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德克萨斯州埃尔帕索市西尼罗河病毒流行社区孕妇登革热病毒感染血清学调查。

Serosurvey for dengue virus infection among pregnant women in the West Nile virus enzootic community of El Paso Texas.

机构信息

Department of Biological Science, University of Texas at El Paso, El Paso, Texas, United States of America.

Diagnostic Immunology Laboratory, Wadsworth Center, New York State Department of Health, Albany, NY, United States of America.

出版信息

PLoS One. 2020 Nov 30;15(11):e0242889. doi: 10.1371/journal.pone.0242889. eCollection 2020.

Abstract

All 4 dengue viruses (DENV) cause sporadic outbreaks of human disease in the Rio Grande Valley along the US-Mexico border. In addition, West Nile virus (WNV) is enzootic in most border communities, and is the only arbovirus known to cause human disease in the El Paso, Texas community. In an effort to determine if DENV were also endemic in the El Paso community, a serosurvey was conducted among mothers at the time of delivery of their babies in selected hospitals. Cord-blood plasma samples obtained from mothers were tested for DENV antibody by an enzyme-linked immuno-sorbent assay (ELISA), plaque reduction neutralization test (PRNT) and a multiplex microsphere immunoassay. All DENV antibody positive plasma samples were also tested for WNV antibody by the same assays to consider the possibility that DENV antibody positive samples reflected WNV cross reactive antibody. The results indicated that 0.74% (11/1,472) of the mothers had a previous DENV infection and that 3.3% (48/1,472) had a previous WNV infection. Of these mothers, 0.20% (3/1,472) had antibody to both DENV and WNV as evidence of infection by both viruses. The results indicated that 0.2% (3/1472) of the mothers were positive for antibody to only WNV envelope, thus suggesting an undetermined flavivirus infection. Although 6 of the 11 DENV antibody positive mothers did not have a history of travel to a DENV endemic country, the findings of this survey provided further evidence of local transmission of WNV and suggested the possibility of focal autochthonous transmission of DENV in the El Paso community.

摘要

所有 4 种登革热病毒(DENV)都会在美国-墨西哥边境的里奥格兰德河谷引起人类疾病的零星爆发。此外,西尼罗河病毒(WNV)在大多数边境社区流行,并且是已知唯一会导致德克萨斯州埃尔帕索社区人类疾病的虫媒病毒。为了确定 DENV 是否也在埃尔帕索社区流行,在选定的医院对分娩时的母亲进行了血清学调查。从母亲那里获得的脐带血血浆样本通过酶联免疫吸附试验(ELISA)、蚀斑减少中和试验(PRNT)和多重微球免疫分析来检测 DENV 抗体。所有 DENV 抗体阳性的血浆样本也通过相同的检测来检测 WNV 抗体,以考虑 DENV 抗体阳性样本反映 WNV 交叉反应性抗体的可能性。结果表明,0.74%(11/1472)的母亲曾感染过 DENV,3.3%(48/1472)曾感染过 WNV。在这些母亲中,0.20%(3/1472)对 DENV 和 WNV 都有抗体,这表明同时感染了这两种病毒。结果表明,0.2%(3/1472)的母亲仅对 WNV 包膜抗体呈阳性,因此表明存在未确定的黄病毒感染。尽管 11 名 DENV 抗体阳性的母亲中有 6 名没有前往 DENV 流行国家的旅行史,但这项调查的结果提供了WNV 本地传播的进一步证据,并表明 DENV 在埃尔帕索社区局部传播的可能性。

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