青春期前儿童的主要爱斯坦-巴尔病毒感染:一项前性研究
Laurel E Cederberg1, Jennifer M Geris2, Mee Chang1
1HealthPartners Department of Pediatric and Adolescent Medicine, 2500 Como Avenue, Saint Paul, MN 55108, USA.
概括
初级爱斯坦-巴尔病毒 (EBV) 感染在青春期前很常见,经常被父母和医生错过. 早期EBV疫苗接种可以预防相关的癌症和自身免疫性疾病.
科学领域:
- 病毒学 病毒学
- 儿童传染病 儿童传染病
- 疫苗学 疫苗学 疫苗学
背景情况:
- 爱斯坦-巴尔病毒 (EBV) 导致传染性单核病,并与癌症和自身免疫性疾病有关.
- 预防性EBV疫苗可以预防这些疾病,但儿童初级EBV感染 (pEBV) 发病率尚不清楚.
- 我们假设pEBV在青春期前是显著的,但往往未被诊断出来的.
研究的目的:
- 为了确定初级EBV感染 (pEBV) 在青春期前儿童的发病率.
- 评估pEBV在这个年龄组中的临床意义和诊断挑战.
主要方法:
- 在儿科诊所对1.5至11.99岁儿童进行前性研究.
- 查EBVIgG抗体使用口腔抹布来识别EBV-naive儿童.
- 每3个月对EBV-naive参与者进行随访,以检测pEBV.
主要成果:
- 在291名被查的儿童中,有210名未经EBV查过的儿童;181名注册儿童.
- 在119.8人/年记录了11例pEBV病例,发病率为9.2例/100人/年.
- 与白人儿童相比,亚洲,黑人和拉丁裔儿童的pEBV发病率较高;5例是有症状的.
结论:
- 青春期前的pEBV发病率超过了其他疫苗可预防的疾病.
- 诊断pEBV经常错过,突出需要提高认识.
- 这项研究支持将EBV疫苗给青春期前儿童用于疾病预防.
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