奥里萨邦布巴内斯瓦尔三级医院登革热血清流行率和变化趋势:四年回顾性研究

B. Pathi, N. Poddar, K. Panigrahi, D. Pattnaik, J. Jena
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摘要

登革病毒是一种单链阳性RNA病毒,属于黄病毒科黄病毒属。登革热是一种季节性和新出现的急性蚊媒虫媒病毒疾病,影响热带和亚热带国家。该病范围从轻度无症状到伴有或不伴有登革休克综合征的严重登革出血热(DHF)。本研究旨在了解印度奥里萨邦布巴内斯瓦尔一家三级保健医院登革热病毒的血清阳性率和变化趋势。2016年8月至2019年12月,共收集临床疑似登革热患者血样5147份。分离血清,采用酶免疫法检测非结构(NS1)抗原和IgM抗体。本研究期间共处理登革热疑似病例5147份血样,其中NS1抗原(Ag)、IgM抗体(Ab)或NS1抗原和IgM抗体均阳性1314份(25%),总血清阳性率为25%。在这项为期四年的研究中,2016年全年血清患病率为12%(153),2017年为26%(350),2018年为40%(522),2019年为22%(289)。它清楚地表明,登革热病例有所增加。
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Seroprevalence and changing trend of dengue in a tertiary care hospital, Bhubaneswar, Odisha: Four-year retrospective study
Dengue virus is a single stranded positive sense RNA virus belonging to the genus flavivirus family flaviviridae. Dengue fever is a seasonal and emerging acute mosquito borne arbo-viral illness affecting tropical and sub-tropical countries. This illness ranges from a mild asymptomatic form to severe dengue hemorrhagic fever (DHF) with or without dengue shock syndrome (DSS). This study was conducted to know the seroprevalence and changing trend of Dengue virus in a tertiary care hospital, Bhubaneswar, Odisha, India. Over a period of four years from August 2016 to December 2019, a total of 5147 blood samples from clinically suspected dengue patients were received in department of Microbiology laboratory. Serum was separated and subjected to enzyme immunoassay for detection of both Non Structural (NS1) antigen and IgM antibody.During this study period, a total of 5147 blood samples were processed from suspected dengue cases, out of which 1314(25%) samples were found to be positive by different serological markers like NS1 Antigen (Ag), IgM antibody(Ab), or both NS1 Ag & IgM Ab. The overall seroprevalence rate was found to be 25%. In this study period of four years, the year-wise seroprevalence rate was found to be 12% (153) in the year 2016 and was 26% (350) in the year 2017 and was 40% (522) in the year 2018, and was 22% (289) in the year 2019. It clearly shows that there is an increase in the dengue cases.
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