文章摘要
吕红霞,方肇寅,谢华萍,唐景裕,胡海宽,郑丽舒,叶青,章青,ZHONGWei-min,Jiang XI.河北省卢龙县1999~2001年婴幼儿杯状病毒腹泻流行病学研究[J].中华流行病学杂志,2003,24(12):1118-1121
河北省卢龙县1999~2001年婴幼儿杯状病毒腹泻流行病学研究
Epidemiological study of human caliciviruses among children with acute diarrhea in Lulong county, 1999-2001
收稿日期:2002-11-20  出版日期:2014-09-18
DOI:
中文关键词: 人类杯状病毒  序列分析  流行病学
英文关键词: Human calicivirus  Sequence analysis  Epidemiology
基金项目:美国国立卫生研究所基金资助项目 (RO3TW01192 ) ;国家“863”课题资助项目 (2001AA212171)
作者单位
吕红霞 100052 北京, 中国疾病预防控制中心病毒病预防控制所 
方肇寅 100052 北京, 中国疾病预防控制中心病毒病预防控制所 
谢华萍 100052 北京, 中国疾病预防控制中心病毒病预防控制所 
唐景裕 河北省卢龙县卫生防疫站 
胡海宽 河北省卢龙县卫生防疫站 
郑丽舒 100052 北京, 中国疾病预防控制中心病毒病预防控制所 
叶青 秦皇岛市卫生防站 
章青 100052 北京, 中国疾病预防控制中心病毒病预防控制所 
ZHONGWei-min Children's Hospital Medical Center, Cincinati, OH, U SA 
Jiang XI Children's Hospital Medical Center, Cincinati, OH, U SA 
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中文摘要:
      目的 研究河北省卢龙县5岁以下婴幼儿杯状病毒腹泻的流行特点。方法 应用酶联免疫吸附试验 (ELISA)和逆转录 聚合酶链反应 (RT PCR)方法检测人类杯状病毒 (HuCVs)。部分阳性标本的PCR产物经克隆测序,结合参考毒株相应的核苷酸序列进行进化分析。利用住院腹泻患者粪便样本中HuCVs的检出率,估计HuCVs腹泻住院率。结果 HuCVs检出率为 31.6 %,住院患者HuCVs阳性率为 17.5 %,主要分布在 3~17月龄婴幼儿,发病主要集中在冬季。 11株测序病毒之间的核苷酸序列同源性为 55.1%~ 100 %,均属于诺瓦克病毒 (NLV)GⅡ遗传组。卢龙县 2000年HuCVs流行株为NLVGⅡ 4和GⅡ 7,2 0 0 1年为NLVGⅡ 3和GⅡ 7。初步估计HuCVs腹泻患者住院率为 3.6‰。结论 河北省卢龙县婴幼儿中存在不同基因型杯状病毒感染,以NLVGⅡ组毒株为主,其疾病负担仅次于轮状病毒。
英文摘要:
      Objective ?? To investig ate the epidemiological character istus of human caliciv iruses(HuCVs) among childr en under 5 years of age with acute diarrhea and to estimate the disease burden in Lulong county. Methods ?? HuCVs were detected by enzyme linked immunosorbent assay (ELISA) andr ev erse transcr iption- polymer ase chain r eaction ( RT- PCR). Some PCR amplicons were cloned and sequenced. Phy logenetic tree was constructed for str ain char acterization. The r ate of HuCVs-attributed hospitalization w as est imated accor ding to the positiv e rate of HuCVs detection in fecal specimens collected from hospitalized diarrhea patients. Results?? Between July 1999 and June 2001, 708 fecal specimens were collected, of which 393 rotavirus- negative and 5 rotavirus- positive specimens w ere detected fo r HuCVs.Thirty- one point six percertage of fecal specimens from patients with diarrhea was HuCVs positive. Among inpatients, HuCVs posit ive rate was 17. 5%. HuCVs detection was mainly distributed in 3- 17 mouth- old children, in w int er. All 11 strains belong ed to NLV G ?? in w hich 6 strains GⅡ- 3, 2 strains GⅡ- 4 and 3 strains GⅡ- 7, and t hey shared 55. 1%- 100% nucleotide identity. NLV GⅡ- 4 and GⅡ- 7 w ere identifiedin 2000, w hile NLV GⅡ- 3 and GⅡ- 7 in 2001. The pr eliminar y estimate of HuCVs- attr ibuted hospitalization r ate was 3.6 %. Conclusion?? Human caliciviruses w ith differ ent genotypes circulated among children in Lulong county w ith GⅡNLVs were the prevalent strains. The disease burden of HuCVs was second to rotavirus
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