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程险峰, 陈瑾, 詹圣伟, 陈道利, 项可霞, 朱明, 方大春, 文育锋. 马鞍山地区戊型肝炎病毒分型及流行病学分析[J]. 中国公共卫生, 2010, 26(6): 710-712. DOI: 10.11847/zgggws2010-26-06-28
引用本文: 程险峰, 陈瑾, 詹圣伟, 陈道利, 项可霞, 朱明, 方大春, 文育锋. 马鞍山地区戊型肝炎病毒分型及流行病学分析[J]. 中国公共卫生, 2010, 26(6): 710-712. DOI: 10.11847/zgggws2010-26-06-28
CHENG Xian-feng, CHEN Jin, ZHAN Sheng-wei, . Epidemiological characteristics of hepatitis E and genotypes of hepatitis E virus in Maanshan area of Anhui province[J]. Chinese Journal of Public Health, 2010, 26(6): 710-712. DOI: 10.11847/zgggws2010-26-06-28
Citation: CHENG Xian-feng, CHEN Jin, ZHAN Sheng-wei, . Epidemiological characteristics of hepatitis E and genotypes of hepatitis E virus in Maanshan area of Anhui province[J]. Chinese Journal of Public Health, 2010, 26(6): 710-712. DOI: 10.11847/zgggws2010-26-06-28

马鞍山地区戊型肝炎病毒分型及流行病学分析

Epidemiological characteristics of hepatitis E and genotypes of hepatitis E virus in Maanshan area of Anhui province

  • 摘要: 目的 调查安徽省马鞍山地区戊型肝炎感染状况及危险因素,为预防和控制戊型肝炎提供依据。方法 采用分层整群抽样方法抽取马鞍山市3区1县共1616名常住人口为调查对象进行问卷调查,利用酶联免疫吸附实验和逆转录巢式PCR检测血清抗HEV-IgG抗体、抗HEV-IgM抗体和病毒RNA,并比较马鞍山地区戊型肝炎病毒基因型。结果 总体抗-HEVIgG抗体阳性率为4.76%,男性为4.77%,女性为4.76%,感染率有随年龄增长而上升的趋势;多因素非条件Logistic模型分析结果表明,农民、学龄前儿童和有输血史为戊型肝炎的危险因素,而初中文化程度为保护因素;马鞍山地区戊型肝炎均由Ⅳ型HEV引起。结论 安徽省马鞍山地区戊型肝炎感染率较低,男性略高于女性,存在年龄差异,且马鞍山地区HEV流行株核酸内部的同源性较高。

     

    Abstract: Objective To evaluate the sero-prevalence of hipatitis E virus(HEV) infection and the molecular characteristics of HEV circulating in Maanshan area of Anhui.Methods A cross-sectional questionnaire survey was conducted among permanent residents selected with stratified cluster sampling.HEV RNA in serum sample was detected with RT-PCR for patients with acute sporadic hepatitis E and the people with positive HEV IgM antibody.Results Total positive rate of HEV IgG antibody among 1616 residents was 4.76%(4.76% in males,4.77% in females).The association between the prevalence of anti-HEV IgG and blood transfusion,marital status,and risk behavior was statistically significant,except for history of hepatitis.Ten serum samples were positive for HEV RNA and all of the positive samples were HEV genotype IV.Conclusion The result of the study suggests that HEV infection is low among the normal population and the prevalence of HEV differs in residents with different age but not gender in Maanshan area of Anhui.The genetic variability of the HEV isolates in this area is low.

     

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