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徐艺, 夏雪琴, 刘西珍, 李丽萍, 李平, 关蓉晖. 陕西省脊髓灰质炎病毒检测分析[J]. 中国公共卫生, 2010, 26(9): 1126-1127. DOI: 10.11847/zgggws2010-26-09-21
引用本文: 徐艺, 夏雪琴, 刘西珍, 李丽萍, 李平, 关蓉晖. 陕西省脊髓灰质炎病毒检测分析[J]. 中国公共卫生, 2010, 26(9): 1126-1127. DOI: 10.11847/zgggws2010-26-09-21
XU Yi, XIA Xue-qin, LIU Xi-zhen, . Detection of acute flaccid paralysis(AFP) cases and poliovirus in Shaanxi province[J]. Chinese Journal of Public Health, 2010, 26(9): 1126-1127. DOI: 10.11847/zgggws2010-26-09-21
Citation: XU Yi, XIA Xue-qin, LIU Xi-zhen, . Detection of acute flaccid paralysis(AFP) cases and poliovirus in Shaanxi province[J]. Chinese Journal of Public Health, 2010, 26(9): 1126-1127. DOI: 10.11847/zgggws2010-26-09-21

陕西省脊髓灰质炎病毒检测分析

Detection of acute flaccid paralysis(AFP) cases and poliovirus in Shaanxi province

  • 摘要: 目的 分析陕西省2003-2008年检出脊髓灰质炎(以下简称脊灰)病毒(PV)的急性弛缓性麻痹(AFP)病例流行病学特征,提高对疫苗衍生脊灰病毒(VDPV)监测的敏感性.方法 对PV阳性的AFP病例相关资料进行流行病学分析,对疫苗变异PV采用VP1基因核苷酸序列测定方法进行分子生物学性状分析.结果 陕西省2003-2008年共检出PV 29株,分离到的PV以Ⅱ型为主(15株),超过Ⅰ型和Ⅲ型之和;AFP病例集中在≤2岁儿童(75.86%),以零剂次免疫和未全程免疫儿童所占比例较大(51.72%);麻痹部位主要为单下肢、双下肢和四肢;型内鉴定14株为疫苗变异PV,基因序列测定均未达到VDPV(1%)的诊断标准;疫苗变异PV的病例中7例为未全程免疫,9例为0~2岁儿童.结论 维持无脊灰阶段,存在着VDPV和发生循环疫苗衍生脊灰病毒(cVDPVs)爆发流行的可能,保持高水平的脊灰减毒活疫苗(OPV)免疫覆盖率,高质量的AFP病例流行病学监测和病毒学监测,具有重要现实意义.

     

    Abstract: Objective To analyze the epidemiological character of AFP cases and to detect poliovirus in Shaanxi province during 2003-2008 in order to increase the sensitivity of vaccine derived poliovirus(VDPVs) surve illance.Methods Epidemiological analysis was conducted in A FP cases with positive poliov irus detection and VP1 genomic sequencing technique was used to analyze the molecular character of vaccine variant polio viruses.Results From 2003 to 2008,29 poliov irus strains were isolated from AFP cases,and the number of type Ⅰ strains exceed to the summation of type and type Ⅱ strains.75.86% of cases were children.The main paralysis parts of body were single or both lower extremity and lmibs.Fourteen strains were indentified as vaccine variant poliovirus.The vaiant rate of VP1 sequence did not reach 1%.Among these cases,7 cases were not fully vaccinated children and 9 were under 2 years old.Conclusion VD-PV emergence and cVD-PVs circulation still possibly occur in course of polio eradication.It is important to keep high level surve illance and vaccination coverage.

     

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