武汉地区住院患儿EB病毒感染状况

刘秀珍, 江炼, 王晓梅

中国当代儿科杂志 ›› 2011, Vol. 13 ›› Issue (1) : 23-25.

PDF(948 KB)
PDF(948 KB)
中国当代儿科杂志 ›› 2011, Vol. 13 ›› Issue (1) : 23-25.
论著·临床研究

武汉地区住院患儿EB病毒感染状况

  • 刘秀珍,江炼,王晓梅
作者信息 +

Condition of Epstein Barr virus infection in hospitalized children from Wuhan region

  • LIU Xiu-Zhen, JIANG Lian, WANG Xiao-Mei
Author information +
文章历史 +

摘要

目的:分析武汉地区住院患儿EB病毒(EBV)感染的情况及临床特点,为明确诊断、合理治疗提供帮助。方法:采用ELISA法检测住院患儿EBV衣壳抗原(VCA)抗体IgM、IgG,并按年龄将患儿分为<6个月、6个月~、1岁~、3岁~、7~15岁5个组,对结果进行统计分析。结果:14 840例住院患儿EBV抗体阳性7 899例,感染率为53.23%;VCA IgM阳性率为4.05%(601/14 840);VCA IgG阳性率为49.18%(7 298/14 840)。VCA IgM阳性率以<6月组最低(0.11%);VCA IgG阳性率以7~15岁组最高(79.83%)。601例VCA IgM阳性的患儿中,以呼吸道感染最多(429例,71.4%)。结论:武汉地区住院患儿EBV感染率较高,EBV感染的相关疾病以呼吸道感染为主;不同年龄组患儿间EBV感染率不同。

Abstract

OBJECTIVE: To study the condition and clinical characteristics of Epstein Barr virus (EBV) infection in hospitalized children from Wuhan region. METHODS: A total of 14 840 hospitalized children were classified into five age groups: less than 6 months old, 6 months to 1 year old, 1 to 3 years old, 3 to 7 years old and 7 to 15 years old. The antibodies IgM and IgG to EBV capsid antigen (VCA) were detected using ELISA. RESULTS: In the 14 840 hospitalized children, 7 899 were positive for EBV antibodies, with an infection rate of 53.23%. The positive rate of VCA-IgM was 4.05% (601/14 840) and that of VCA-IgG was 49.18% (7 298/14 840). The lowest positive rate of VCA-IgM (0.11%) was found in the group of less than 6 months old and the highest positive rate of VCA-IgG (79.83%) was found in the group of 7 to 15 years old. Of the 601 children with positive VCA-IgM, 429 (71.4%) suffered from respiratory tract infection. CONCLUSIONS: EBV infection is very common in hospitalized children in Wuhan. Respiratory tract infection is a leading disease in children with positive EBV antibodies. The infection rate of EBV in different age groups is different.

关键词

EB病毒 / 武汉地区 / 儿童

Key words

Epstein Barr virus / Wuhan region / Child

引用本文

导出引用
刘秀珍, 江炼, 王晓梅. 武汉地区住院患儿EB病毒感染状况[J]. 中国当代儿科杂志. 2011, 13(1): 23-25
LIU Xiu-Zhen, JIANG Lian, WANG Xiao-Mei. Condition of Epstein Barr virus infection in hospitalized children from Wuhan region[J]. Chinese Journal of Contemporary Pediatrics. 2011, 13(1): 23-25
中图分类号: R373.1   

参考文献

[1]华青,张秋业.小儿EB病毒感染致神经系统疾病的研究进展[J].中国实用儿科杂志,2007,22(3):228-230. [2]Takeuchi K, Tanaka-Taya K, Kazuyama Y, Ito YM, Hashimoto S, Fukayama M, et al. Prevalence of Epstein-Barr virus in Japan: trends and future prediction[J].Pathol Int, 2006, 56(3): 112-116. [3]吴玥.EB病毒感染与血液病[J].实用儿科临床杂志,2006,21(15):961-962. [4]胡兴文,周小勤.儿童患者EB病毒感染状况分析[J].中华医院感染学杂志,2008,18(3):369-371. [5]吴葆菁,李文益,张玉兰,梅志勇,麦贤弟.小儿EB病毒感染相关疾病临床研究[J].临床儿科杂志,2003,21(8):455-457. [6]Okan M.Overview and problematic standpoints of severe chronic active Epstein Barr virusinfection syndrome[J]. Crit Rev Oncol Hematol, 2002, 44(3): 273-282. [7]李中跃,楼金玗,陈洁.儿童EB病毒感染首发症状及相关疾病谱分析[J].中华儿科杂志,2004,42(1):20-22. [8]邓继岿,郑跃杰,袁雄伟,白大明.儿童非典型EB病毒感染的临床回顾分析[J].中国实用儿科杂志,2006,21(2):123-125. [9]段红梅,姚瑶,谢正德,闫静,胡英慧,幺远,等.91例EB病毒相关疾病儿童血浆EB病毒DNA的检测[J].中国当代儿科杂志,2009,11(11):897-900. [10]成胜权.EB病毒感染的临床多样性与细胞凋亡的遗传基础[J].国外医学儿科分册,1999,26(2):63-65. [11]张爱民,张兵,吴意,张先华,刘珊珊,龚萍.荧光定量PCR检测传染性单核细胞增多症EB病毒的评价[J].中国实用儿科杂志,2009,24(17):59-60.

PDF(948 KB)

Accesses

Citation

Detail

段落导航
相关文章

/