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不同国籍居住在卡塔尔的健康献血者中西尼罗河病毒的血清流行率。

Seroprevalence of West Nile Virus among Healthy Blood Donors from Different National Populations Residing in Qatar.

机构信息

Infectious Disease Epidemiology Group, Weill Cornell Medicine-Qatar, Cornell University, Qatar Foundation - Education City, Doha, Qatar; World Health Organization Collaborating Centre for Disease Epidemiology Analytics on HIV/AIDS, Sexually Transmitted Infections, and Viral Hepatitis, Weill Cornell Medicine - Qatar, Cornell University, Qatar Foundation - Education City, Doha, Qatar.

College of Medicine, Member of QU Health, Qatar University, Doha, Qatar; Biomedical Research Center, Qatar University, Doha, Qatar.

出版信息

Int J Infect Dis. 2021 Feb;103:502-506. doi: 10.1016/j.ijid.2020.11.175. Epub 2020 Nov 25.

Abstract

OBJECTIVE

To estimate the age- and nationality-specific West Nile virus (WNV) seroprevalence in select Middle East and North Africa (MENA) populations residing in Qatar.

METHODS

Sera were collected from male blood donors attending Hamad Medical Corporation. A total of 1,948 sera were tested for anti-WNV antibodies using Serion ELISA classic IgG and IgM kits.

RESULTS

Overall, seroprevalence estimates of WNV-specific IgG and IgM antibodies were 10.4% and 3.3%, respectively. Country-specific WNV-specific IgG seroprevalence was estimated to be 37.0% (34/92) in Sudanese, 33.0% in Egyptians (66/200), 13.0% (26/200) in Indians, 10.6% (11/104) in Iranians, 10.2% (14/137) in Yemenis, 9.2% (18/195) in Pakistanis, 7.0% (14/199) in Jordanians, 5.4% (6/111) in Filipinos, 2.5% (5/200) in Palestinians, 2.5% (5/200) in Syrians, 1.5% (3/200) in Qataris, and 0.9% (1/110) in Lebanese. Seroprevalence of WNV-specific IgM was lowest in Iranians (0/77), Lebanese (0/108), and Filipinos (0/107) at 0.0%, and was highest in Sudanese at 10.0% (8/80). While there seemed to be apparent trends in the prevalence of WNV-IgM and WNV-IgG antibodies, none of these trends were found to be statistically significant.

CONCLUSION

The findings support the circulation of WNV in human populations in different countries of the MENA region. Seroprevalence was highest in Sudanese and Egyptians and lowest in Qataris and nationals of the Levant. The findings call for further animal, vector, and human studies, such as studying the actual prevalence of the viral RNA in blood donors to assess the risk of viral transmission through blood donation and for a better characterization of the epidemiology of this infection in this part of the world.

摘要

目的

估计居住在卡塔尔的中东和北非(MENA)特定人群中年龄和国籍特异性西尼罗河病毒(WNV)的血清流行率。

方法

从在哈马德医疗公司就诊的男性献血者中采集血清。使用 Serion ELISA classic IgG 和 IgM 试剂盒共检测了 1948 份血清以检测抗 WNV 抗体。

结果

总的来说,WNV 特异性 IgG 和 IgM 抗体的血清流行率估计分别为 10.4%和 3.3%。特定国家的 WNV 特异性 IgG 血清流行率在苏丹人中估计为 37.0%(34/92),在埃及人中为 33.0%(66/200),在印度人中为 13.0%(26/200),在伊朗人中为 10.6%(11/104),在也门人中为 10.2%(14/137),在巴基斯坦人中为 9.2%(18/195),在约旦人中为 7.0%(14/199),在菲律宾人中为 5.4%(6/111),在巴勒斯坦人中为 2.5%(5/200),在叙利亚人中为 2.5%(5/200),在卡塔尔人中为 1.5%(3/200),在黎巴嫩人中为 0.9%(1/110)。WNV 特异性 IgM 的血清流行率在伊朗人(0/77)、黎巴嫩人(0/108)和菲律宾人(0/107)中最低,均为 0.0%,而在苏丹人(8/80)中最高,为 10.0%。虽然 WNV-IgM 和 WNV-IgG 抗体的流行率似乎存在明显趋势,但这些趋势均无统计学意义。

结论

研究结果支持西尼罗河病毒在中东和北非不同国家的人群中传播。苏丹人和埃及人的血清流行率最高,卡塔尔人和黎凡特人的血清流行率最低。这些发现呼吁开展进一步的动物、媒介和人类研究,例如研究献血者血液中病毒 RNA 的实际流行率,以评估通过献血传播病毒的风险,并更好地描述该地区该感染的流行病学特征。

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