[卫生技术专业学生麻疹、风疹、腮腺炎和水痘血清阳性:一项血清患病率研究]。

IF 1.1 4区 医学 Q4 MICROBIOLOGY Mikrobiyoloji bulteni Pub Date : 2024-10-01 DOI:10.5578/mb.20249653
Ayla Açikgöz, Servet Kizildağ, Özgür Appak, Dilek Çimrin, Nuran Esen, Ayça Arzu Sayiner
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引用次数: 0

摘要

麻疹、风疹、腮腺炎和水痘感染是可以通过接种疫苗预防的儿童疾病。医护人员通过接触病人的呼吸道分泌物、受感染的血液和体液而感染疾病的风险更大。在卫生领域学习的学生在实习期间和在教育期间在卫生保健机构的实践经历中遇到传染病的风险与卫生保健人员一样多。此外,由于这些学生有可能成为他们遇到的病人的污染源,了解他们对传染病的免疫力,在遇到病人之前采取保护措施,并实施必要的疫苗接种计划是很重要的。本研究的目的是确定在Dokuz eyll大学卫生服务职业学院学习的卫生技术学生中麻疹、风疹、腮腺炎和水痘等疫苗可预防疾病的血清患病率。本横断面研究的人群包括Dokuz eyll大学卫生服务职业学院的二年级学生。550名卫生技术专业的学生参与了这项研究。本研究资料通过调查和血清学结果获得。调查问题包括学生的社会人口学特征(年龄、性别、童年居住地点);家庭情况(父母教育水平、家庭经济状况);有麻疹、风疹、腮腺炎和水痘病史;麻疹、风疹、腮腺炎和水痘疫苗接种史。采用ELISA试剂盒检测麻疹、风疹、腮腺炎和水痘病毒特异性IgG型抗体。这些疾病的IgG检测结果分为定性(阳性或阴性)。麻疹、风疹、腮腺炎、水痘血清阳性率分别为21.8%、89.3%、64.7%、92.9%。年龄≥21岁、收入水平较低的学生麻疹血清阳性率较高。儿童时期生活在农村地区和收入较低的学生风疹血清阳性率较高。在报告患有腮腺炎和水痘的学生中,腮腺炎和水痘血清阳性较高。儿童期生活在农村地区的学生水痘血清阳性率较高。总之,在这项研究中,我们发现有很大比例的健康学生没有保护水平的麻疹和腮腺炎抗体。这在麻疹中更为明显。考虑到卫生技术专业学生感染风险较高,可能建议这些易感学生接种第三剂麻疹-腮腺炎-风疹疫苗,无论其疫苗接种史如何。此外,对有明确疫苗接种记录的学生进行更大规模的研究,可以获得有关预防这些疾病状况的更详细信息。
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[Measles, Rubella, Mumps and Varicella Seropositivity in Health Technician Students: A Seroprevalence Study].

Measles, rubella, mumps and chickenpox infections are among the childhood diseases that can be prevented by vaccination. Healthcare workers are at greater risk of diseases transmitted through contact with patients' respiratory secretions, infected blood and body fluids. Students studying in the field of health are at the risk of encountering infectious diseases as much as healthcare personnel during their internship and practice experience in healthcare institutions during their education. In addition, due to the risk of these students becoming a source of contamination to the patients they encounter, it is important to know their immunity against infectious diseases, to take protective measures before encountering patients and to implement the necessary vaccination programs. The aim of this study was to determine the seroprevalence of vaccine-preventable diseases such as measles, rubella, mumps and chickenpox among health technician students studying at Dokuz Eylül University Vocational School of Health Services. The population of this cross-sectional study consisted of second-year students at Dokuz Eylül University Vocational School of Health Services. Five hundred fifty health technician students participated in the research. The data of the study was obtained by survey and serology results. The survey included questions regarding the students' sociodemographic characteristics (age, gender, place of residence during childhood); information about their families (education level of mother and father, economic status of the family); presence of a history of measles, rubella, mumps and chickenpox; and history of vaccination against measles, rubella, mumps and chickenpox. Specific IgG type antibodies to measles, rubella, mumps and varicella viruses were determined using ELISA kits. IgG test results of these diseases were classified as qualitative (positive or negative). In this study, measles, rubella, mumps and chickenpox seropositivity in students was found to be 21.8%, 89.3%, 64.7%, 92.9%, respectively. Measles seropositivity was higher in students aged ≥21 years and with low income levels. Rubella seropositivity was higher in students who lived in rural areas and had low income during their childhood. Mumps and chickenpox seropositivity was higher in students who reported having mumps and chickenpox. Chickenpox seropositivity was higher in students who lived in rural areas during their childhood. In conclusion, in this study, we found that there was a significant proportion of health students who did not have protective levels of measles and mumps antibodies. This was much more evident for measles. Considering the higher risk of infection in health technician students, these vulnerable students may be recommended to receive the third dose of measles-mumps-rubella vaccine, regardless of their vaccination history. Additionally, conducting larger-scale studies on students with definitive vaccination records may allow obtaining more detailed information about the status of protection against these diseases.

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来源期刊
Mikrobiyoloji bulteni
Mikrobiyoloji bulteni 生物-微生物学
CiteScore
1.60
自引率
20.00%
发文量
50
审稿时长
6-12 weeks
期刊介绍: Bulletin of Microbiology is the scientific official publication of Ankara Microbiology Society. It is published quarterly in January, April, July and October. The aim of Bulletin of Microbiology is to publish high quality scientific research articles on the subjects of medical and clinical microbiology. In addition, review articles, short communications and reports, case reports, editorials, letters to editor and other training-oriented scientific materials are also accepted. Publishing language is Turkish with a comprehensive English abstract. The editorial policy of the journal is based on independent, unbiased, and double-blinded peer-review. Specialists of medical and/or clinical microbiology, infectious disease and public health, and clinicians and researchers who are training and interesting with those subjects, are the target groups of Bulletin of Microbiology.
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