Wanning rate of maternal-derived antibody against respiratory syncytial virus in children

Pathum Sookaromdee, Viroj Wiwanitkit
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Abstract

Dear Editor: One of the most dangerous pathogenic diseases in children, respiratory syncytial virus (RSV) causes severe morbidity and mortality [1]. Despite extensive studies in infectious immunobiology, clinical signs, diagnostic techniques, and animal models. The information from the sero-epidemiology study for RSV among the pediatric population is helpful in creating a public health strategy to correspond to the virus. In a nutshell, the mother’s antibodies may be transferred to the newborn through the placenta. There will be a waning of transmitted antibodies and a potential for new infection. It’s interesting to see how the seroprevalence of the antibody against RSV changes dynamically with age. In babies, RSV antibodies rapidly decline, and RSV infection subsequently increases anti-RSV IgG titers, according to a recent study. Children should be urged to get their RSV shots before they turn seven months old [2]. For the seroprevalence research for RSV, however, the diagnostic power of the laboratory instrument is a key concern in laboratory medicine. ELISA kits frequently still have limited sensitivity and a high percentage of false negatives, despite the fact that they are normally used widely [3]. In order to evaluate the results of a seropeidemiology inquiry, it is essential to take the influence of false negative into consideration. This article’s authors address the altered sero-epidemiology pattern of RSV antibodies among children in a country in Southeast Asia throughout a range of age groups. The EUROMIN ELISA test offers 96.2% sensitivity and 100% specificity based on the product data available, which implies 3.8% false negatives. 95.2% of people had IgG antibodies to RSV at birth [2]. The antibody starts to decline after birth and reaches its lowest point at 7 months of age, or 8.1%. The crude wanning rate will therefore be 87.1% every seven months or 12.4% per month. The adjusted wanning rate will be 11.9% per month following the erroneous negative adjustment. When the vaccine is released, this wanning pattern will provide helpful information for future immunization strategies. Acknowledgements Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.
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小儿呼吸道合胞病毒母源性抗体检出率
亲爱的编辑:呼吸道合胞病毒(RSV)是儿童最危险的致病性疾病之一,发病率和死亡率都很高[1]。尽管在感染免疫生物学、临床体征、诊断技术和动物模型方面进行了广泛的研究。来自儿科人群RSV血清流行病学研究的信息有助于制定针对该病毒的公共卫生策略。简而言之,母亲的抗体可能通过胎盘转移给新生儿。传播抗体的数量将会减少,并有可能出现新的感染。观察抗RSV抗体的血清阳性率如何随年龄动态变化是很有趣的。根据最近的一项研究,在婴儿中,RSV抗体迅速下降,RSV感染随后增加抗RSV IgG滴度。应敦促儿童在7个月大之前接种RSV疫苗[2]。然而,在RSV血清患病率研究中,实验室仪器的诊断能力是检验医学的一个关键问题。尽管ELISA试剂盒通常被广泛使用,但其灵敏度仍然有限,假阴性率也很高[3]。为了评估血清流行病学调查的结果,必须考虑假阴性的影响。这篇文章的作者在东南亚的一个国家的各个年龄组的儿童RSV抗体的血清流行病学模式的改变。根据现有产品数据,EUROMIN ELISA检测的灵敏度为96.2%,特异性为100%,假阴性率为3.8%。95.2%的人出生时具有RSV IgG抗体[2]。抗体在出生后开始下降,在7个月时达到最低点,占8.1%。因此,原油警戒率为每7个月87.1%或每月12.4%。在错误的负调整后,调整后的警告率将为每月11.9%。当疫苗被释放时,这种警告模式将为未来的免疫策略提供有用的信息。财务支持及赞助无。利益冲突没有利益冲突。
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