Seroprevalence Study of Dengue at a Tertiary Care Hospital in Jaipur, Rajasthan

Ashina Singla, Afreen Ali, Himanshi Galav, V. Mamoria
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Abstract

Dengue is one of the most severe mosquito-borne viral infection. In the absence of specific treatments and vaccines for dengue fever (DF), vector control is the only method by which the spread of dengue can be prevented. This study investigates the seroprevalence of DF cases by detecting NS1 antigen and immunoglobulin (Ig)-G and IgM antibody by enzyme-linked immunosorbent assay (ELISA) test. This study was carried out in the Department of Microbiology, at a Tertiary Care Hospital, Jaipur (Rajasthan), done between 6 months. Blood samples from clinically suspected cases of dengue were tested immediately for qualitative detection of NS1 Ag, IgM, and IgG antibodies by ELISA. One thousand seven hundred and sixty-three serum samples were tested for dengue NS1 antigen, IgM, and IgG, out of which 1066 were positive for one or more serological parameters. Dengue cases for the NS1 infection are 52.53%, for the IgM infection is 33.39%, and for the IgG infection is 14.07%. Sixty-two percentage positive samples were of male patients and 57% of positive samples were from 19 to 40 years of age group (adult population) (59%). The seasonal trend showed a gradual increase in dengue-positive cases that started in September with a peak in October (46.24%). The monsoon and postmonsoon seasons are times of high virus activity and enhanced vector breeding. The population must thus be constantly monitored to prevent the virus from spreading further, and serological tests are crucial for making an early diagnosis. ELISA is advised for all suspected dengue patients to initiate therapy and decrease the morbidity and fatality rate.
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拉贾斯坦邦斋浦尔一家三级医院的登革热血清流行率研究
登革热是最严重的蚊媒病毒感染之一。由于缺乏治疗登革热的特效药和疫苗,病媒控制是预防登革热传播的唯一方法。本研究通过酶联免疫吸附试验(ELISA)检测 NS1 抗原、免疫球蛋白(Ig)-G 和 IgM 抗体,调查登革热病例的血清流行率。 这项研究在拉贾斯坦邦斋浦尔一家三级医院的微生物学系进行,为期 6 个月。对登革热临床疑似病例的血液样本立即进行检测,用 ELISA 方法定性检测 NS1 Ag、IgM 和 IgG 抗体。 对 1763 份血清样本进行了登革热 NS1 抗原、IgM 和 IgG 检测,其中 1066 份样本的一项或多项血清学参数呈阳性。登革热病例中,NS1 感染占 52.53%,IgM 感染占 33.39%,IgG 感染占 14.07%。62%的阳性样本为男性患者,57%的阳性样本来自 19 至 40 岁年龄组(成年人群)(59%)。季节性趋势表明,登革热阳性病例从 9 月份开始逐渐增加,10 月份达到高峰(46.24%)。 季风季节和季风过后是病毒活动频繁和病媒繁殖增加的时期。因此,必须对人群进行持续监测,以防止病毒进一步传播,而血清学检测是早期诊断的关键。建议对所有登革热疑似患者进行 ELISA 检测,以启动治疗并降低发病率和死亡率。
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