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中国酉阳地区麻疹、风疹和腮腺炎抗体水平的单中心血清学调查。

One single-center serological survey on measles, rubella and mumps antibody levels of people in Youyang, China.

机构信息

Key Laboratory of Major Diseases in Children, Ministry of Education, National Key Discipline of Pediatrics (Capital Medical University), Beijing Pediatric Research Institute, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.

Clinical Laboratory, Youyang County People's Hospital, Chongqing, China.

出版信息

Hum Vaccin Immunother. 2021 Nov 2;17(11):4203-4209. doi: 10.1080/21645515.2021.1924522. Epub 2021 Oct 8.

Abstract

Although measles, rubella and mumps elimination had achieved great progress in recent years, outbreaks were still reported worldwide. Serological surveillance on the remaining susceptibility in the population is essential to evaluate the preventive policy, estimate the current risk of infection, and predict evolutions in the future. In this study, we aimed to investigate the prevalence of seropositivity of antibodies against measles, rubella and mumps in a population of all ages in Youyang, southwest China. A cross-sectional hospital-based study was conducted among 657 cases who attended to Youyang Hospital from Sep 2018 to Aug 2019. Sero IgG antibodies were measured by ELISA. No difference in the seropositivity of antibodies against measles, rubella and mumps was found between neither urban vs. rural, nor male vs. female. The overall seropositivity of anti-measles, rubella, mumps IgG antibodies was 81.1% (95% CI: 78.0-83.9), 65.9% (95% CI: 62.2-69.4) and 63.2% (95% CI: 59.4-66.8), respectively. The IgG seropositivity varied with age significantly. In this study, the seropositivity of antibodies against measles, rubella and mumps among the participants was insufficient in the population, especially among infants, teenagers and productive women, who were suggested to booster the immunity. To better control and eliminate measles, mumps and rubella-related diseases, nation-wide active laboratory-supported surveillance, outbreak investigation and revaccination for vulnerable population are needed.

摘要

尽管近年来麻疹、风疹和腮腺炎的消除工作取得了重大进展,但全球仍有暴发疫情的报告。对人群中剩余易感性的血清学监测对于评估预防政策、估计当前感染风险以及预测未来的发展趋势至关重要。本研究旨在调查中国西南酉阳地区各年龄段人群中针对麻疹、风疹和腮腺炎的抗体血清阳性率。这是一项 2018 年 9 月至 2019 年 8 月在酉阳医院就诊的 657 例病例的横断面医院为基础的研究。采用酶联免疫吸附试验(ELISA)检测血清 IgG 抗体。麻疹、风疹和腮腺炎抗体血清阳性率在城乡、男女性别之间均无差异。抗麻疹、风疹、腮腺炎 IgG 抗体的总血清阳性率分别为 81.1%(95%CI:78.0-83.9)、65.9%(95%CI:62.2-69.4)和 63.2%(95%CI:59.4-66.8)。IgG 血清阳性率随年龄显著变化。在本研究中,参与者对麻疹、风疹和腮腺炎的抗体血清阳性率在人群中不足,尤其是婴儿、青少年和育龄妇女,建议对其进行免疫增强。为了更好地控制和消除麻疹、腮腺炎和风疹相关疾病,需要在全国范围内开展以实验室为基础的主动监测、暴发调查和对易感人群的疫苗复种。

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