[智利流行性腮腺炎病毒感染的流行病学监测:2018年和2019年爆发期间的实验室诊断]。

Monserrat Balanda, Héctor San Martín, Francisco Roldán, Deyanira Vidal, Jorge Fernández, Eugenio Ramírez
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引用次数: 0

摘要

腮腺炎感染主要影响儿童,感染的标志是腮腺肿胀。智利引入三联病毒疫苗后,流行性腮腺炎病例显著减少。目的:在2018年至2019年期间,发生了疫情,受影响人群年龄在20至35岁之间。目前的工作是公共卫生研究所在这次暴发期间流行性腮腺炎流行病学监测计划中进行的实验室调查结果。方法:对2018年1月至2019年3月592例疑似病毒感染病例进行抗腮腺炎病毒IgM和IgG检测。采用qRT-PCR检测69例患者尿液和唾液中是否存在病毒核酸,并对病毒sh基因进行测序。结果:IgM和IgG阳性分别占19.8% (n= 117)和95.9% (n= 568)。IgM阳性病例中男性56.4% (n= 66),女性43.6% (n=51)。病例分布在1 ~ 90岁之间,但20 ~ 29岁的病例占42.7% (n=50)。基因测序结果显示20例存在G和N基因型。结论:实验室结果对病例的准确诊断和流行病学监测确定疫情至关重要。
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[Epidemiological Surveillance of Mumps Virus Infections in Chile: Laboratory Diagnosis During the Occurrence of the 2018 and 2019 Outbreak].

Mumps infections primarily affect childhood and the hallmark of infection is swelling of the parotid glands. The mumps cases decreased noticeably in Chile with the introduction of the triple virus vaccine.

Aim: During 2018 and 2019, an outbreak occurred and affected persons between 20 and 35 years old. In the present work are the laboratory findings, carried out by the Institute of the Public Health, in the epidemiological surveillance program for mumps during this outbreak.

Methods: Between January 2018 and March 2019, 592 suspected cases of viral infection were analyzed for the presence of anti-mumps virus IgM and IgG. 69 cases were analyzed by qRT-PCR to evaluate the presence of viral nucleic acid in urine and saliva samples and sequencing of viral gene sh was performed.

Results: The 19,8% (n= 117) and 95,9% (n= 568) of the cases were IgM and IgG positive, respectively. 56,4% (n= 66) of the IgM positive cases were men and 43,6% (n=51) were women. The distribution of the cases was between 1 to 90 years old, nevertheless 42,7% (n=50) had 20 to 29 years old. Genetic sequencing showed the presence of G and N genotype in 20 cases.

Conclusions: The laboratory findings were essential for the accurate diagnosis of cases and the establishment of the outbreak by the epidemiological surveillance program.

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