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沙特阿拉伯西部地区神经系统疾病患者中人类细小病毒B19的流行情况:研究结果

Prevalence of Human Parvovirus B19 in Neurological Patients: Findings from Region of Western Saudi Arabia.

作者信息

Johargy Ayman Khalid, Jamal Adil, Ashgar Sami Sadagah, Ahmed Fahad Raees, Kalkatawi Mamdouh Hasan

机构信息

Department of Microbiology, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.

Nursing Sciences & Research, College of Nursing, Umm Al-Qura University, Makkah, Saudi Arabia.

出版信息

Curr Health Sci J. 2020 Jan-Mar;46(1):16-22. doi: 10.12865/CHSJ.46.01.03. Epub 2020 Mar 31.

Abstract

Human parvovirus (B19) infection causes Erythema infectiosum in persons with other hematological disorders like aplastic anemia and complications such as hydrops fetalis, spontaneous abortions. This study aimed to determine the prevalence of IgG and IgM antibodies in B19 infected neurological patients and to assess possible transmission related risk factors. This cross-sectional descriptive study comprised 140 neurological patients. Blood samples were screened for both IgG and IgM against B19 by ELISA and nested PCR. IgG and IgM accounted 6.4% and 3.5% prevalence in neurological patients. Both IgG and IgM revealed prevalence of 3.5% simultaneously in different age groups. IgG and IGM Nested PCR displayed 6.42% B19 viral DNA prevalence among samples analyzed. Among B19 risk associated factors, only history of blood transfusion (Odds Ratio=1.9:1, P=0.04) was significantly associated with B19 infection among neurological patients. Neurological patients showed very less prevalence of B19 infection and hence disclose no significant association on risk factors associated with its transmission.

摘要

人类细小病毒(B19)感染会在患有再生障碍性贫血等其他血液系统疾病的人群中引发传染性红斑,并导致诸如胎儿水肿、自然流产等并发症。本研究旨在确定B19感染的神经科患者中IgG和IgM抗体的流行率,并评估可能的传播相关危险因素。这项横断面描述性研究纳入了140名神经科患者。通过酶联免疫吸附测定(ELISA)和巢式聚合酶链反应(PCR)对血液样本进行B19 IgG和IgM筛查。在神经科患者中,IgG和IgM的流行率分别为6.4%和3.5%。在不同年龄组中,IgG和IgM同时出现的流行率均为3.5%。在分析的样本中,IgG和IGM巢式PCR显示B19病毒DNA的流行率为6.42%。在与B19相关的危险因素中,仅输血史(优势比=1.9:1,P=0.04)与神经科患者的B19感染显著相关。神经科患者中B19感染的流行率极低,因此未发现与传播相关的危险因素存在显著关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6768/7323727/e7e3abc0570b/CHSJ-46-01-016-Figure1.jpg

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