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Stegomyia mosquitoes in the airport and seaports of Sri Vijaya Puram, Andaman & Nicobar Islands: A popular tourist destination. 安达曼和尼科巴群岛机场和海港的潜蝇蚊:一个受欢迎的旅游目的地。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-10-01 Epub Date: 2025-12-10 DOI: 10.4103/jvbd.jvbd_44_25
M Kaliyamoorthy, Avijit Roy, Kannan Thiruvengadam, Sunish I Pulikkottil, Tapash Kumar Dakuya, Ajit Kumar, B Sumit Kumar Rao, Vivek K Sahu, Addepalli Premkumar

Background objectives: The breeding potential of vector mosquitoes of dengue and chikungunya viruses in and around airport and seaport of Sri Vijaya Puram (Port Blair), Andaman & Nicobar Islands was explored.

Methods: The survey was carried out for two years during the months of March and April. All the water holding containers in the residential and non-residential areas of the airport and seaport were surveyed for Aedes immatures.

Results: The Stegomyia indices were higher in 2023 compared to 2024. The indices in 2023; the HI, CI, BI and PI were 20.1, 5.6, 32.4 and 86.0, respectively, whereas in 2024, these values declined to 6.8, 1.9, 9.6 and 17.4. Two Aedes species; Ae. aegypti and Ae. albopictus were found in the surveyed containers, with the former in higher proportion. In 2023, larger drum/tanks had higher CI values, while in 2024 smaller containers had more positivity. Ovitrap index showed significant difference (P<0.05) between the two years in both airport and seaport. The percentage positivity for Aedes eggs was 41.2% (n=97) and 36.7% (n=79) in airport and seaport respectively.

Interpretation conclusion: This study is the first comprehensive entomological survey conducted at the Sri Vijaya Puram International Airport and seaport. It offers data on Aedes mosquitoes, especially Ae. aegypti , principal vector of arboviruses, at critical entry points, which are the key vulnerable zones of Andaman & Nicobar archipelago. This study highlights the urgent need for systematic vector surveillance and effective control measures.

背景目的:探讨安达曼和尼科巴群岛布莱尔港机场和港口及其周边地区登革热和基孔肯雅病毒媒介蚊的孳生情况。方法:调查时间为3月和4月,为期两年。对机场、港口居民区和非居民区的储水容器进行了未成熟伊蚊调查。结果:与2024年相比,2023年的隐裂症指数较高。2023年的指数;HI、CI、BI和PI分别为20.1、5.6、32.4和86.0,而到了2024年,这些数值分别下降到6.8、1.9、9.6和17.4。伊蚊两种;Ae。埃及伊蚊和伊蚊。调查容器中发现白纹伊蚊,白纹伊蚊比例较高。2023年,较大的桶/罐的CI值更高,而2024年较小的容器的CI值更高。结论:本研究是首次在Sri Vijaya Puram国际机场和海港进行的综合昆虫学调查。它提供了伊蚊的数据,特别是伊蚊。虫媒病毒的主要媒介埃及伊蚊在安达曼和尼科巴群岛主要脆弱地区的关键入境点出现。研究强调迫切需要系统的病媒监测和有效的控制措施。
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引用次数: 0
Anti-leishmanial activity of nano-emodin on cutaneous leishmaniasis both in vivo and in vitro. 纳米大黄素对皮肤利什曼病的体内和体外抗利什曼活性研究。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-10-01 Epub Date: 2025-12-10 DOI: 10.4103/jvbd.jvbd_122_24
Mehrnaz Khodadadi, Bahman Rahimi Esboei, Aroona Chabra, Bahareh Basirpour, Hadi Hassannia

Background objectives: Cutaneous leishmaniasis (CL) is a neglected tropical disease that can lead to chronic ulcerative wounds. The low efficacy and high cytotoxicity of current treatments for leishmaniasis is an important health issue. This study assessed the anti-leishmanial effects of stem bark extract of Rhamnus cathartica and nano-emodin (NE) against Leishmania major (L. major) in vitro and in vivo .

Methods: Emodin was prepared chemically and physically, and was formulated into nanoliposomes at concentrations of 25-400 μg/ml. The activity of nanoliposomes were evaluated in vitro and in vivo on cutaneous leishmaniasis in BALB/c mice. Results were analyzed using Prism and SPSS software. Statistical significance was determined using t-test and ANOVA.

Results: The results showed that the anti-parasitic effect of nano-emodin increased time and dose-dependently both in vivo and in vitro . 400 μg/ml of NE showed the highest inhibitory effects on L. major promastigotes. Also, this concentration could reduce the number of L. major amastigotes. Furthermore, the results of histopathological investigation indicated that all concentrations of nano-emodin had no nephrotoxicity and hepatotoxicity.

Interpretation conclusion: Considering the excellent anti-leishmanial effect of emodin nanoliposomes in addition to the non-toxicity, it can be concluded that this natural compound can be a suitable candidate for the treatment of cutaneous leishmaniasis.

背景目的:皮肤利什曼病(CL)是一种被忽视的热带疾病,可导致慢性溃疡性伤口。目前治疗利什曼病的低疗效和高细胞毒性是重要的健康问题。研究了大鼠(Rhamnus cathartica)茎皮提取物和纳米大黄素(NE)对利什曼原虫(L. major)体外和体内的抗利什曼原虫作用。方法:化学和物理制备大黄素,配制成25 ~ 400 μg /ml的纳米脂质体。在体外和体内评价纳米脂质体对BALB/c小鼠皮肤利什曼病的活性。采用Prism和SPSS软件对结果进行分析。采用t检验和方差分析确定统计学显著性。结果:纳米大黄素抗寄生虫作用在体内和体外均呈时间和剂量依赖性增强。400 μg/ml的NE对L. major promastigotes的抑制效果最好。同时,该浓度还能减少L. major无尾螺旋体的数量。此外,组织病理学研究结果表明,所有浓度的纳米大黄素均无肾毒性和肝毒性。解读结论:考虑到大黄素纳米脂质体具有良好的抗利什曼病作用,且无毒,可以得出结论,该天然化合物可能是治疗皮肤利什曼病的合适候选物。
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引用次数: 0
An entomological investigation in dengue affected areas during transmission season in district Haridwar, Uttarakhand, India. 印度北阿坎德邦哈里德瓦尔区登革热疫区传播季节昆虫学调查
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-10-01 Epub Date: 2025-12-10 DOI: 10.4103/jvbd.jvbd_14_23
R K Singh, Nasreen Akhtar, Pooja Prasad, Gurnam Singh, Himmat Singh

Background objectives: Dengue fever is the most common arboviral disease and a serious public health problem, transmitted by Aedes mosquito. Entomological investigations were carried out in dengue affected villages and urban areas of Haridwar district, Uttarakhand, India to investigate the prevalence, distribution of Aedes mosquitoes and identify high risk areas in Haridwar for proposing control.

Methods: The entomological survey was carried out in all selected localities in different breeding habitats like domestic and peridomestic containers to detect Ae. aegypti breeding with the help of standard entomological techniques. About 777 houses were screened from 12 dengue affected villages and municipal areas of Haridwar district during the month of November 2021.

Results: Out of 777 surveyed houses, 119 (15.3%) houses have Aedes breeding while out of 4360 water containers only 158 (3.6 %) were found positive for Aedes breeding. During survey HI (15.32), CI (3.62), BI (20.33) and PI (35.78) were also calculated. The distribution of Aedes larvae and Breeding Preference Ratio in different type of breeding habitats were also estimated, the highest positivity of Ae. aegypti larvae was observed in underground/ ground level cemented tanks (7.94) followed by tray of domestic refrigerator (4.55), discarded tyres (3.72), desert coolers (1.70), plastic containers (1.47), junk materials (1.28), mud-pots (0.58) and flowerpots (0.42), respectively.

Interpretation conclusion: Aedes aegypti mosquito was found to be the dominant species in domestic and peri-domestic breeding habitats, while Aedes albopictus and Aedes vittatus mosquito were also observed in outdoor breeding habitats of the houses. Breeding of Aedes mosquito was found in water storage containers from the same areas where dengue cases were also reported.

背景目的:登革热是最常见的虫媒病毒性疾病和严重的公共卫生问题,由伊蚊传播。在北阿坎德邦哈里德瓦尔县受登革热影响的村庄和城市地区进行了昆虫学调查,以调查伊蚊的流行和分布情况,并确定哈里德瓦尔的高风险地区,以便提出在风险地区进行控制的建议。方法:采用昆虫学调查方法,在家蝇和家蝇容器等不同孳生生境的所有地点进行伊蚊检测。借助标准昆虫学技术培育埃及伊蚊。在2021年11月期间,在哈里瓦尔区12个受登革热影响的村庄和市区对大约777所房屋进行了筛查。结果:在调查的777间房屋中,有119间(15.3%)有伊蚊孳生,而在4360个水容器中,只有158个(3.6%)有伊蚊孳生。同时计算HI(15.32)、CI(3.62)、BI(20.33)、PI(35.78)。对不同孳生地伊蚊幼虫分布及孳生偏好比进行了分析,阳性率最高;埃及伊蚊幼虫孳生部位依次为地下/地面水泥槽(7.94)、家用冰箱托盘(4.55)、废弃轮胎(3.72)、沙漠冷藏箱(1.70)、塑料容器(1.47)、垃圾(1.28)、泥盆(0.58)和花盆(0.42)。解读结论:在家庭和家庭周边孳生地发现埃及伊蚊为优势蚊种,在家庭室外孳生地也发现白纹伊蚊和维氏伊蚊。在报告登革热病例的同一地区的储水容器中发现了伊蚊的繁殖。
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引用次数: 0
Molecular docking and pharmacokinetic properties of chrysin, indole-3-carbinol, and curcumin in the biological context of Plasmodium falciparum 3D7. 金菊素、吲哚-3-甲醇和姜黄素在恶性疟原虫3D7生物学背景下的分子对接及药动学性质
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-10-01 Epub Date: 2025-12-10 DOI: 10.4103/jvbd.jvbd_182_24
Hani Alothaid

Background objectives: Plasmodium falciparum is a protozoan parasite that causes malaria in humans. It is considered as the deadliest species of Plasmodium that infects humans. Research continues to focus on understanding the biology and genetics of P. falciparum to develop new tools, vaccines, and treatments aimed at reducing the global burden of malaria caused by this parasite.

Methods: In this study, three active compounds chrysin, indole-3-carbinol, and curcumin, were optimized using Gaussian16, and a molecular docking study was conducted against Plasmodium falciparum 3D7, along with an evaluation of pharmacokinetic properties.

Results: Molecular docking studies indicated that the chrysin compound exhibits a stronger binding affinity to selected receptors of P. falciparum compared to the other compounds. Additionally, in silico ADME screening was used to predict the pharmacological characteristics of potential drugs and their metabolites.

Interpretation conclusion: The findings predict that the chrysin compound exhibits better affinity with P. falciparum proteins, suggesting that this compound can effectively interact with specific targets within the parasite. It also highlights the favorable electrostatic interactions that contribute to its pharmacological effectiveness as an acetyl-CoA reductase inhibitor.

背景与目标:恶性疟原虫是一种导致人类疟疾的原生寄生虫。它被认为是感染人类的疟原虫中最致命的一种。研究的重点仍然是了解恶性疟原虫的生物学和遗传学,以开发新的工具、疫苗和治疗方法,从而减轻这种致命寄生虫造成的全球疟疾负担:在这项研究中,使用高斯16优化了三种活性化合物--菊苷、吲哚-3-甲醇和姜黄素,并针对恶性疟原虫3D7进行了分子对接研究,同时评估了药代动力学特性:分子对接研究表明,与其他化合物相比,蛹素化合物与恶性疟原虫的特定受体具有更强的结合亲和力。结果:分子对接研究表明,与其他化合物相比,金丝桃素化合物对恶性疟原虫的某些受体具有更强的结合亲和力。此外,研究人员还利用体内ADME筛选来预测乙酰-CoA还原酶抑制剂及其代谢物的药理特性:研究结果表明,蛹素化合物与恶性疟原虫蛋白质的亲和力更强,这表明该化合物能有效地与寄生虫体内的特定靶点相互作用。研究还强调了有利的静电相互作用,这有助于提高其作为乙酰-CoA 还原酶抑制剂的药理作用。
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引用次数: 0
Japanese encephalitis in Asia: A comprehensive review. 日本脑炎在亚洲:一个全面的回顾。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-10-01 Epub Date: 2025-12-10 DOI: 10.4103/jvbd.jvbd_167_24
Hewa Babarandage Chathurika Harshani, Janaki I Abeynayake

Japanese encephalitis (JE) which is caused by Japanese encephalitis virus (JEV) is a significant public health concern in Asia. The JEV is mainly transmitted by Culex mosquitoes breeding in flooded rice fields. The disease can range from mild flu-like symptoms to severe encephalitis and long-term neurological effects with potentially fatal outcomes with a 30% mortality rate. This review aims to gather information on JE's public health importance, JE epidemiology, history, vaccination strategies, and public health interventions in Asian countries. A systematic literature search was conducted across various databases, PubMed, Scopus, Web of Science, and Google Scholar, including publications up till 2024. Search terms included "Japanese encephalitis", "epidemiology", "outbreaks", "prevalence" and "prevention & control". This review highlights the importance of comprehensive vaccination strategies and integrated vector management. Continued efforts are essential to enhance vaccination coverage and strengthen public health infrastructure to mitigate the burden of JE in Asia.

由日本脑炎病毒(JEV)引起的日本脑炎(JE)是亚洲的一个重大公共卫生问题。乙脑病毒主要通过在水稻田孳生的库蚊传播。该病的范围从轻微的流感样症状到严重的脑炎和长期的神经系统影响,具有潜在的致命后果,死亡率为30%。本综述旨在收集有关亚洲国家公共卫生重要性、乙脑流行病学、历史、疫苗接种策略和公共卫生干预措施的信息。使用PubMed、Scopus、Web of Science和谷歌Scholar等数据库进行系统的文献检索,包括截至2024年的出版物。搜索词包括“日本脑炎”、“流行病学”、“爆发”、“流行”和“预防与控制”。这篇综述强调了综合疫苗接种战略和综合病媒管理的重要性。必须继续努力提高疫苗接种覆盖率和加强公共卫生基础设施,以减轻亚洲乙脑的负担。
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引用次数: 0
Dengue and scrub typhus coinfection in pregnancy: A rare case with multiorgan dysfunction. 妊娠期登革热和恙虫病合并感染:一例罕见的多器官功能障碍病例。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-09-29 DOI: 10.4103/jvbd.jvbd_129_25
P Aravindhmozhi, Charankumar Swamikkkannu, Raja Lakshmanan, Dinesh Kumar Thanigachalam, Srimathi Jagannathan, K R Murugan, Jayalakshmi Seshadri

Tropical infections continue to cause significant morbidity and mortality in India. While mixed tropical infections are relatively common in the general population, they are rare during pregnancy. We report a 24-year-old pregnant woman with a history of previous lower segment caesarean section and preeclampsia, who developed dengue and scrub typhus infection near-term. The illness was complicated by multiple organ dysfunction syndrome, yet with timely multidisciplinary management, both maternal and neonatal outcomes were favourable. Literature on such mixed tropical infections in pregnancy remains scarce.

热带感染继续在印度造成严重的发病率和死亡率。虽然混合热带感染在一般人群中相对常见,但在怀孕期间很少见。我们报告一位24岁孕妇,既往有下段剖宫产史和先兆子痫,近期发展为登革热和恙虫病感染。该疾病并发多器官功能障碍综合征,但通过及时的多学科管理,产妇和新生儿的预后都很好。关于这种混合热带感染在怀孕期间的文献仍然很少。
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引用次数: 0
Using Artificial Intelligence in Vector Control: A New Path for Public Health. 将人工智能应用于病媒控制:公共卫生的新途径
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-09-23 DOI: 10.4103/jvbd.jvbd_144_25
Yusuf Hared Abdi, Yakub Burhan Abdullahi, Mohamed Sharif Abdi, Sharmake Gaiye Bashir, Naima Ibrahim Ahmed

Vector-borne diseases remain a pressing global health challenge exacerbated by climate change, urbanization, and insecticide resistance. This review evaluates how artificial intelligence can strengthen vector surveillance, forecast outbreaks, and optimize interventions in public-health programs. Traditional control strategies rely on reactive. AI-driven systems, such as convolutional neural networks (CNNs, a form of image-recognition AI) and advanced machine learning models, achieve over 90% accuracy in real-time mosquito species identification, enabling targeted responses to invasive vectors such as Anopheles stephensi and Aedes aegypti. The integration of satellite imagery, climate data, and citizen science inputs into machine learning models improves outbreak prediction, with Bayesian networks forecasting dengue incidence 30 d in advance with 81% accuracy. AI also streamlines resource allocation and reduces insecticide use by 20-40% through reinforcement learning and drone-based habitat mapping. However, barriers to implementation persist, including data inequities, algorithmic biases, and infrastructure gaps in low-income regions. Ethical considerations such as privacy in data-sharing systems and community engagement in surveillance necessitate collaborative frameworks that bridge technologists, public health experts, and local stakeholders. Although AI cannot replace traditional methods, its capacity to augment decision-making in real time and data-driven insights offer a pathway for resilient, equitable vector control systems. Success depends on context-specific adaptation, investment in digital infrastructure, and sustained cross-sector partnerships to mitigate the disproportionate burden of vector-borne diseases on vulnerable populations.

病媒传播疾病仍然是一项紧迫的全球卫生挑战,气候变化、城市化和杀虫剂耐药性加剧了这一挑战。本综述评估了人工智能如何在公共卫生计划中加强媒介监测、预测疫情和优化干预措施。传统的控制策略依赖于被动控制。人工智能驱动的系统,如卷积神经网络(cnn,一种图像识别人工智能)和先进的机器学习模型,在实时蚊子种类识别方面实现了90%以上的准确率,从而能够对斯氏按蚊和埃及伊蚊等入侵媒介做出有针对性的反应。将卫星图像、气候数据和公民科学输入整合到机器学习模型中,改进了疫情预测,贝叶斯网络提前30天预测登革热发病率,准确率为81%。人工智能还通过强化学习和基于无人机的栖息地测绘,简化了资源分配,减少了20-40%的杀虫剂使用。然而,实施的障碍仍然存在,包括数据不平等、算法偏差和低收入地区的基础设施差距。数据共享系统中的隐私和社区参与监测等伦理方面的考虑需要协作框架,将技术人员、公共卫生专家和地方利益攸关方联系起来。尽管人工智能不能取代传统方法,但其增强实时决策和数据驱动见解的能力为建立有弹性、公平的病媒控制系统提供了途径。成功取决于具体情况的适应、对数字基础设施的投资以及持续的跨部门伙伴关系,以减轻病媒传播疾病对弱势群体造成的不成比例的负担。
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引用次数: 0
A retrospective study of dengue seroprevalence, secondary infection and seasonal trends in Western Uttar Pradesh, India. 印度西部北方邦登革热血清患病率、继发感染和季节性趋势的回顾性研究。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-09-23 DOI: 10.4103/jvbd.jvbd_112_25
Prashant Sharma, Rajesh K Verma, D P Singh, Atul, Sana Fatima, Radhika Chaudhary

Background objectives: Dengue, caused by a single-stranded RNA virus of the Flaviviridae family of Arboviruses, remains a severe public health threat, especially in tropical and subtropical regions. This study aimed to determine the prevalence, seasonal trends, and secondary dengue infection cases in the western area of Uttar Pradesh.

Methods: A retrospective study was conducted at VRDL, Department of Microbiology, Uttar Pradesh University of Medical Sciences, analyzed 11,618 serum samples over the last three years, from January 2022-December 2024. Serum samples from suspected cases were subjected to NS1 antigen, IgM, and IgG antibodies enzyme-linked immunosorbent assay (ELISA).

Results: 11618 samples were tested with 2158 (18.57%) positive samples in the last 3 years. A total of 9571 samples were tested for NS1 Ag, of which 1459 (15.24%) were positive. There were 11454 samples tested for IgM, of which 789 (6.87%) were positive. Out of 9215 samples tested for IgG, 1068 were positive (11.58%). A higher percentage of positivity was observed in the age group 11-20 years, and males (18.68%) were more affected than females (16.41%). Peak cases showed during September-November, which correlates with the monsoon season, while transmission declined in winter.

Interpretation conclusion: The study found that young adults, particularly males, were most affected. An understanding of seasonal patterns and the need for early diagnosis and vector-control measures are crucial to managing effective dengue outbreaks.

背景目的:登革热由虫媒病毒黄病毒科单链RNA病毒引起,仍然是严重的公共卫生威胁,特别是在热带和亚热带地区。本研究旨在确定北方邦西部地区登革热的流行、季节性趋势和继发性感染病例。方法:回顾性研究在北方邦医科大学微生物学系VRDL进行,分析了过去三年(2022年1月至2024年12月)11,618份血清样本。对疑似病例血清进行NS1抗原、IgM和IgG抗体酶联免疫吸附试验(ELISA)。结果:近3年共检测样本11618份,阳性样本2158份(18.57%)。共检测9571份样本,其中NS1 Ag阳性1459份(15.24%)。共检测IgM 11454份,其中阳性789份(6.87%)。在9215份IgG检测样本中,1068份呈阳性(11.58%)。11 ~ 20岁年龄组阳性率较高,男性(18.68%)高于女性(16.41%)。高峰病例出现在9 - 11月,与季风季节有关,而传播在冬季下降。解读结论:研究发现,年轻人,尤其是男性,受影响最大。了解季节模式以及早期诊断和媒介控制措施的必要性对于有效管理登革热疫情至关重要。
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引用次数: 0
"String sign"- acute lymphangitis in the forearm following triple drug therapy for bancroftian filarial infection. “弦征”-三联药物治疗班氏丝虫病感染后出现前臂急性淋巴管炎。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-09-23 DOI: 10.4103/jvbd.jvbd_94_24
Vijesh Sreedhar Kuttiatt, Manju Rahi, Jambulingam Purushothaman

Localized adverse events following mass drug administration for lymphatic filariasis elimination are often self-limiting. However, they are of significant concern to the participants and may affect community drug compliance if not managed appropriately. Here, we report a rather uncommon adverse event, the 'string sign' in a south Indian woman with bancroftian filarial infection treated with triple drug regimen (IDA-Ivermectin, Diethylcarbamazine and Albendazole). String sign is the manifestation of acute lymphangitis as a cordlike subcutaneous swelling due to the swollen and inflamed lymphatic vessel, which is believed to occur due to the death of the adult filarial worms subsequent to chemotherapy. Health care workers need to be aware of such unusual localized adverse events that may occur following MDA for LF elimination. Prompt medical management of adverse events and health education are important to ensure adherence to drug consumption during mass drug administration program.

大量给药消除淋巴丝虫病后的局部不良事件往往是自限性的。然而,它们是参与者非常关注的问题,如果管理不当,可能会影响社区药物依从性。在这里,我们报告了一个相当罕见的不良事件,“串征”在南印度妇女班氏丝虫病感染治疗三联药物方案(ida -伊维菌素,乙基卡马嗪和阿苯达唑)。弦征是急性淋巴管炎的表现,表现为淋巴管肿胀和炎症引起的索状皮下肿胀,一般认为是由于化疗后成虫死亡所致。卫生保健工作者需要意识到这种不寻常的局部不良事件,可能发生在丙二醛清除LF后。不良事件的及时医疗管理和健康教育是确保在大规模用药计划中坚持用药的重要因素。
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引用次数: 0
Enhancing Japanese Encephalitis diagnosis with differential ELISA testing in India: A comparative evaluation of two JE IgM capture ELISA kits. 在印度用鉴别ELISA检测加强日本脑炎诊断:两种乙脑IgM捕获ELISA试剂盒的比较评价。
IF 1.2 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2025-09-23 DOI: 10.4103/jvbd.jvbd_43_25
Nayana Siddalingaiah, Vijayalakshmi Reddy, K Dhanya, Surbhi Telang, Lonika Lodha, Priya Kumari, M A Ashwini, Reeta S Mani

Background objectives: Japanese encephalitis (JE) remains a significant public health concern in India. IgM capture ELISA is widely used for laboratory confirmation, but cross-reactivity with other flaviviruses like Dengue virus (DEN) can lead to false positives in endemic countries like India. To overcome this problem, WHO recommends an IgM capture ELISA-based differential testing algorithm which includes JE IgM testing followed by DEN IgM testing. This study evaluates the performance of JE and DEN IgM capture ELISA kits from NIV, Pune in differentiating JE and DENV infections using ELISA-based differential testing algorithm in comparison with Inbios JE and DEN detect IgM capture ELISA kits.

Methods: A total of 131 serum samples from patients with suspected AES were tested initially using both NIV JE IgM ELISA kit and Inbios JE detect followed by NIV Dengue IgM and Inbios DEN detect kits, and results were compared.

Results: The NIV kit showed a higher JE IgM positivity rate (77.9%) than the Inbios kit (69.5%). Differential testing reclassified 21.5% (22/102) of NIV JE IgM positive cases and 16.4% (15/91) of Inbios JE IgM positive cases as DEN positive.

Interpretation conclusion: The results emphasise the presence of cross reactivity between the JE and DEN viruses. Despite limitations such as the absence of PRNT, the findings support differential testing as a cost-effective strategy to enhance JE diagnostic accuracy in resource limited settings and reinforce the need for improved diagnostic algorithms to prevent misclassification of flavivirus infections especially in endemic countries.

背景目的:日本脑炎(JE)在印度仍然是一个重要的公共卫生问题。IgM捕获ELISA广泛用于实验室确认,但在印度等流行国家,与登革热病毒(DEN)等其他黄病毒的交叉反应可能导致假阳性。为了克服这一问题,世卫组织建议采用一种基于elisa的IgM捕获鉴别检测算法,其中包括乙脑IgM检测,然后是DEN IgM检测。本研究利用基于ELISA的鉴别检测算法,评估了来自浦那NIV的乙脑和DEN IgM捕获ELISA试剂盒与Inbios乙脑和DEN检测IgM捕获ELISA试剂盒在区分乙脑和DENV感染方面的性能。方法:对131例疑似AES患者的血清进行ⅰ型乙型脑炎IgM ELISA试剂盒和Inbios乙脑检测,随后采用ⅰ型登革热IgM和Inbios DEN检测试剂盒进行检测,并对结果进行比较。结果:NIV试剂盒检测乙脑IgM阳性率(77.9%)高于Inbios试剂盒(69.5%)。差异检测将21.5%(22/102)的NIV乙脑IgM阳性病例和16.4%(15/91)的Inbios乙脑IgM阳性病例重新分类为DEN阳性。解释结论:结果强调乙脑和登革病毒之间存在交叉反应性。尽管缺乏PRNT等局限性,但研究结果支持鉴别检测作为一种具有成本效益的策略,可以在资源有限的环境中提高乙脑诊断的准确性,并强调需要改进诊断算法,以防止黄病毒感染的错误分类,特别是在流行国家。
{"title":"Enhancing Japanese Encephalitis diagnosis with differential ELISA testing in India: A comparative evaluation of two JE IgM capture ELISA kits.","authors":"Nayana Siddalingaiah, Vijayalakshmi Reddy, K Dhanya, Surbhi Telang, Lonika Lodha, Priya Kumari, M A Ashwini, Reeta S Mani","doi":"10.4103/jvbd.jvbd_43_25","DOIUrl":"10.4103/jvbd.jvbd_43_25","url":null,"abstract":"<p><strong>Background objectives: </strong>Japanese encephalitis (JE) remains a significant public health concern in India. IgM capture ELISA is widely used for laboratory confirmation, but cross-reactivity with other flaviviruses like Dengue virus (DEN) can lead to false positives in endemic countries like India. To overcome this problem, WHO recommends an IgM capture ELISA-based differential testing algorithm which includes JE IgM testing followed by DEN IgM testing. This study evaluates the performance of JE and DEN IgM capture ELISA kits from NIV, Pune in differentiating JE and DENV infections using ELISA-based differential testing algorithm in comparison with Inbios JE and DEN detect IgM capture ELISA kits.</p><p><strong>Methods: </strong>A total of 131 serum samples from patients with suspected AES were tested initially using both NIV JE IgM ELISA kit and Inbios JE detect followed by NIV Dengue IgM and Inbios DEN detect kits, and results were compared.</p><p><strong>Results: </strong>The NIV kit showed a higher JE IgM positivity rate (77.9%) than the Inbios kit (69.5%). Differential testing reclassified 21.5% (22/102) of NIV JE IgM positive cases and 16.4% (15/91) of Inbios JE IgM positive cases as DEN positive.</p><p><strong>Interpretation conclusion: </strong>The results emphasise the presence of cross reactivity between the JE and DEN viruses. Despite limitations such as the absence of PRNT, the findings support differential testing as a cost-effective strategy to enhance JE diagnostic accuracy in resource limited settings and reinforce the need for improved diagnostic algorithms to prevent misclassification of flavivirus infections especially in endemic countries.</p>","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Journal of Vector Borne Diseases
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