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北方邦西部儿童和青年登革热的横断面研究

Dengue in children and young adults, a cross-sectional study from the western part of Uttar Pradesh.

作者信息

Kumar Manoj, Verma Rajesh Kumar, Nirjhar Suchitra, Singh Monika

机构信息

Department of Microbiology (VRDL), UP University of Medical Sciences, Saifai, Etawah, Uttar Pradesh, India.

出版信息

J Family Med Prim Care. 2020 Jan 28;9(1):293-297. doi: 10.4103/jfmpc.jfmpc_770_19. eCollection 2020 Jan.

Abstract

BACKGROUND

Dengue has emerged as a major public health problem in India. It presents more aggressively among younger age groups as compared to adults. Therefore, it necessitates the accurate estimation of prevalence in younger age groups.

MATERIALS AND METHOD

Of all the 1026 clinically suspected cases of dengue up to the age of 18 years were enrolled in this study and grouped into four age groups (Group I - <0 to 1 year, Group II- 1 to 6 years, Group III- 7 to 12 years, and Group IV- 13 to 18 years). Their blood samples were aseptically collected from different clinical departments and were submitted to the Viral Research and Diagnostic Laboratory (VRDL), Department of Microbiology during the outbreak of 2016-17. Serum was separated and processed for dengue Non Structural Protein 1 antigen (NS1 Ag)and Immunoglobuline M antibody (IgM Ab) enzyme-linked immunosorbent assay (ELISA). All the relevant variables like age, sex, and demographic profile were recorded and statistically analyzed.

RESULTS

A total 295 of the 1026 cases were detected positive for dengue either by NS1 Ag or IgM Ab ELISA. The results show the susceptibility to dengue being increased in the order of age Group I to IV. We analyzed the outbreak of year 2016 and 2017, of these 159/483 (33%) cases and 136/543 (25%) cases, respectively, were found seropositive during these years. The months of September, October, and November are more prone to dengue infection.

CONCLUSION

Group III and IV were more susceptible to dengue fever (DF). The months of postmonsoon season are more favorable for spread of dengue among different age groups of the population.

摘要

背景

登革热已成为印度一个主要的公共卫生问题。与成年人相比,它在较年轻年龄组中表现得更为严重。因此,准确估计较年轻年龄组中的患病率很有必要。

材料与方法

本研究纳入了所有1026例18岁及以下临床疑似登革热病例,并将其分为四个年龄组(第一组 - 0至1岁,第二组 - 1至6岁,第三组 - 7至12岁,第四组 - 13至18岁)。在2016 - 17年疫情爆发期间,从不同临床科室无菌采集他们的血样,并提交给微生物学系的病毒研究与诊断实验室(VRDL)。分离血清并进行登革热非结构蛋白1抗原(NS1 Ag)和免疫球蛋白M抗体(IgM Ab)酶联免疫吸附测定(ELISA)。记录所有相关变量,如年龄、性别和人口统计学特征,并进行统计分析。

结果

1026例病例中共有295例通过NS1 Ag或IgM Ab ELISA检测出登革热呈阳性。结果显示,登革热易感性按年龄组I至IV的顺序增加。我们分析了2016年和2017年的疫情,在这些年份中,分别有159/483(33%)例和136/543(25%)例血清呈阳性。9月、10月和11月更易发生登革热感染。

结论

第三组和第四组更容易感染登革热。季风后季节的几个月更有利于登革热在不同年龄组人群中传播。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3716/7014909/3a29b8c73284/JFMPC-9-293-g001.jpg

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