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大学生一年级学生中 Epstein-Barr 病毒感染状况。

Epstein-Barr virus infection status among first year undergraduate university students.

机构信息

Department of Pathology, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.

Institute for Clinical and Translational Science, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.

出版信息

J Am Coll Health. 2022 Jan;70(1):22-25. doi: 10.1080/07448481.2020.1726927. Epub 2020 Feb 26.

DOI:10.1080/07448481.2020.1726927
PMID:32101103
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7832088/
Abstract

OBJECTIVE

Epstein-Barr virus (EBV) is the cause of infectious mononucleosis, which disproportionately affects university students. This population has the potential to benefit from a prophylactic EBV vaccine trial. Our objectives were to determine EBV infection status and associated demographic/lifestyle factors among first year undergraduate university students at the beginning and end of first year.

METHODS

EBV infection status was assessed by testing for circulating IgG class antibodies against EBV viral capsid antigen.

RESULTS

Of 198 starting students; 56.1% were positive for EBV antibodies with a higher rate in women (64.8%) than male (41.1%); p = 0.002. A history of deep kissing was associated with a higher rate of EBV antibody positivity. On follow-up 8 months later at the end of freshman year, 22.4% had acquired EBV antibodies for a primary infection incidence of 33.6/100 person years.

CONCLUSION

These findings indicate that our first year undergraduate population contains sufficient EBV-naïve subjects for a prophylactic vaccine trial.

摘要

目的

爱泼斯坦-巴尔病毒(EBV)是传染性单核细胞增多症的病因,该病在大学生中发病率较高。该人群有可能从预防性 EBV 疫苗试验中受益。我们的目的是在大学一年级开始和结束时,确定一年级本科生的 EBV 感染状况及相关的人口统计学/生活方式因素。

方法

通过检测针对 EBV 病毒衣壳抗原的循环 IgG 类抗体来评估 EBV 感染状况。

结果

在 198 名起始学生中;56.1%的人 EBV 抗体阳性,女性(64.8%)的阳性率高于男性(41.1%);p=0.002。深吻史与 EBV 抗体阳性率较高相关。8 个月后的随访期末,即大学一年级结束时,有 22.4%的人获得了 EBV 抗体,原发性感染发病率为 33.6/100 人年。

结论

这些发现表明,我们的一年级本科生群体中有足够数量的 EBV 初发者可用于预防性疫苗试验。

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本文引用的文献

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Screening for Epstein-Barr virus (EBV) infection status in university freshmen: acceptability of a gingival swab method.对大学新生进行 Epstein-Barr 病毒(EBV)感染状况筛查:牙龈拭子法的可接受性。
Epidemiol Infect. 2019 Jan;147:e140. doi: 10.1017/S0950268819000335.
2
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Clin Transl Immunology. 2016 Aug 12;5(8):e94. doi: 10.1038/cti.2016.48. eCollection 2016 Aug.
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Identification of the critical attribute(s) of EBV gp350 antigen required for elicitation of a neutralizing antibody response in vivo.鉴定EBV gp350抗原在体内引发中和抗体反应所需的关键属性。
Vaccine. 2015 Nov 27;33(48):6771-7. doi: 10.1016/j.vaccine.2015.10.024. Epub 2015 Oct 17.
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Age-specific prevalence of Epstein-Barr virus infection among individuals aged 6-19 years in the United States and factors affecting its acquisition.美国 6-19 岁人群中 Epstein-Barr 病毒感染的年龄特异性流行率及其影响获得感染的因素。
J Infect Dis. 2013 Oct 15;208(8):1286-93. doi: 10.1093/infdis/jit321. Epub 2013 Jul 18.
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Behavioral, virologic, and immunologic factors associated with acquisition and severity of primary Epstein-Barr virus infection in university students.与大学生原发性 EBV 感染的获得和严重程度相关的行为、病毒学和免疫学因素。
J Infect Dis. 2013 Jan 1;207(1):80-8. doi: 10.1093/infdis/jis646. Epub 2012 Oct 24.
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Infectious mononucleosis in university students in the United kingdom: evaluation of the clinical features and consequences of the disease.英国大学生传染性单核细胞增多症:疾病的临床特征和后果评估。
Clin Infect Dis. 2010 Mar 1;50(5):699-706. doi: 10.1086/650456.
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