卢桥生,骆抗先,朱华强,付超,王安位,林汝洪,杨守昌,潘南胜,梁炽森,陈家芳,严燕.某监狱乙型肝炎病毒感染的前瞻性血清流行病学调查[J].Chinese journal of Epidemiology,1990,11(5):267-270 |
某监狱乙型肝炎病毒感染的前瞻性血清流行病学调查 |
A Prospective Serological Epidemiological Investigation of Hepatitis B Virus Infection in a Prison |
Received:February 16, 1989 Revised:May 15, 1989 |
DOI: |
KeyWord: 乙型肝炎病毒抗原 血清转换 慢性无症状携带 感染率 |
English Key Word: Hepatitis B Virus antigen Seroconversion Chronic asymptomatic carrier Infection rate |
FundProject:国家自然科学基金资助项目 |
Author Name | Affiliation | Lu Qiaosheng | 1. Lab of Viral Hepatitis, Nan fang Hospital, The First Military Medical College | 骆抗先 | 1. Lab of Viral Hepatitis, Nan fang Hospital, The First Military Medical College | 朱华强 | 1. Lab of Viral Hepatitis, Nan fang Hospital, The First Military Medical College | 付超 | 1. Lab of Viral Hepatitis, Nan fang Hospital, The First Military Medical College | 王安位 | 1. Lab of Viral Hepatitis, Nan fang Hospital, The First Military Medical College | 林汝洪 | 1. Lab of Viral Hepatitis, Nan fang Hospital, The First Military Medical College | 杨守昌 | 1. Lab of Viral Hepatitis, Nan fang Hospital, The First Military Medical College | 潘南胜 | 1. Lab of Viral Hepatitis, Nan fang Hospital, The First Military Medical College | 梁炽森 | 1. Lab of Viral Hepatitis, Nan fang Hospital, The First Military Medical College | 陈家芳 | 1. Lab of Viral Hepatitis, Nan fang Hospital, The First Military Medical College | 严燕 | 1. Lab of Viral Hepatitis, Nan fang Hospital, The First Military Medical College |
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Abstract: |
男性青壮年犯人2443人,随访观察12~36(23.7±11.4)个月,每年检测血清乙型肝炎病毒标志物。初次检测只85人8检出率25.1%(614/2443),其中一过性携带14.7%,慢性携带85.3%,后者HBsAg年阴转率为1.4%.该人群中抗-HBs检出率46.3%(1 130/2 443),年消失率6.0%,提示经常暴露于HBV而抗体应答持续存在。HBeAg年阴转率22.3%,HBeAg阳转率7.9%,提示感染状态的持续性和波动性。人群感染率(HBsAg、抗-HBs、抗-HBc-项或一项以上阳性)为81.1%(1 981/2 443),而初检血清标志物阴性的易感者,年感染率22.3%。 |
English Abstract: |
2 443 male prisoners were under investigation, most of them were youth, and followed up for 12~36(mean 23.7±11.4) months. Sera HBV markers were detected every year. The positive rate of HBsAg was 25.1%,in which transient HBV carriers were 14.79% and chronic asymptomatic HBV carriers(AsC) were 85.3%. Seroconversion rate of HBsAg in AsC was 1.49% per year.The positive rate of anti-HBs was 46.3%, anti-HBs diminished in 6.0% per year. It was suggested that the antibody response to frequent exposure to HBV persisted for a long time. HBeAg seroconversion was 22.3% per year, and its reoccurrence was 7.9% per year, indicating the fluctuation and stability of infection status. The prevalence rate of HBV infection(with one or more than one of HBsAg, anti-HBs or anti-HBc) was 81.1%. Incidence of HBV infection among those susceptible persons found at first investigation was 22.3% per year. |
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