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印度西北部某教学医院疑似病例登革热血清阳性率的 5 年研究。

A 5-year study of dengue seropositivity among suspected cases attending a teaching hospital of North-Western region of India.

机构信息

Department of Microbiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

出版信息

J Med Virol. 2021 Jun;93(6):3338-3343. doi: 10.1002/jmv.26592. Epub 2020 Oct 30.

DOI:10.1002/jmv.26592
PMID:33038014
Abstract

Dengue virus infection is estimated to cause infection in approximately 390 million people globally each year, of which 96 million develop clinical disease. Dengue serotype 2 (DEN-2) is the most prevalent serotype over the past 50 years in India, but serotypes 3 and 4 have appeared in some epidemics as well. A retrospective study was conducted in a teaching hospital, western India, between January 2014 and December 2018. The records of dengue serological test were analyzed. In total, 40 randomly selected nonstructural protein 1 (NS1) antigen-positive samples were analyzed by a reverse transcription-polymerase chain reaction. The demographic data, that is, age and sex, along with geographic location and platelet count level, were recorded from the Serology laboratory register and Hospital Information System. In total, 14.85% (735/4948) samples tested positive for dengue serology. Most of the laboratory-confirmed dengue cases, 34.97% (257/735), were observed in the 21-30 years of age group. The most common serotype detected in the tested samples was DEN-3 in 55% cases (22/40, 13 monoinfection and 9 coinfection with DEN-1 and DEN-2). The present study gives an insight into the trend of dengue seropositivity among suspected cases in the western part of Rajasthan, India. This study showed a higher seroprevalence of dengue infection as well as a gradual increase in the seroprevalence in this part of India.

摘要

登革热病毒感染估计每年在全球范围内导致约 3.9 亿人感染,其中 9600 万人出现临床疾病。在过去 50 年中,印度登革热血清型 2(DEN-2)是最流行的血清型,但血清型 3 和 4 在一些流行中也出现过。本研究在印度西部的一家教学医院进行了一项回顾性研究,时间为 2014 年 1 月至 2018 年 12 月。分析了登革热血清学检测记录。共分析了 40 份随机选择的非结构蛋白 1(NS1)抗原阳性样本,采用逆转录聚合酶链反应。从血清学实验室登记处和医院信息系统记录了人口统计学数据,即年龄和性别,以及地理位置和血小板计数水平。共有 14.85%(735/4948)的样本登革热血清学检测呈阳性。在实验室确诊的登革热病例中,年龄在 21-30 岁的占 34.97%(257/735)。在检测样本中检测到的最常见血清型是 DEN-3,占 55%(22/40,13 例单感染和 9 例 DEN-1 和 DEN-2 混合感染)。本研究深入了解了印度拉贾斯坦邦西部地区疑似病例中登革热血清阳性率的趋势。本研究显示,登革热感染的血清阳性率较高,且在印度这一地区呈逐渐上升趋势。

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