sero-epidemiology

血清流行病学
  • 文章类型: Journal Article
    埃塞俄比亚某些地区的块状皮肤病(LSD)疫苗接种状况和流行病学分布仍然未知。包括西达玛地区州。在这项研究中,从2021年9月至2022年6月,在Sidama地区州的选定地区,代表三个农业生态区,使用特定的病毒中和试验对LSD进行了血清学调查.此外,我们使用问卷对社区意识和LSD疫苗相关问题进行了评估.我们的结果显示总体动物和群体水平血清阳性率为40.8%(95CI=35.8,45.8)和81%(95CI=77,85),分别。在低地(48%)和高地(28%)地区观察到高和低血清流行率,尽管它们没有统计学意义。然而,管理系统和品种等危险因素的LSD患病率存在显著差异.通过问卷获得的结果表明,一小部分受访者(29.2%)了解LSD并为牛(23.3%)接种了这种疾病的疫苗。只有20.8%的受访者表示,他们接种疫苗的牛发生了LSD。总之,定性和定量研究结果均表明,在建立基于社区的LSD临床征象和疫苗接种优势的意识方面,需要进行干预,同时需要不断更新有关LSD患病率的信息.
    The lumpy skin disease (LSD) vaccination status and epidemiological distribution remain unknown in some parts of Ethiopia, including the Sidama regional state. In this study, a serological survey of LSD was performed using a specific virus neutralization assay in selected districts of the Sidama regional state representing three agroecological zones from September 2021 to June 2022. Moreover, an assessment of community awareness and LSD vaccine-related problems was conducted using a questionnaire. Our results showed an overall animal and herd level seroprevalence of 40.8% (95%CI = 35.8, 45.8) and 81% (95%CI = 77, 85), respectively. High and low seroprevalence were observed in lowland (48%) and highland (28%) areas, although they were not statistically significant. However, risk factors such as management systems and breeds showed substantial differences in their LSD prevalence. The results obtained through the questionnaire showed that a small portion of respondents (29.2%) know about LSD and vaccinate their cattle (23.3%) against this disease. Only 20.8% of the respondents stated that there was LSD occurrence in their vaccinated cattle. In conclusion, both qualitative and quantitative study results showed the need for intervention in terms of community-based awareness creation about LSD clinical signs and vaccination advantages together with the frequently updated information on LSD prevalence.
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  • 文章类型: Journal Article
    在意大利,尽管病例大幅减少,但消除麻疹的目标尚未实现。进行了一项多中心研究,以按年龄估算意大利人群中抗麻疹(MV)IgG抗体的患病率,性别和地理区域。为了确定血清中MV特异性抗体的水平,使用免疫酶联免疫吸附试验(EnzygnostAnti-VZV/IgG,西门子医疗诊断产品有限公司,德国)。总的来说,在2019-20年期间,从居住在意大利13个地区的6-64岁健康受试者中收集了3746份血清样本。抗MVIgG的总体血清阳性率为91.2%(男性90.6%,91.7%女性)。研究人群的极端年龄组(6-9岁:94.2%;40-64岁:97.6%)记录到显著更高的血清阳性率值(p<0.05)。20-39岁和40-64岁的受试者具有明显更高的抗体滴度,表明对主要来自自然感染的麻疹具有保护作用。南部的血清阳性率(93.2%)明显高于意大利中北部的血清阳性率(88.9%)。结果表明,与以前的研究相比,总体血清阳性率数据有所增加。然而,必须进一步努力实施和保持麻疹疫苗的高覆盖率,以避免未来疫情爆发的风险。
    In Italy, the measles elimination target has not yet been reached despite a significant reduction in cases. A multicenter study was conducted to estimate the prevalence of anti-measles (MV) IgG antibodies in the Italian population by age, sex and geographical area. To determine the level of MV-specific antibodies in sera, the immunoenzymatic assay ELISA was used (Enzygnost Anti-VZV/IgG, Siemens Healthcare Diagnostic Products GmbH, Germany). Overall, 3746 serum samples collected in the years 2019-20 from healthy subjects aged 6-64 years residing in 13 Italian regions. The overall seroprevalence of anti-MV IgG was 91.2 % (90.6 % male, 91.7 % female). Significantly higher seroprevalence values (p < 0.05) were recorded for the extreme age groups of the study population (6-9 years: 94.2 %; 40-64 years: 97.6 %). Subjects 20-39 and 40-64 years old had significantly higher antibody titers suggesting a protection against measles mainly derived from natural infection. Seroprevalence was significantly higher in the South (93.2 %) than in the Northern-Central Italy (88.9 %). The results indicate an increase in the overall seroprevalence data compared to previous investigations. However, further efforts must be made to implement and maintain high measles vaccination coverage to avoid the risk of future epidemic outbreaks.
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  • 文章类型: Journal Article
    对完全根除麻疹等疫苗可预防疾病的认识,腮腺炎,和风疹(MMR)可能会助长自满情绪并损害疫苗接种工作。COVID-19大流行期间麻疹疫苗接种率下降增加了疫情爆发的风险,即使在充分接种疫苗的人群中。为了解决这个问题,我们与ECDC的建议保持一致,利用Pécs之间先前的跨境血清流行病学评估,匈牙利,还有奥西耶克,克罗地亚,确定潜在的风险群体,并发现我们国家之间的潜在相似之处。通过ELISA对2680名匈牙利和1764名克罗地亚血清样本进行抗MMRIgG检测,结果显示,在20-30岁的克罗地亚人群中,抗麻疹血清阳性率低于预期(75.7%),~30-40岁(77.5%)和~40-50岁(73.3%)。同样,匈牙利样本在〜30-40(80.9%)和〜40-50(87.3%)年龄组中也显示出次优的血清阳性率。考虑到腮腺炎和风疹相关的血清阳性趋势,在两个被检查的人群中,30-50岁的个体表现出最高的脆弱性。此外,我们注意到两国的血清阳性趋势一致,尽管有不同的免疫接种和流行病学背景。因此,我们建议扩大研究范围,以涵盖疫苗接种的复杂动态,包括长期免疫力下降.这种理解可以促进有针对性的干预措施并提高公众意识。我们的发现强调了尽管进行了疫苗接种,但在获得针对麻疹的强大免疫力方面仍存在持续的挑战。
    Perceptions of the complete eradication of vaccine-preventable diseases such as measles, mumps, and rubella (MMR) may foster complacency and compromise vaccination efforts. Decreased measles vaccination rates during the COVID-19 pandemic have heightened the risk of outbreaks, even in adequately vaccinated populations. To address this, we have aligned with ECDC recommendations, leveraging previous cross-border sero-epidemiological assessments between Pécs, Hungary, and Osijek, Croatia, to identify latent risk groups and uncover potential parallels between our nations. Testing 2680 Hungarian and 1764 Croatian serum samples for anti-MMR IgG via ELISAs revealed anti-measles seropositivity ratios below expectations in Croatian cohorts aged ~20-30 (75.7%), ~30-40 (77.5%) and ~40-50 years (73.3%). Similarly, Hungarian samples also showed suboptimal seropositivity ratios in the ~30-40 (80.9%) and ~40-50 (87.3%) age groups. Considering mumps- and rubella-associated seropositivity trends, in both examined populations, individuals aged ~30-50 years exhibited the highest vulnerability. Additionally, we noted congruent seropositivity trends across both countries, despite distinct immunization and epidemiological contexts. Therefore, we propose expanding research to encompass the intricate dynamics of vaccination, including waning long-term immunity. This understanding could facilitate targeted interventions and bolster public awareness. Our findings underscore persistent challenges in attaining robust immunity against measles despite vaccination endeavors.
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  • 文章类型: Letter
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  • 文章类型: Journal Article
    背景:破伤风是一种非传染性疾病,可通过接种疫苗预防。尽管实施了疫苗接种策略,每年仍有一定数量的破伤风病例发生。该研究的目的是按年龄评估意大利人群中抗破伤风抗体的血清阳性率,性别和地理区域。
    方法:为了确定破伤风特异性抗体的水平,使用免疫酶法。
    结果:在2019-20年中,从居住在意大利13个地区的6-90岁健康受试者中收集了总共3,821份血清样本。总的来说,85%的受试对象结果为阳性。从较年轻的年龄组到较年长的年龄组,对破伤风的保护受试者的比率逐渐下降(6-12岁:93.6%,13-24岁:91.8%,25-39岁:91.0%,40-64年:78.2%,≥65岁:45.3%);这在南部地区和岛屿尤其明显。此外,在≥65岁的人群中,低保护(<0.1IU/ml)患者的患病率显著较高(10.3%).男性和女性的患病率仅在年龄最大的年龄组中显示出显着差异(M:60.8%,F:30.4%)。总的来说,北部地区(90.8%)和中部地区(87.3%)的患病率高于南部地区和岛屿地区(80.0%).
    结论:这些数据,与老年人中出现大量病例的流行病学相比,证实保护较低的人群感染这种疾病的风险更大,证明需要通过所有年龄和性别的初级疫苗接种和助推器进行充分的免疫接种,以提供终身保护。
    BACKGROUND: Tetanus is a non-communicable disease, preventable with vaccination. Despite the implemented vaccination strategy, a certain number of tetanus cases per year continue to occur. The aim of the study was to evaluate the seroprevalence of anti-tetanus antibodies in the Italian population by age, sex and geographical area.
    METHODS: To determine the level of tetanus-specific antibodies, an immunoenzymatic assay was used.
    RESULTS: A total of 3,821 serum samples were collected in the years 2019-20 from healthy subjects aged 6-90 years residing in 13 Italian regions. Overall, 85 % of the tested subjects resulted positive. The rate of subjects protected against tetanus showed a gradual decrease from the younger age groups to the older ones (6-12 years: 93.6 %, 13-24 years: 91.8 %, 25-39 years: 91.0 %, 40-64 years: 78.2 %, ≥ 65 years: 45.3 %); this is particularly evident in the Southern regions and Islands. Moreover, the prevalence of subjects with low protection (<0.1 IU/ml) was significantly higher in the ≥ 65 age group (10.3 %). Males and females\' prevalence showed a significant difference only in the oldest age group (M: 60.8 %, F: 30.4 %). In general, a higher prevalence was observed for Northern (90.8 %) and Central regions (87.3 %) than Southern regions and Islands (80.0 %).
    CONCLUSIONS: These data, compared with epidemiological ones which showed a high number of cases in the elderly, confirmed that the population with lower protection has a greater risk of contracting the disease, demonstrating the need for adequate immunization through both primary vaccination and boosters for all ages and both sexes, in order to provide lifelong protection.
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  • 文章类型: Journal Article
    背景:启动了省级血清调查,以了解重庆市1-69岁普通人群中乙型肝炎病毒(HBV)感染的最新血清阳性率,并评估HBV感染的危险因素,以有效筛查慢性乙型肝炎(CHB)患者。
    方法:共调查了1828名1-69岁的个体,和乙型肝炎表面抗原(HBsAg),HBsAg抗体(HBsAb),检测B核心抗原抗体(HBcAb)。逻辑回归和三种机器学习(ML)算法,包括随机森林(RF),支持向量机(SVM),和随机梯度提升(SGB),是为分析而开发的。
    结果:总人口的HBsAg患病率为3.83%,在1-14岁和15-69岁的人中,分别为0.24%和4.89%,分别。95.18%(770/809)的成年人没有意识到他们隐匿性HBV感染。年龄,区域,通过logistic回归模型,发现免疫史与HBcAb患病率有统计学关联.拟议RF的预测精度为0.717、0.727和0.725,SVM,和SGB模型,分别。
    结论:与ML模型整合的逻辑回归可以帮助筛选HBV感染的危险因素,并确定CHB的高危人群。
    BACKGROUND: The provincial-level sero-survey was launched to learn the updated seroprevalence of hepatitis B virus (HBV) infection in the general population aged 1-69 years in Chongqing and to assess the risk factors for HBV infection to effectively screen persons with chronic hepatitis B (CHB).
    METHODS: A total of 1828 individuals aged 1-69 years were investigated, and hepatitis B surface antigen (HBsAg), antibody to HBsAg (HBsAb), and antibody to B core antigen (HBcAb) were detected. Logistic regression and three machine learning (ML) algorithms, including random forest (RF), support vector machine (SVM), and stochastic gradient boosting (SGB), were developed for analysis.
    RESULTS: The HBsAg prevalence of the total population was 3.83%, and among persons aged 1-14 years and 15-69 years, it was 0.24% and 4.89%, respectively. A large figure of 95.18% (770/809) of adults was unaware of their occult HBV infection. Age, region, and immunization history were found to be statistically associated with HBcAb prevalence with a logistic regression model. The prediction accuracies were 0.717, 0.727, and 0.725 for the proposed RF, SVM, and SGB models, respectively.
    CONCLUSIONS: The logistic regression integrated with ML models could helpfully screen the risk factors for HBV infection and identify high-risk populations with CHB.
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  • 文章类型: Journal Article
    我们通过测试2021年2月至8月从5个省收集的298份血清样本,对阿尔及利亚的马种群进行了马流感(EI)血清学研究。通过NP-ELISA获得结果。我们的结果显示49.3%(147/298)样品对EI(H3N8)抗体呈阳性。在这项研究中,经过十年的间隔,在2021年3月的第一周,阿尔及利亚报告了EI的爆发。通过qRT-PCR从鼻拭子(n=39)进行病毒检测并鉴定5个EI血清转化来确认该疾病。通过测序血凝素(HA)和神经氨酸酶(NA)基因将病毒序列鉴定为H3N8。HA1氨基酸序列的比对证实病毒属于美国谱系中佛罗里达亚谱系的进化枝1。这项研究表明在马格里布地区首次检测到EIV的FC1菌株。
    We have performed an equine influenza (EI) serological study of the equine population in Algeria by testing 298 serum samples collected between February and August 2021 from 5 provinces. The results were obtained performing an NP-ELISA. Our results revealed that 49.3% (147/298) samples positive for antibodies to EI (H3N8). During this study and after a gap of one decade an outbreak of EI was reported in Algeria in the first week of March 2021. The disease was confirmed by virus detection from the nasal swabs (n = 39) by qRT-PCR and by identifying 5 EI seroconversion. The virus sequences were identified as H3N8 by sequencing the haemagglutinin (HA) and neuraminidase (NA) genes. Alignment of HA1 amino acid sequence confirmed that viruses belong to Clade 1 of the Florida sublineage in the American lineage. This study indicate the first detection of FC1 strain of EIV in Maghreb area.
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  • 文章类型: Journal Article
    随着COVID-19大流行走向地方性状态,测试策略正在降级。SARS-CoV-2免疫反应的快速有效的护理点测试(POCT)评估可以为临床决策和疾病的流行病学监测提供信息。这项针对爱尔兰医护人员的抗SARS-CoV-2抗体的横截面血清阳性率研究评估了如何将快速的抗SARS-CoV-2抗体检测与标准实验室检测进行比较,讨论其在中和评估中的有效性及其在大流行未来的用途。
    检测抗SARS-CoV-2尖峰(S)-受体结合域(RBD)中和抗体(HealgenSARS-CoV-2中和抗体快速测试盒)的护理侧流免疫测定(LFA)与RocheElecsys/-S抗SARS-CoV-2抗体测定和体外替代中和测定进行了比较。反尖峰(S)之间的相关性,抗核衣壳(N)滴度,和体外中和也进行了评估。
    使用RocheElecsys/-S抗SARS-CoV-2测定法测试了1,777个血清学样品以检测总抗N/S抗体。使用POCLFA测试了1,562个样品(包括50个阴性对照),使用体外ACE2-RBD结合抑制替代中和测定法测试90个样品。POCT显示97.7%的灵敏度,100%特异性,阳性预测值(PPV)为100%,与商业测定相比,阴性预测值(NPV)为61%。通过按POCLFA结果组分层的Roche测定确定的抗S抗体滴度表明,“阳性”和“阴性”LFA组(p<0.0001)与“弱阳性”和“阳性”LFA组(p<0.0001)之间存在统计学上的显着差异。当通过LFAPOC结果分层时,没有显示ACE2-RBD结合抑制的统计学显著差异。一个积极的,在体外假中和测定结果与抗S抗体滴度(rho0.423,p<0.001)和抗N抗体滴度(rho=0.55,p<0.0001)之间证明了统计学上显著的相关性。
    高灵敏度,特异性,与商业测定相比,POCLFA和PPV用于检测抗S-RBD抗体。LFA不是鉴定的抗体的中和能力的可靠决定因素。POCLFA是血清流行病学环境中的有用工具,大流行的准备,并可以作为支持工具,在治疗决策中通过快速鉴定抗-Spike抗体。
    As the COVID-19 pandemic moves towards endemic status, testing strategies are being de-escalated. A rapid and effective point of care test (POCT) assessment of SARS-CoV-2 immune responses can inform clinical decision-making and epidemiological monitoring of the disease. This cross-sectional seroprevalence study of anti-SARS-CoV-2 antibodies in Irish healthcare workers assessed how rapid anti-SARS-CoV-2 antibody testing can be compared to a standard laboratory assay, discusses its effectiveness in neutralisation assessment and its uses into the future of the pandemic.
    A point of care lateral flow immunoassay (LFA) detecting anti-SARS-CoV-2 spike (S)-receptor binding domain (RBD) neutralising antibodies (Healgen SARS-CoV-2 neutralising Antibody Rapid Test Cassette) was compared to the Roche Elecsys/-S anti-SARS-CoV-2 antibody assays and an in vitro surrogate neutralisation assay. A correlation between anti-spike (S), anti-nucleocapsid (N) titres, and in vitro neutralisation was also assessed.
    1,777 serology samples were tested using Roche Elecsys/-S anti-SARS-CoV-2 assays to detect total anti-N/S antibodies. 1,562 samples were tested using the POC LFA (including 50 negative controls), and 90 samples were tested using an in vitro ACE2-RBD binding inhibition surrogate neutralisation assay. The POCT demonstrated 97.7% sensitivity, 100% specificity, a positive predictive value (PPV) of 100%, and a negative predictive value (NPV) of 61% in comparison to the commercial assay. Anti-S antibody titres determined by the Roche assay stratified by the POC LFA result groups demonstrated statistically significant differences between the \"Positive\" and \"Negative\" LFA groups (p < 0.0001) and the \"Weak Positive\" and \"Positive\" LFA groups (p < 0.0001). No statistically significant difference in ACE2-RBD binding inhibition was demonstrated when stratified by the LFA POC results. A positive, statistically significant correlation was demonstrated between the in vitro pseudo-neutralisation assay results and anti-S antibody titres (rho 0.423, p < 0.001) and anti-N antibody titres (rho = 0.55, p < 0.0001).
    High sensitivity, specificity, and PPV were demonstrated for the POC LFA for the detection of anti-S-RBD antibodies in comparison to the commercial assay. The LFA was not a reliable determinant of the neutralisation capacity of identified antibodies. POC LFA are useful tools in sero-epidemiology settings, pandemic preparedness and may act as supportive tools in treatment decisions through the rapid identification of anti-Spike antibodies.
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  • 文章类型: Journal Article
    2019年11月18日至19日,加拿大人免疫和流行病风险(iCARE)网络在多伦多召开了一次研讨会。安大略省,加拿大。讲习班的目标是提高加拿大血清流行病学的知名度,讨论最佳实践和方法创新,并制定加拿大血清流行病学工作的未来方向。在这份会议报告中,我们描述了研讨会上的演讲和讨论,并评论COVID-19大流行对血清监测计划的影响,在加拿大和国外。
    On November 18-19, 2019, the Immunity of Canadians and Risk of Epidemics (iCARE) Network convened a workshop in Toronto, Ontario, Canada. The objectives of the workshop were to raise the profile of sero-epidemiology in Canada, discuss best practice and methodological innovations, and strategize on the future direction of sero-epidemiology work in Canada. In this conference report, we describe the presentations and discussions from the workshop, and comment on the impact of the COVID-19 pandemic on serosurveillance initiatives, both in Canada and abroad.
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