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2015 年中国昆明轮状病毒的流行病学和遗传多样性。

Epidemiology and Genetic Diversity of Rotavirus in Kunming, China, in 2015.

机构信息

School of Basic Medical Sciences, Shanxi Medical University, Taiyuan, China.

Medical Faculty, Kunming University of Science and Technology, Kunming, China.

出版信息

Intervirology. 2018;61(1):9-13. doi: 10.1159/000489309. Epub 2018 Jul 5.

Abstract

Group A rotavirus (RVA) is a serious public problem in China, with a prevalence of 29.7% in diarrhea cases under 5 years of age. A total of 1,224 fecal specimens were collected in 2015 from children under 5 years of age with acute gastroenteritis in Kunming, China, for detection and characterization of rotavirus. The prevalence of RVA was 28.5%. The frequency of RVA detection was greatest (52%) among children aged 7-12 months. The following strains were the most common types: G9P(8) (58.2%), G3P(8) (14.9%), and G1P(8) (6.9%). The following strains were uncommon types: G3P(4), G8P(9), and G9P(4) (1.1%); G1P(4), G2P(8), and G4P(8) (0.9%); G2P(6), G3P(9), G4P(6), and G9P(6) (0.6%); and G4P(4) (0.3%). G3G1P(8) (5.2%), G1G2P(4) (0.9%), G1G9P(8) (0.6%), and G2P(4)P(8) (0.3%) were mixed types. This study documents the molecular epidemiology, genetics, and diversity of rotavirus strains in children under 5 years of age in Kunming, China, and suggests that it may be important to offer RVA vaccination and scientific evidence to stop and control RVA-related diarrhea.

摘要

轮状病毒 A 组(RVA)是中国的一个严重公共卫生问题,在中国,5 岁以下腹泻病例中 RVA 的流行率为 29.7%。2015 年,从中国昆明 5 岁以下患有急性胃肠炎的儿童中收集了 1224 份粪便标本,用于检测和鉴定轮状病毒。RVA 的流行率为 28.5%。RVA 的检出率最高(52%)的是 7-12 月龄儿童。最常见的 RVA 血清型如下:G9P(8)(58.2%)、G3P(8)(14.9%)和 G1P(8)(6.9%)。较少见的血清型包括 G3P(4)、G8P(9)和 G9P(4)(1.1%);G1P(4)、G2P(8)和 G4P(8)(0.9%);G2P(6)、G3P(9)、G4P(6)和 G9P(6)(0.6%);和 G4P(4)(0.3%)。G3G1P(8)(5.2%)、G1G2P(4)(0.9%)、G1G9P(8)(0.6%)和 G2P(4)P(8)(0.3%)为混合血清型。本研究记录了中国昆明 5 岁以下儿童中轮状病毒株的分子流行病学、遗传学和多样性,提示 RVA 疫苗接种和科学证据可能对阻止和控制 RVA 相关腹泻很重要。

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