人类肝炎病毒(HAV, HBV &HCV、单纯疱疹病毒和HIV感染的血液生物标志物检测

Andressa Fehlberg, Rachel Siqueira de Queiroz Simões, Roberta Pinho Gomes, Joelma Lessa da Silva Silva
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摘要

甲型肝炎疫苗是基于经典的第一代灭活病毒疫苗,由不同的生物制药公司开发。甲肝病毒存在于感染者的粪便、血液和食源性肝炎中。HBV是一种短期疾病,是慢性肝病的主要病原体之一。对其他人来说,它可能成为一种长期的慢性感染,如肝病或肝癌。HBV分离株的基因组变异性分析是分子和流行病学研究的基础。HCV作为准种存在于个体内的突变率较高。从这个意义上说,本研究分析了病毒性肝炎A/B/C,单纯疱疹病毒(HSV) 1/2型和人类免疫缺陷病毒(HIV),作为与性传播感染(sti)患者综合护理相关的主题。2713例患者共采集2750份样本,其中38.43%为HCV;31.20%用于艾滋病毒研究;HAV为30.25%,HSV为0.1%。共检测到8种乙型肝炎病毒(HBV)生物标志物,其中44.01%(2022年)和47.66%(2023年)的HBsAg标志物无反应,31.41%(2022年)和31.99%(2023年)的HBsAg标志物无反应。调查样本中无反应性IgM生物标志物的平均比例为55.25±12.96 (CV = 0.234),比例最高的是2022年3月(98.38%)。作者建议随访新的血清学研究,与分子检测相关,专门针对反应性和不确定的结果。
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Outbreak-Associated Cases Of Human Hepatitis Viruses (HAV, HBV & HCV) With Herpes Simplex Virus And HIV Infections Detected in Blood-Based Biomarkers
Hepatitis A vaccines are based on classic first-generation inactivated virus vaccines and have been developed by different biopharmaceuticals. HAV is found in the stool, blood of people who are infected and foodborne hepatitis. HBV is a short-term disease and is one of the major causative agents of chronic liver illness. For others, it can become a long-term, chronic infection like liver disease or liver cancer. The analysis of genomic variability of HBV isolates is fundamental for molecular and epidemiological studies. HCV has a higher rate of mutation existing inside an individual as quasispecies. In this sense, this study addresses an analysis of viral hepatitis A/B/C, Herpervirus Simplex (HSV) type 1/2 and the human immunodeficiency virus (HIV) as topics related to comprehensive care for people with sexually transmitted infections (STIs). A total of 2.750 samples were collected from 2.713 patients, of which 38,43% were for HCV; 31,20% for HIV research; 30,25% for HAV and 0,10% for HSV. In all, eight biomarkers of the hepatitis B virus (HBV) were investigated, of which the HBsAg marker was non-reactive in 44,01% (2022 y) and 47.66% (2023 y). About 31,41% (2022 y) and 31.99% (2023y) were reactive for anti-HBs. The highest percentage of investigated samples (98.38%) was recorded in March 2022 with a average proportion of 55.25 ± 12.96 (CV = 0.234) for the non reactive IgM biomarker. The authors suggest follow-up with new serological research associated with molecular assays aimed specifically at reactive and inconclusive results.
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