尼日利亚南部埃多州HIV患者巨细胞病毒感染的血清阳性率

Ifueko Mercy Moses-Otutu, Nosawema Franklyn Ojo, Ogochukwu Janet Nzoputam, Chimezie Igwegbe Nzoputam
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摘要

背景:人巨细胞病毒(HCMV)是免疫功能低下个体的重要病原体,可引起终末器官疾病,导致发病率和死亡率增加。本研究的目的是确定尼日利亚埃多州HIV患者中HCMV感染的流行情况及其相关危险因素。方法:共纳入150例HIV患者,其中男80例,女70例。通过静脉穿刺从每位参与者无菌采集静脉血约4ml,离心得到血清。ELISA法检测血清中HCMV IgG和IgM抗体。结果:所得结果采用SPSS version 20进行数据分析。在HIV患者中,HCMV IgM抗体的总体患病率为32.7%。男性的HCMV IgM抗体阳性率为55.1%,高于女性的44.9%。HCMV在19岁年龄组中患病率最高(51.0%),其次是20-39岁年龄组(30.6%),60岁和40-59岁年龄组患病率分别为12.2%和6.1%。结论:HCMV IgG和IgM抗体的共存、宗教信仰和地域对HIV患者HCMV感染的获得有显著影响。通过传播意识和早期诊断HCMV来整合艾滋病毒预防是减少艾滋病毒患者这些病毒感染并发症的关键。
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Seroprevalence of Human Cytomegalovirus Infection among HIV Patients in Edo State, Southern Nigeria
Background: Human cytomegalovirus (HCMV) is an important pathogen in immunocompromised individuals where it causes end organ diseases leading to increased morbidity and mortality. The aim of this study was to determine the prevalence of HCMV infection and its associated risk factors among HIV patients in Edo State, Nigeria. Methods: A total of 150 HIV patients consisting of 80 males and 70 females were enrolled for this study. About 4 mL of venous blood was aseptically collected from each participant by venipuncture and was centrifuged to obtain serum. The serum was screened by ELISA for HCMV IgG and IgM antibodies. Results: The results obtained were analyzed using SPSS version 20 for data analysis. An overall prevalence of 32.7% for HCMV IgM antibodies was recorded among the HIV patients. Males had a higher prevalence of 55.1% HCMV IgM antibodies than their female counterparts with 44.9% HCMV IgM antibodies. HCMV was more prevalent among the age group <19 years (51.0%), followed by the age group 20–39 years (30.6%), while the age groups >60 years, and 40–59 years recorded a prevalence of 12.2% and 6.1%, respectively. Conclusions: The co-occurrence of HCMV IgG and IgM antibodies, religion and location significantly influenced the acquisition of HCMV infection among HIV patients. Integrating HIV prevention by spreading awareness and early diagnosis of HCMV is key to reducing complications from these viral infections in HIV disease patients.
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