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尼日利亚伊多-埃基蒂联邦教学医院产前门诊孕妇中人类细小病毒B19 IgG和IgM抗体的流行情况

PREVALENCE OF HUMAN PARVOVIRUS B19 IgG AND IgM ANTIBODIES AMONG PREGNANT WOMEN ATTENDING ANTENATAL CLINIC AT FEDERAL TEACHING HOSPITAL IDO-EKITI, NIGERIA.

作者信息

Akele Richard Yomi, Abelekum Jennifer Tamuno, Oluboyo Bernard Oluwapelumi, Akinseye Janet Funmilayo, Enitan Seyi Samson, Olayanju Olusola Ayodeji, Akele Emmanuel Jide

机构信息

Department of Medical Laboratory Science, Afe Babalola University, Ado-Ekiti, Nigeria.

Department of Medical Laboratory Science, Babcock University, Ilishan-Remo, Nigeria.

出版信息

Afr J Infect Dis. 2021 Mar 18;15(2):10-15. doi: 10.21010/ajid.v15i2.3. eCollection 2021.

DOI:10.21010/ajid.v15i2.3
PMID:33889797
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8052965/
Abstract

BACKGROUND

Human Parvovirus () is a DNA virus, transmitted through respiratory secretions, hand-to-mouth-contact, blood transfusion and trans-placental transfer. It causes high mortality and morbidity in pregnant women, thus contributing to poor maternal and child health. B19V has been neglected due to dearth of epidemiological data. The aim of this study was to determine the sero-prevalence of Human Parvovirus B19 antibodies among pregnant women attending antenatal clinic at Federal Teaching Hospital Ido-Ekiti, Nigeria.

MATERIALS AND METHODS

This cross-sectional study enrolled pregnant women attending Federal Teaching Hospital Ido-Ekiti from January to May 2019 to obtain sero-epidemiological data. One hundred and twenty-two (122) consenting pregnant women were enrolled following institutional ethical approval. They were administered structured questionnaire and venous blood was collected in plain tubes for serum extraction. Sera samples were analyzed for IgG and IgM antibodies using the enzyme linked immunosorbent assay method. Percentages, median, chi-square and multivariate analysis were carried out using SPSS version 17.

RESULTS

The prevalence of IgG was 44.3% (54/122), IgM 41.8% (51/122), and IgG/IgM 28.7% (35/122) leaving 55.7% (68/122) of the population uninfected. The median age of participants was 22 (Interquartile range 18-25) years among which 36-45years had the highest prevalence which was not statistically significant (p=0.09 =4.75). There was association between miscarriage, still birth, history of blood transfusion and prevalence of (p<0.05).

CONCLUSION

There is a high Prevalence of B19V among pregnant women attending antenatal clinic in this study. This underscores the need for testing and immunization of pregnant women against B19V.

摘要

背景

人细小病毒B19(B19V)是一种DNA病毒,通过呼吸道分泌物、手口接触、输血和胎盘传播。它在孕妇中导致高死亡率和发病率,从而影响母婴健康。由于缺乏流行病学数据,B19V一直被忽视。本研究的目的是确定在尼日利亚伊多 - 埃基蒂联邦教学医院产前诊所就诊的孕妇中人细小病毒B19抗体的血清流行率。

材料与方法

本横断面研究纳入了2019年1月至5月在伊多 - 埃基蒂联邦教学医院就诊的孕妇,以获取血清流行病学数据。在获得机构伦理批准后,招募了122名同意参与的孕妇。对她们进行了结构化问卷调查,并采集静脉血于普通试管中用于血清提取。使用酶联免疫吸附测定法分析血清样本中的IgG和IgM抗体。使用SPSS 17版进行百分比、中位数、卡方检验和多变量分析。

结果

IgG的流行率为44.3%(54/122),IgM为41.8%(51/122),IgG/IgM为28.7%(35/122),55.7%(68/122)的人群未感染。参与者的中位年龄为22岁(四分位间距18 - 25岁),其中36 - 45岁的流行率最高,但无统计学意义(p = 0.09,χ² = 4.75)。流产、死产、输血史与B19V流行率之间存在关联(p < 0.05)。

结论

本研究中,在产前诊所就诊的孕妇中B19V流行率较高。这突出了对孕妇进行B19V检测和免疫的必要性。

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本文引用的文献

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Parvovirus B19: What Is the Relevance in Transfusion Medicine?细小病毒B19:在输血医学中有何关联?
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The magnitude and correlates of Parvovirus B19 infection among pregnant women attending antenatal clinics in Mwanza, Tanzania.坦桑尼亚姆万扎产前诊所孕妇中B19细小病毒感染的程度及相关因素。
BMC Pregnancy Childbirth. 2017 Jun 7;17(1):176. doi: 10.1186/s12884-017-1364-y.
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Seroprevalence of parvovirus B19 IgG and IgM antibodies among pregnant women in Oyo State, Nigeria.尼日利亚奥约州孕妇中B19细小病毒IgG和IgM抗体的血清流行率。
J Infect Dev Ctries. 2013 Dec 15;7(12):946-50. doi: 10.3855/jidc.3157.
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