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伊朗南部法尔斯省一种隐匿性病毒性疾病——西尼罗河病毒(WNV)感染的血清流行率研究

Seroprevalence Study on West Nile Virus (WNV) Infection, a Hidden Viral Disease in Fars Province, Southern Iran.

作者信息

Amin Masoumeh, Zaim Morteza, Edalat Hamideh, Basseri Hamid Reza, Yaghoobi-Ershadi Mohammad Reza, Rezaei Farhad, Azizi Kourosh, Salehi-Vaziri Mostafa, Ghane Mohsen, Yousefi Saideh, Dabaghmanesh Sorna, Kheirandish Sedigheh, Najafi Mohammad Esmaeil, Mohammadi Jalal

机构信息

Department of Medical Entomology and Vector Control, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Department of Medical Entomology and Vector Control, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

J Arthropod Borne Dis. 2020 Jun 30;14(2):173-184. doi: 10.18502/jad.v14i2.3735. eCollection 2020 Jun.

Abstract

BACKGROUND

West Nile Virus, a mosquito-borne flavivirus, causes a variety of symptoms in human, from asymptomatic infection to neuroinvasive disease. Several studies have been conducted on the seroprevalence of WNV infection in different areas from Iran. This study was performed to find the presence of antiviral antibodies in human serum among some high risk population and awareness of health care staff about symptom of the WNV infection.

METHODS

Study performed in five geographical districts based on high population of immigrant and domestic birds and prevalence of the antiviral antibodies in horses which was reported previously. Totally 150 human blood samples were collected during 2018. The samples collected from patients referred to the clinics. The ELISA method used to detect IgG and IgM antibody against WNV. Logistic regression models used to analyze the effect of sex, age, keeping birds and urban/rural residence on the risk of infection. The awareness of health care staff about symptom of infection surveyed.

RESULTS

From all blood donors, 41 samples (27.33%) showed positive to IgG antibody. From which 56.10% were males and remaining females. None of the mentioned factors had a significant relationship. Health care staff had less attention to the infection.

CONCLUSION

Although the prevalence of antibodies was relatively high, due to the similarity to other viral diseases, health care staff had less attention to the disease. The study showed that people in these areas have been exposed to the virus. Further research activities are recommended for control of this arbovirus.

摘要

背景

西尼罗河病毒是一种由蚊子传播的黄病毒,可导致人类出现多种症状,从无症状感染到神经侵袭性疾病。已经对伊朗不同地区西尼罗河病毒感染的血清流行率进行了多项研究。本研究旨在发现一些高危人群血清中抗病毒抗体的存在情况以及医护人员对西尼罗河病毒感染症状的认知情况。

方法

基于移民和家禽数量众多以及此前报道的马匹中抗病毒抗体的流行情况,在五个地理区域开展研究。2018年共采集了150份人类血液样本。样本来自转诊至诊所的患者。采用酶联免疫吸附测定(ELISA)法检测针对西尼罗河病毒的IgG和IgM抗体。使用逻辑回归模型分析性别、年龄、饲养家禽以及城乡居住情况对感染风险的影响。对医护人员对感染症状的认知情况进行了调查。

结果

在所有献血者中,41份样本(27.33%)的IgG抗体呈阳性。其中男性占56.10%,其余为女性。上述因素均无显著关联。医护人员对该感染关注较少。

结论

尽管抗体流行率相对较高,但由于与其他病毒性疾病相似,医护人员对该疾病关注较少。研究表明这些地区的人群已接触过该病毒。建议开展进一步的研究活动以控制这种虫媒病毒。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7328/7738928/f5d787c2a54d/JAD-14-173-g001.jpg

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