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人类细胞巨型病毒糖蛋白B的基因型分布和症状婴儿的病毒载量
Huijun Mu1, Weizhen Qiao1, Jian Zou1
1Department of Clinical Laboratory, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China.
Journal of infection in developing countries
|January 22, 2024
概括
人类细胞巨乳病毒 (HCMV) 感染在婴儿中很常见,基因型gB3在较小的婴儿中最为普遍. 尿路PCR是这种人群中HCMV最有效的检测方法.
科学领域:
- 病毒学 病毒学
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
背景情况:
- 人类细胞巨乳病毒 (HCMV) 是一种广泛传播的人类病原体.
- 婴儿的症状性HCMV感染可能导致各种临床表现.
研究的目的:
- 调查HCMV糖蛋白B (gB) 基因型在有症状的婴儿中的分布.
- 探索HCMV gB基因型,病毒载量和婴儿人口统计学/临床特征之间的相关性.
- 为了比较血液和尿样中的HCMV检测率.
主要方法:
- 对265名接受尿液HCMVDNA检测的婴儿进行了回顾性分析.
- 在91例阳性病例中,定量光PCR和DNA测序用于病毒载量和gB基因型定型.
- 血液和尿液样本中HCMV检测率的比较.
主要成果:
- HCMV感染率为46.04%,随着年龄的增长而增加.
- 肝功能异常和肺炎是常见的临床表现.
- HCMVgB基因型gB3 (51.65%) 比gB1 (48.35%) 更为普遍,特别是在0-2个月的婴儿中.
- 尿液中HCMVDNA检测明显高于血液检测.
结论:
- 感染HCMV的流行率和基因型分布因婴儿年龄而异.
- 建议用尿路PCR作为婴儿中HCMV的最佳诊断试验.
- 了解基因型与临床特征的关联,可以帮助管理HCMV感染.
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