 2018 Jun;31(5):352-357. doi: 10.1089/vim.2017.0154. Epub 2018 Apr 19.
Human parainfluenza viruses (HPIVs) are among the major causes of respiratory infections in children, worldwide, including in Korea. There are four types of HPIVs, each with different epidemiological characteristics. HPIV3 is the most frequently circulating HPIV type, while the epidemiology of HPIV4 remains unclear. The aim of this study was to investigate the age-stratified seropositivity rates of HPIV types 1-4 among children in Korea. These data will be useful to determine vaccine requirements. This study included 245 participants categorized into four age groups: 6-11 months, 1 year, 2 years, and 3-5 years. Hemagglutination inhibition (HAI) assay was used to measure the antibody titers in the serum samples of the subjects. Overall, a significantly higher seropositivity rate (68%) was observed for HPIV3 (p < 0.001), indicating the predominant circulation of this type. In the 3- to 5-year-old group, 97% of the participants displayed seropositivity for HPIV3, suggesting that most Korean children acquire HPIV3 infection by the age of 5 years. The seropositivity rate for HPIV3 increased with age (p < 0.001); a prompt rise was observed between the 6-11 months age group and the 1-year age group. The seropositivity rates of HPIV1, HPIV2, and HPIV4 were found to increase with age (p < 0.001), with a marked increase recorded after the age of 2 years. HPIV1, HPIV2, and HPIV4 tended to infect children later than HPIV3. Older children showed high antibody titer ranges for HPIV3 (p < 0.001), suggesting that children experience multiple HPIV3 infections. An increasing trend of HPIV4 seropositivity rates with age was observed and this was comparable to theHPIV1 and HPIV2 seropositivity rates, indicating that its incidence may have been underestimated. To reduce HPIV infection, the administration of a HPIV3 vaccine to children 1 year of age is likely to be the most effective option.
人副流感病毒(HPIVs)是全球范围内(包括韩国)儿童呼吸道感染的主要病因之一。HPIVs有四种类型,每种类型具有不同的流行病学特征。HPIV3是最常流行的HPIV类型,而HPIV4的流行病学情况仍不清楚。本研究的目的是调查韩国儿童中1 - 4型HPIV的年龄分层血清阳性率。这些数据将有助于确定疫苗需求。本研究纳入了245名参与者,分为四个年龄组:6 - 11个月、1岁、2岁和3 - 5岁。采用血凝抑制(HAI)试验测量受试者血清样本中的抗体滴度。总体而言,HPIV3的血清阳性率显著更高(68%)(p < 0.001),表明该类型病毒占主导地位。在3至5岁组中,97%的参与者对HPIV3呈血清阳性,这表明大多数韩国儿童在5岁时已感染HPIV3。HPIV3的血清阳性率随年龄增长而升高(p < 0.001);在6 - 11个月年龄组和1岁年龄组之间观察到迅速上升。发现HPIV1、HPIV2和HPIV4的血清阳性率随年龄增长而升高(p < 0.001),在2岁以后有显著升高。HPIV1、HPIV2和HPIV4往往比HPIV3更晚感染儿童。年龄较大的儿童HPIV3抗体滴度范围较高(p < 0.001),表明儿童经历了多次HPIV3感染。观察到HPIV4血清阳性率随年龄增长呈上升趋势,且这与HPIV1和HPIV2的血清阳性率相当,表明其发病率可能被低估了。为减少HPIV感染,给1岁儿童接种HPIV3疫苗可能是最有效的选择。
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