seroprevalence

血清阳性率
  • 文章类型: Journal Article
    弓形虫(T.gondii)是一种世界性的人畜共患寄生虫,几乎可以感染热血动物,包括人类,严重影响宿主的健康。已知猫是弓形虫的唯一确定宿主,并不断分泌高度传染性的卵囊。伴侣动物携带的这种寄生虫会导致巨大的公共卫生风险。然而,关于昆明城市猫弓形虫的流行病学信息很少,中国西南地区。在本研究中,昆明市共采集血清和粪便样本231份,然后分析血清中弓形虫IgG抗体的血清阳性率和粪便中的分子研究,以阐明弓形虫在城市猫中的感染。结果显示,231只猫中有168只(72.7%)是弓形虫抗体阳性,74只猫粪便中的1只(1.4%)也显示弓形虫DNA的PCR阳性。对阳性粪便样本进行测序,然后进行系统发育分析,本研究中的弓形虫分离株与弓形虫菌株CN密切相关。此外,食物,水和猫的年龄被确定为血清阳性的危险因素。总的来说,我们的发现表明,在昆明的城市猫中广泛发生弓形虫感染,中国西南和识别食物,水和年龄是与弓形虫感染相关的危险因素,这可以为制定预防和控制人畜共患病的策略提供有效的信息。
    Toxoplasma gondii (T. gondii) is a worldwide zoonotic parasite that can infect almost warm-blood animals, including humans, which seriously affect the health of host. Cats are known to be the only definitive host of T. gondii and continuously excrete highly infectious oocysts. This parasite carried by the companion animals leads to a great public health risk. However, there is little information on epidemiology of T. gondii in urban cats in Kunming, Southwest China. In the present study, a total of 231 serum and fecal samples were collected in Kunming aera, and then seroprevalence of T. gondii IgG antibodies in serum and molecular investigation in feces were analyzed to elucidate T. gondii infection in urban cats. The results revealed that 168 of 231 cats (72.7%) were positive for T. gondii antibodies, and 1 of 74 cat feces (1.4%) also showed a positive PCR for T. gondii DNA. The positive fecal sample was sequenced and then phylogenetically analyzed, and the isolate of T. gondii in the present study was closely related to T. gondii strain CN. In addition, the food, water and age of cats were identified as the risk factor for seropositivity. Overall, our findings indicate the widespread occurrence of T. gondii infection in urban cats in Kunming, Southwest China and identify food, water and age are the risk factors associated with T. gondii infection, which can provide effective information for developing strategies to prevent and control this zoonosis.
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  • 文章类型: Journal Article
    目的:确定Najran省不同供体群体的输血传播性感染(TTI)的患病率。此外,建立TTI的发育与捐献者血型之间的潜在关联,由ABO/Rh血型系统确定。
    方法:4120名献血者的献血数据,从2020年1月到12月,进行了回顾性审查。对血液进行TTI标记物筛查,包括乙型肝炎表面抗原(HBsAg),抗乙型肝炎核心(抗HBc),抗丙型肝炎病毒(抗HCV),抗人类免疫缺陷病毒1和2(抗HIV1和2),抗人嗜T淋巴细胞病毒1型和2型(抗HTLV-1和2),和梅毒抗原.
    结果:在10.9%的供体中检测到阳性TTI标记。检测最多的TTI标记是抗HBc(8.9%),其次是HBsAg(0.7%)。在<1%的供体中单独检测到其他标志物。抗HBc阳性在非沙特献血者中显著升高。年龄组与抗HCV之间存在关联(p=0.002),抗HTLV(p=0.004)和梅毒抗原(p=0.02)标志物阳性。AB阳性血型对TTI标志物表现出最大的阳性,其次是O阳性血型。同样,ABO组和HBsAg之间发现关联(p=0.01),抗HBc(p=0.001),和抗-HCV(p<0.001)标志物阳性。
    结论:本研究强调对捐献血液实施强有力的筛查措施。需要未来的研究来广泛评估TTI状态,以增强我们对TTI趋势的理解。
    OBJECTIVE: To ascertain the prevalence of transfusion transmissible infections (TTIs) across diverse donor groups in the Najran province. Additionally, to establish a potential association between the development of TTI and the donors\' blood group, as determined by the ABO/Rh blood grouping system.
    METHODS: Blood donation data of 4120 donors, spanning from January to December 2020, were retrospectively reviewed. The blood were screened for TTI markers, including hepatitis B surface antigen (HBsAg), anti-hepatitis B core (anti-HBc), anti-hepatitis C virus (anti-HCV), anti-human immunodeficiency viruses 1 and 2 (anti-HIV1&2), anti-human T-lymphotropic virus types 1 and 2 (anti-HTLV-1&2), and syphilis antigen.
    RESULTS: Positive TTI markers were detected in 10.9% of the donors. The most detected TTI marker was anti-HBc (8.9%), followed by HBsAg (0.7%). Other markers were individually detected in <1% of the donors. Anti-HBc-positive was significantly elevated among non-Saudi blood donors. There was an association between age groups and anti-HCV (p=0.002), anti-HTLV (p=0.004) and syphilis antigen (p=0.02) markers positivity. The AB positive blood group exhibited the most positivity for TTI markers, followed by O positive blood group. Similarly, association was found between ABO group and HBsAg (p=0.01), anti-HBc (p=0.001), and anti-HCV (p<0.001) markers positivity.
    CONCLUSIONS: Emphasis on implementing robust screening measures for donated blood is underscored by this study. There is the need for future study to extensively evaluate TTI status to enhance our understanding of the trend in TTI.
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  • 文章类型: Journal Article
    COVID-19是一种由严重急性呼吸道综合症冠状病毒2引起的疾病,该疾病最近已成为全球大流行。目前,传播速度明显放缓,但是背后的明确病理原因仍然未知。因此,必须研究严重急性呼吸综合征冠状病毒2(SARS-CoV-2)抗体的患病率,以确定传播率与抗体存在之间的关系.
    在2021年2月至5月期间,对299名健康志愿者进行了临床评估,以评估SARS-CoV-2免疫球蛋白G(IgG)抗体的血清阳性率。使用化学发光微粒免疫测定(CMIA)技术分析血清样品以检测IgG抗体的存在。
    观察到21%的参与者血清呈阳性,不同性别的人群中有78%是血清阴性的。这证实了抗体的产生与性别无关。同时,t检验进一步提示性别与血清阳性率无统计学相关性.此外,进行了综合分析,以确定年龄和血型与血清阳性率之间的关系.然而,这些参数之间没有统计学关系.
    这项研究有助于检查健康志愿者血清阳性率高或低的根本原因。
    UNASSIGNED: COVID-19 is a disease caused by the severe acute respiratory syndrome coronavirus 2 that has appeared as a global pandemic in recent times. Currently, the transmission rate has slowed down significantly, but the definite pathological reason behind this is still unknown. Therefore, the prevalence of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibody must be studied to establish the relation between the rate of transmission and antibody presence.
    UNASSIGNED: A clinical assessment was performed to evaluate the seroprevalence of SARS-CoV-2 Immunoglobulin G (IgG) antibodies among 299 healthy volunteers in the period of February to May 2021. Serum samples were analyzed using chemiluminescent microparticle immunoassay (CMIA) technology to detect the presence of IgG antibodies.
    UNASSIGNED: It was observed that 21% of the participants were seropositive, and 78% of the population was seronegative across the different genders. This confirmed that the generation of antibodies is independent of gender. Simultaneously, a t-test was performed that further suggested no statistical correlation between gender and seroprevalence. Moreover, a comprehensive analysis was performed to establish the relation between age and blood group with the seroprevalence. However, there was no statistical relationship found among these parameters.
    UNASSIGNED: This study assisted in examining the underlying causes of high or low seroprevalence among healthy volunteers.
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  • 文章类型: Journal Article
    严重急性呼吸综合征冠状病毒(SARS-CoV2)的快速传播和突变率需要在基因组和血清存活率方面进行连续监测。本研究旨在追踪接种疫苗后医护人员(HCWs)的血清阳性率,因为与普通人群相比,他们可能更容易感染SARS-CoV-2。
    目的是确定SARS-CoV-2免疫球蛋白G(IgG)抗体的血清阳性率(N,S1,S2)在Puducherry的三级护理教学医院工作的各种接触水平的HCW中。
    本研究采用了非概率连续抽样技术,其中涉及216名来自医院的研究参与者HCWs。使用EUROIMMUNE抗SARS-COV-2ELISA试剂盒(IGg)ELISA在两个点测量IgG抗体水平:首先,第二剂疫苗接种后2周,随后在加强剂量后2周。
    在参加调查的216名参与者中,有140名男性和76名女性,研究的候选人的最大数量是在41-50岁年龄组。参与这项研究的HCWs中,几乎46.7%的SARS-CoV-2血清呈阳性,而低风险暴露者中只有30.4%。加强剂量后血清反应呈阳性的研究参与者的比例大大增加(65.7%),感染后三个月测试时的38.0%。
    在加强疫苗接种后,高风险HCWs中抗体滴度的显着增加需要持续监测可溶性IgG水平以推荐疫苗接种时间表。
    UNASSIGNED: The rapid spread and mutation rate of severe acute respiratory syndrome corona virus (SARS-CoV2) demands continuous monitoring in terms of genomic and serosurvival. The current study is designed to track the seroprevalence of health care workers (HCWs) postvaccination, as they may be more susceptible to contracting the SARS-CoV-2 infection compared to the general population.
    UNASSIGNED: The objective was to identify the seroprevalence rate for SARS-CoV-2 immunoglobulin G (IgG) antibody (N, S1, S2) amongst HCWs of various levels of exposure working in a tertiary care teaching hospital in Puducherry.
    UNASSIGNED: The present study followed a nonprobability consecutive sampling technique, which involved 216 study participants HCWs from the hospital. IgG antibody levels were measured using EUROIMMUNE Anti SARS-COV-2 ELISA KIT (IG g) ELISA at two points: firstly, 2 weeks after the second dose of vaccination, followed by 2 weeks after the booster dose.
    UNASSIGNED: Out of the total 216 participants enrolled in the survey, there were 140 males and 76 females, and the maximum number of candidates studied were in the 41-50 age group. Almost 46.7% of the HCWs who participated in the study were seropositive for SARS-CoV-2 in the case of those who were high-risk exposed, while only 30.4% were amongst those who were low-risk exposed. The proportion of study participants who became seropositive increased considerably after the booster dose (65.7%), from 38.0% when tested three months after infection.
    UNASSIGNED: A significant increase in antibody titres amongst high-risk HCWs postboost vaccination demands continuous monitoring of soluble IgG levels for recommendations of vaccination schedules.
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  • 文章类型: Journal Article
    基孔肯雅病毒(CHIKV)的全球负担日益增加。然而,孟加拉国在2017年报告了一次重大疫情,目前尚不清楚以前是否有广泛传播。在流行之前,我们在70个随机选择的社区中进行了具有全国代表性的血清阳性率调查。我们发现69/2,938(2.4%)的样本个体对CHIKV呈血清阳性。登革热病毒血清阳性(aOR3.13[95%CIs:1.86-5.27]),男性(aOR0.59[95%CIs:0.36-0.99]),和埃及伊蚊的社区存在(aOR:1.80,95%CI:1.05-3.07)与CHIKV血清阳性显着相关。使用空间预测模型,我们估计在全国范围内,4.99(95%CI:4.89-508)万人先前已被感染。这些发现强调了在重大爆发之前人口的高度易感性,并且以前的爆发必须在空间上是孤立的。
    There is an increasing global burden from chikungunya virus (CHIKV). Bangladesh reported a major epidemic in 2017, however, it was unclear if there had been prior widespread transmission. We conducted a nationally representative seroprevalence survey in 70 randomly selected communities immediately prior to the epidemic. We found 69/2,938 (2.4%) of sampled individuals were seropositive to CHIKV. Being seropositive to dengue virus (aOR 3.13 [95% CIs: 1.86-5.27]), male sex (aOR 0.59 [95% CIs: 0.36-0.99]), and community presence of Aedes aegypti mosquitoes (aOR: 1.80, 95% CI: 1.05-3.07) were significantly associated with CHIKV seropositivity. Using a spatial prediction model, we estimated that across the country, 4.99 (95% CI: 4.89 - 5.08) million people had been previously infected. These findings highlight high population susceptibility prior to the major outbreak and that previous outbreaks must have been spatially isolated.
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  • 文章类型: Journal Article
    戊型肝炎病毒(HEV),种Paslahepevirusbalayani,构成全球公共卫生威胁,特别是在发展中国家,通过引起急性肠道传播性肝炎。HEV感染各种哺乳动物宿主,属于Hepeviridae家族中的Paslahepepevirus属。虽然猪被认为是HEV的主要宿主,兔子,也可能受到猪HEV-3相关菌株的影响,作为独特的新兴和人畜共患HEV-3ra亚型的主要储层。在葡萄牙,欧洲野兔丰富的地方,它们在HEV流行病学中的作用尚不清楚.本研究的主要目的是评估这些物种中的循环和HEV感染的可能性。这项研究采用了分子和纵向血清学方法来研究葡萄牙兔的HEV。在测试的205只野兔中,发现血清阳性率为2.44%(95%CI:0.80-5.60),与年龄没有显著关联,性别,本地化,或采样日期。在该国的南部和中部地区发现了血清阳性动物。在120个粪便样本中未检测到HEVRNA,暗示一种自然的,低水平,和广泛的病毒循环。该研究强调需要进一步研究以理解这些物种的HEV动力学,这对于评估对人类的潜在传播风险至关重要。
    Hepatitis E virus (HEV), species Paslahepevirus balayani, poses a global public health threat, especially in developing countries, by causing acute enterically transmitted hepatitis. HEV infects various mammalian hosts and belongs to the genus Paslahepevirus in the family Hepeviridae. While swine are recognized as the main hosts of HEV, rabbits, which can also be affected by swine HEV-3 related strains, serve as the primary reservoir for the distinct emerging and zoonotic HEV-3ra subtype. In Portugal, where the European wild rabbit is abundant, their role in HEV epidemiology remains unclear. The primary aim of the present research was to evaluate the circulation and the potential for HEV infection within these species. This study employed a molecular and longitudinal serological approach to investigate HEV in Portuguese rabbits. Among the 205 wild rabbits tested, a seroprevalence of 2.44% (95% CI: 0.80-5.60) was found, with no significant associations with age, sex, localization, or sampling dates. Seropositive animals were found in the south and center regions of the country. HEV RNA was not detected in 120 fecal samples, suggesting a natural, low level, and widespread viral circulation. The study underscores the need for further research to comprehend HEV dynamics in these species, which is crucial for assessing potential transmission risks to humans.
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  • 文章类型: Journal Article
    背景:麻疹血清阳性率数据有可能成为了解传播动态和加强免疫规划的决策努力的有用工具。在这项研究中,我们对1962-2021年发表的低收入和中等收入国家麻疹血清流行率的所有主要数据(由世界银行2021年收入分类定义)进行了系统回顾和偏倚评估.
    方法:2022年3月9日,我们搜索了PubMed的所有可用数据。我们纳入了包含麻疹血清阳性率主要数据的研究,如果是临床试验或简短报告,则排除研究。只有医护人员,疑似麻疹病例,或只接种疫苗的人。我们提取了所有可用的麻疹血清阳性率信息,研究设计,和血清测定方案。我们基于多个类别进行了偏见评估,并将每项研究分类为低,中度,严重,或临界偏见。这篇评论在PROSPERO(CRD420223226075)注册。
    结果:我们在世界卫生组织所有地区确定了221项相关研究,几十年,和独特的年龄范围。所有研究的总体粗平均血清阳性率为78.0%(SD:19.3%),血清阳性率中位数为84.0%(IQR:72.8-91.7%)。我们将80项(36.2%)研究归类为严重或严重的总体偏差。麻疹疫苗覆盖率较低或麻疹发病率较高的国家年的研究总体偏倚较高。
    结论:虽然许多研究有实质性的潜在偏差,许多研究仍然提供了一些见解或数据,可用于为建模工作提供信息,以检查麻疹动态和减少麻疹易感性的方案决策.
    BACKGROUND: Measles seroprevalence data have potential to be a useful tool for understanding transmission dynamics and for decision making efforts to strengthen immunization programs. In this study, we conducted a systematized review and bias assessment of all primary data on measles seroprevalence in low- and middle-income countries (as defined by World Bank 2021 income classifications) published from 1962 to 2021.
    METHODS: On 9 March 2022, we searched PubMed for all available data. We included studies containing primary data on measles seroprevalence and excluded studies if they were clinical trials or brief reports, from only health-care workers, suspected measles cases, or only vaccinated persons. We extracted all available information on measles seroprevalence, study design, and seroassay protocol. We conducted a bias assessment based on multiple categories and classified each study as having low, moderate, severe, or critical bias. This review was registered with PROSPERO (CRD42022326075).
    RESULTS: We identified 221 relevant studies across all World Health Organization regions, decades, and unique age ranges. The overall crude mean seroprevalence across all studies was 78.0% (SD: 19.3%), and the median seroprevalence was 84.0% (IQR: 72.8-91.7%). We classified 80 (36.2%) studies as having severe or critical overall bias. Studies from country-years with lower measles vaccine coverage or higher measles incidence had higher overall bias.
    CONCLUSIONS: While many studies have substantial underlying bias, many studies still provide some insights or data that could be used to inform modelling efforts to examine measles dynamics and programmatic decisions to reduce measles susceptibility.
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  • 文章类型: Journal Article
    致病性腺病毒(Ad)感染广泛,但通常是轻度和短暂的,除了免疫功能低下的患者.作为基因治疗的载体,疫苗,和肿瘤学应用,基于广告的平台提供优势,包括易于遗传操作,生产规模,和完善的安全概况,使它们成为治疗发展的有吸引力的工具。然而,免疫系统通常会带来重大挑战,必须克服这些挑战,以腺病毒为基础的疗法才能真正有效。群体中预先存在的抗Ad免疫以及针对工程化腺病毒载体的免疫应答的快速发展都可能对基于腺病毒的治疗剂的下游影响具有有害影响。这篇综述侧重于提出的不同挑战,包括预先存在的天然免疫和由治疗剂诱导的抗载体免疫,在先天和适应性免疫反应的背景下。我们总结了为解决这些问题而开发的不同方法,以及它们的结果和潜在的未来应用。
    Pathogenic adenovirus (Ad) infections are widespread but typically mild and transient, except in the immunocompromised. As vectors for gene therapy, vaccine, and oncology applications, Ad-based platforms offer advantages, including ease of genetic manipulation, scale of production, and well-established safety profiles, making them attractive tools for therapeutic development. However, the immune system often poses a significant challenge that must be overcome for adenovirus-based therapies to be truly efficacious. Both pre-existing anti-Ad immunity in the population as well as the rapid development of an immune response against engineered adenoviral vectors can have detrimental effects on the downstream impact of an adenovirus-based therapeutic. This review focuses on the different challenges posed, including pre-existing natural immunity and anti-vector immunity induced by a therapeutic, in the context of innate and adaptive immune responses. We summarise different approaches developed with the aim of tackling these problems, as well as their outcomes and potential future applications.
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  • 文章类型: Journal Article
    钩端螺旋体病是最常见的人畜共患感染之一,是兽医学和公共卫生方面的主要问题。然而,这种疾病在世界范围内被低估和诊断不足,尤其是马。马的临床钩端螺旋体病主要与复发性葡萄膜炎(ERU)有关,最近被更深入地研究,和生殖障碍,对其流行病学的了解仍然相对较少。为了提高我们对马钩端螺旋体病引起的流产的理解,并确定致病菌株,进行了血清学研究,随后对获得的分离物进行了分子表征。使用显微镜凝集试验(MAT),从流产的母马和胎儿液(如果有)的血清样本进行了针对钩端螺旋体的抗体测试。此外,从肾脏培养物中分离细菌。97份母马血清样本中,21人(21.64%)检测呈阳性,Grippotyphosa和Pomona是最常见的血清群。与来自同一地理区域的健康马群相比,流产母马的血清阳性率明显更高,以及明显的季节性变化。在任何胎儿液体中均未检测到钩端螺旋体抗体,但39例中有1例(2.56%)成功隔离。通过多位点序列分型(MLST)和核心基因组多位点序列分型(cgMLST)进行基因分型,将获得的分离株鉴定为克氏钩端螺旋体,波莫纳血清群,serovarMozdok.进一步监测和分子分型导致马流产的钩端螺旋体菌株对于了解钩端螺旋体病对欧洲马生殖健康的患病率和影响是非常宝贵的。
    Leptospirosis is one of the most common zoonotic infections and a major problem in terms of both veterinary medicine and public health. However, the disease is under-recognised and under-diagnosed worldwide, particularly in horses. Clinical leptospirosis in horses is mainly associated with recurrent uveitis (ERU), which has recently been studied more intensively, and reproductive disorders, the epidemiology of which is still relatively poorly understood. To enhance our comprehension of abortions caused by leptospirosis in horses and to identify the causative strains, a serological study was carried out with subsequent molecular characterisation of the isolate obtained. Using the microscopic agglutination test (MAT), serum samples from mares that aborted and foetal fluids (when available) were tested for antibodies against Leptospira spp. Furthermore, bacteria isolation from kidney cultures was conducted. Of 97 mare serum samples, 21 (21.64%) tested positive, with Grippotyphosa and Pomona being the most frequently detected serogroups. A significantly higher seroprevalence was found in aborting mares compared to the healthy horse population from the same geographical area, as well as a pronounced seasonal variation. Leptospiral antibodies were not detected in any of the foetal fluids, but isolation was successful in 1 case out of 39 (2.56%). Genotyping by multilocus sequence typing (MLST) and core genome multilocus sequence typing (cgMLST) identified the obtained isolate as Leptospira kirschneri, serogroup Pomona, serovar Mozdok. Further surveillance and molecular typing of Leptospira strains causing abortion in horses would be invaluable in understanding the prevalence and impact of leptospirosis on equine reproductive health in Europe.
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  • 文章类型: Journal Article
    西尼罗河病毒(WNV)是一种重新出现的黄病毒,主要在禽类宿主和蚊媒之间循环,导致人类和马的周期性爆发,常导致神经侵袭性疾病和死亡。西班牙报告了几起疫情,最值得注意的是,2020年有77例人类病例和8人死亡。WNV已在马德里社区的马匹中进行血清学检测,但就我们所知,该地区的野生鸟类从未报道过。为了估计马德里社区野鸟和马的WNV血清阳性率,对野生动植物救援中心的159只野生鸟类和25只私人马匹进行了采样。13只鸟(8.2%)和1只马(4.0%)的血清经设计用于WNV抗体检测的WNV竞争性酶联免疫吸附测定(cELISA)检测呈阳性,但对其他黄病毒的交叉反应抗体敏感。病毒中和试验(VNT)证实了四只禽类样本中的WNV抗体(2.5%),以及另外四个样本中未确定的黄病毒抗体。一个马样本(4.0%)通过VNT检测为WNV阳性,尽管这匹马以前居住在WN特有地区。ELISA阳性鸟类包括迁徙和常驻物种,青少年和成年人。两个血清反应阳性的幼鸟表明马德里社区内有当地的黄病毒传播,而WNV血清阳性的成年鸟类可能在马德里以外被感染。黄病毒的潜在循环,包括WNV,马德里社区的鸟类引起了人们的关注,尽管进一步监测蚊子,野生鸟类,和马匹在马德里是必要的,以确定传播的程度和所涉及的主要物种。
    West Nile virus (WNV) is a re-emerging flavivirus, primarily circulating among avian hosts and mosquito vectors, causing periodic outbreaks in humans and horses, often leading to neuroinvasive disease and mortality. Spain has reported several outbreaks, most notably in 2020 with seventy-seven human cases and eight fatalities. WNV has been serologically detected in horses in the Community of Madrid, but to our knowledge, it has never been reported from wild birds in this region. To estimate the seroprevalence of WNV in wild birds and horses in the Community of Madrid, 159 wild birds at a wildlife rescue center and 25 privately owned equines were sampled. Serum from thirteen birds (8.2%) and one equine (4.0%) tested positive with a WNV competitive enzyme-linked immunosorbent assay (cELISA) designed for WNV antibody detection but sensitive to cross-reacting antibodies to other flaviviruses. Virus-neutralization test (VNT) confirmed WNV antibodies in four bird samples (2.5%), and antibodies to undetermined flavivirus in four additional samples. One equine sample (4.0%) tested positive for WNV by VNT, although this horse previously resided in a WN-endemic area. ELISA-positive birds included both migratory and resident species, juveniles and adults. Two seropositive juvenile birds suggest local flavivirus transmission within the Community of Madrid, while WNV seropositive adult birds may have been infected outside Madrid. The potential circulation of flaviviruses, including WNV, in birds in the Madrid Community raises concerns, although further surveillance of mosquitoes, wild birds, and horses in Madrid is necessary to establish the extent of transmission and the principal species involved.
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