2014-2016年乌兹别克斯坦引入单价轮状病毒疫苗后轮状病毒基因型流行情况

N. Ibadullaeva, Musabaev, R. Latipov, S. Sharapov, L. Lokteva, E. Kazakova, Elizaveta Joldasova, A. Khikmatullaeva, M. Khodjaeva, U. Yusupov, Ilkhom Norbaev
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摘要

导言:轮状病毒是全世界五岁以下儿童严重胃肠炎的最主要原因之一。本研究描述了2014年10月至12月和2015-2016年引入轮状病毒疫苗接种后乌兹别克斯坦轮状病毒A (RVA)基因型的流行情况。方法:采用Prospect轮状病毒检测试剂盒(Oxoid Ltd.UK)对17546份粪便标本进行轮状病毒抗原EIA检测。随机抽取318份EIA阳性样本,采用常规一步反转录聚合酶链反应(RT-PCR)进行基因分型。RT-PCR采用Qiagen一步RT-PCR试剂盒(Qiagen, Inc., Valencia, CA)和轮状病毒基因分型寡核苷酸引物(CDC, Atlanta)。结果:G2P[4]基因型的流行率与G1P[8]基因型的流行率呈正相关,G2P[4]基因型的流行率与G1P[8]基因型的流行率呈正相关。结论:G2P[4]基因型的流行并不一定是由于疫苗逃逸,也可能发生在RVA基因型的自然波动过程中,无论在地理上还是时间上,这种趋势都需要进一步监测。
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Prevalence of Rotavirus Genotypes after Introduction of Monovalent Rotavirus Vaccine in Uzbekistan during 2014-2016
Introduction: Rotaviruses are one of the most leading causes of severe gastroenteritis in children less than five years of age worldwide. This study describes prevalence of rotavirus A (RVA) genotypes in Uzbekistan during for the period October-December in 2014 and2015-2016 after introduction of rotavirus vaccination. Methods: In total, 17546 stool specimens testing for the presence of rotavirus antigen by EIA was performed by using the Prospect Rotavirus Kit (Oxoid Ltd.UK). In total 318 EIA positive samples were randomly selected and genotyped by using one-step conventional reverse transcription polymerase chain reaction (RT-PCR). RT-PCR was performed using a Qiagen One-Step RT-PCR kit (Qiagen, Inc., Valencia, CA) and Rotavirus Genotyping Oligonucleotide Primers (CDC, Atlanta). Results: The results showed a change in the circulating genotypes towards the prevalence of the genotype G2P[4] and a decrease in the prevalence of the genotype G1P[8]. Conclusion: The prevalence of the genotype G2P[4] is not necessarily due to vaccine escape, but can also occur in the course of the natural fluctuation of RVA genotypes, both geographically and temporally and this tendency requires further monitoring.
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