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[婴儿主要病毒性疾病的血清学验证与既往病史数据之间的关系]

[Relation between serologic verification and anamnestic data on the principal virus diseases of infancy].

作者信息

Profeta M L, Ferrante P, Mendogni D

机构信息

Istituto di Virologia dell'Università degli Studi di Milano.

出版信息

Boll Ist Sieroter Milan. 1987;66(5):367-76.

PMID:3449098
Abstract

Serologic status of about 300 subjects (age: 2-15 years) for measles, rubella, varicella and mumps was compared with the anamnestic recall of their mothers. Measles, rubella and varicella antibodies were determined by ELISA methods. Mumps antibodies were titrated by hemagglutination-inhibition test. Serology agreed with the clinical history of the subject in 83% of the cases for measles, in 69% for rubella, in 87% for varicella and in 82% for mumps. The frequency of seronegative subjects who were reported to have had the disease was low (less than 8%) for each of the four viruses. The opposite situation was found in the 8% of the subjects for measles, in 23% for rubella, in 10% for varicella and in 13% for mumps. In general there was no significant difference in the rate of disagreements between serology and history of the disease in relation to mothers' schooling and occupation (house wives or mothers who work outside the home). Geometric mean titers of hemagglutination-inhibiting antibody to mumps virus sharply declined 3-4 years after the disease and stabilized thereafter. Prevalence of antibodies according to age shows that measles, rubella and varicella antibodies are acquired early in life, while 29% of the subjects 14-15 years of age still lacked mumps antibodies.

摘要

对约300名2至15岁儿童的麻疹、风疹、水痘和腮腺炎血清学状态与其母亲的既往回忆进行了比较。麻疹、风疹和水痘抗体通过ELISA方法测定。腮腺炎抗体通过血凝抑制试验滴定。血清学与受试者临床病史的符合率在麻疹病例中为83%,风疹为69%,水痘为87%,腮腺炎为82%。据报告曾患过这四种疾病之一的血清阴性受试者的比例较低(均低于8%)。在8%的麻疹受试者、23%的风疹受试者、10%的水痘受试者和13%的腮腺炎受试者中发现了相反的情况。总体而言,血清学与疾病史之间的不一致率在与母亲的教育程度和职业(家庭主妇或外出工作的母亲)的关系上没有显著差异。腮腺炎病毒血凝抑制抗体的几何平均滴度在患病后3至4年急剧下降,此后稳定。根据年龄的抗体流行率表明,麻疹、风疹和水痘抗体在生命早期获得,而14至15岁的受试者中有29%仍然缺乏腮腺炎抗体。

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