1992~1995年广东省登革热病原学和血清学监测报告

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1992~1995年,在广州市珠海区和海康市各选择1个既往登革热(简称DF)流行区和非流行区作为DF监测点,并对省内临床疑似DF病人进行监测。从104份疑似DF患者急性期血清分离出34株病毒。分离阳性率为32.69%,分别是1993年的登革2型和1995年的登革1型。1316只蚊分为116组,经C6/36白纹伊蚊细胞培养和单克隆抗体间接免疫荧光试验检测,全部未分离出DF病毒。198份疑似DF患者血清作登革IgG抗体(DV-IgG)检测,检出阳性55份,检出率为27.78%,2份是1993年同一患者双相血清。53份是1995年单份血清,与各型DF病毒抗原呈高度广泛交叉反应,不能判定流行型。5例病后约100天的DF患者其IgG抗体滴度普遍下降。检测972份健康人血清DV-IgG,检出131份阳性,检出率为13.4%,阳性抗体滴度大多在1∶40。但1994年抗体滴度1∶80~1∶160的有19份,明显高于其它年。 From 1992 to 1995, one epidemic area and one non-epidemic area of ​​dengue fever (dengue fever) in Zhuhai district and Haikang city of Guangzhou were selected as DF monitoring points, and the clinical suspected DF patients in the province were monitored. Thirty-four viruses were isolated from 104 acute cases of suspected DF patients. The positive rate of separation was 32.69%, which were dengue 2 in 1993 and dengue 1 in 1995 respectively. 1316 mosquitoes were divided into 116 groups and tested by C6 / 36 Aedes albopictus cell culture and indirect immunofluorescence assay with monoclonal antibody, all of which did not isolate DF virus. A total of 198 suspected DF patients were tested for dengue IgG antibody (DV-IgG), and 55 were positive, the detection rate was 27.78%. Two of them were biphasic sera from the same patient in 1993. 53 copies of a single serum in 1995, with a wide range of cross-reactivity with various types of DF virus antigen, can not determine the epidemic. Five patients with DF in about 100 days after the general decline in its IgG antibody titer. Serum DV-IgG was detected in 972 healthy volunteers. 131 positive samples were detected, the detection rate was 13.4%, and the positive antibody titers were mostly 1:40. However, 19 antibody titers 1:80 to 1:160 in 1994 were significantly higher than those in other years.
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