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热带地区轮状病毒流行病学的调整模式:针对与免疫层析法初筛监测相关的假阳性问题的数学校正

Rotavirus epidemiology adjusted pattern in a tropical setting: mathematical correction for false positive problem relating to primary immunochromatography test surveillance.

作者信息

Mungmunpuntipantip Rujittika, Wiwanitkit Viroj

机构信息

Private Academic Consultant Bangkok, Thailand.

Adjunct Professor, Joseph Ayobabalola University Ikeji-Arakeji, Nigeria.

出版信息

Int J Biochem Mol Biol. 2022 Dec 15;13(6):54-59. eCollection 2022.

Abstract

BACKGROUND

Rotaviruses are the most common cause of acute gastroenteritis in neonates and young children worldwide. Human rotaviruses are the leading cause of acute gastroenteritis in neonates and young children worldwide. The immunochromatography test is frequently used in clinical practice to detect rotavirus infection. When the immunochromatography test is incorrectly positive, there may be a discrepancy between the two tests, the immunochromatography test and the nucleic acid test. As a result, when interpreting the findings of basic rotavirus monitoring in a system based on immunochromatography tests, we must made adjustments to address the issue of accuracy.

METHODS

The findings on the expected pattern of rotavirus epidemiology in a tropical setting was presented. The modified rotavirus pattern was created to address the issue of false positives. To solve the false positive issue, the modified rotavirus pattern derived from mathematical model-based correction by extracting false positivity was predicted.

RESULTS

We demonstrated an altered rotavirus epidemiology pattern in the setting studied in this study. Rotavirus has been detected in up to 19.3% of patients with rotavirus-like symptoms, with G4P[8] accounting for 6% of those infected.

CONCLUSION

As a result, the rotavirus remains an important problem that must be addressed in the framework of this study.

摘要

背景

轮状病毒是全球新生儿和幼儿急性胃肠炎最常见的病因。人类轮状病毒是全球新生儿和幼儿急性胃肠炎的主要病因。免疫层析试验在临床实践中常用于检测轮状病毒感染。当免疫层析试验出现假阳性时,免疫层析试验和核酸检测这两种检测结果之间可能会存在差异。因此,在基于免疫层析试验的系统中解读基本轮状病毒监测结果时,我们必须进行调整以解决准确性问题。

方法

展示了热带地区轮状病毒流行病学预期模式的研究结果。创建了改良的轮状病毒模式以解决假阳性问题。为解决假阳性问题,通过提取假阳性率,预测了基于数学模型校正得出的改良轮状病毒模式。

结果

我们在本研究的设定环境中展示了轮状病毒流行病学模式的改变。在出现轮状病毒样症状的患者中,高达19.3%检测到轮状病毒,其中G4P[8]型占感染患者的6%。

结论

因此,轮状病毒仍然是本研究框架中必须解决的一个重要问题。

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