儿童和青少年潜伏性eb病毒感染的血清学患病率

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背景:eb病毒(Epstein-Barr Virus, EBV)于1946年首次被发现,是世界上最常见的病毒之一,可引起潜伏感染或各种难以区分的症状,从轻微到严重不等。这种潜伏性感染的流行率和年龄分布在不同的人群中差别很大。目的:利用夹心酶联免疫吸附试验(ELISA)检测儿童和青少年抗ebv IgG抗体,并估计研究人群血清阳性与性别的关系。材料与方法:于2023年1 - 2月在伊拉克苏莱曼尼亚省随机抽取儿童(5-12岁)和青少年(13-17岁)共182份血清样本。结果:29.12%的研究个体血清显示EBV-IgG抗体的血清学阳性反应。青少年潜伏性EBV阳性率(42.86%)显著高于儿童(15.39%)(P<0.0289)。在研究人群血清阳性与性别的关系方面,女性(42.47%)的ebv - igg抗体阳性率显著高于男性(20.18%)(P<0.0224)。女性感染风险(2.104)明显高于男性(0.475)(P<0.0001)。结论:青少年女性潜伏性EBV感染血清阳性率高于男性;然而,使用血清学和分子分析的额外调查对于证明感染程度和确定ebv相关疾病的全谱非常重要。
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Serological Prevalence of Latent Epstein-Barr Virus Infection in Children and Adolescents
Background: Epstein-Barr Virus (EBV), first discovered in 1946, is one of the most common viruses, which found over the world causing latent infection or different undistinguishable symptoms ranged from mild to severe. This prevalence and age distribution of this latent infection varies significantly in different populations. Aim: Serological detection of anti-EBV IgG antibodies in children and adolescents using of the sandwich enzyme-linked immunosorbent assay (ELISA), and estimating the association of seropositivity to sex of study population. Materials and Methods: A total of 182 serum samples were obtained randomly from the study population that involved children (5-12 years old) and adolescents (13-17 years old) of both sexes in Sulaymaniyah province (Iraq) during January-February (2023). Results: Sera of an overall 29.12% study individuals were showed a serological positive reactivity to EBV-IgG antibodies. Significantly (P<0.0289), latent EBV was higher in adolescents (42.86%) than those observed in children (15.39%). Concerning the association of seropositivity to sex of study population, there was a significant increase (P<0.0224) in prevalence of anti-EBV-IgG antibodies among females (42.47%) than males (20.18%). Also, females were appeared significantly (P<0.0001) at higher risk of infection (2.104) than males (0.475). Conclusion: The seroprevalence of latent EBV infection in female adolescent was higher than male children; however, additional investigations using of serological as well as molecular assays are of great importance to demonstrate the extent of infection and to define the full spectrum of EBV-associated diseases.
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