基础医学与临床 ›› 2014, Vol. 34 ›› Issue (4): 485-489.

• 研究论文 • 上一篇    下一篇

北京地区儿童急性上呼吸道感染中肠道病毒感染谱的分析

李霖琳1,谢正德2,刘春艳2,相子春3,任丽丽3,申昆玲2,王健伟3   

  1. 1. 北京协和医学院/中国医学科学院病原生物学研究所
    2. 首都医科大学附属北京儿童医院
    3. 中国医学科学院 北京协和医学院 病原生物学研究所
  • 收稿日期:2013-12-12 修回日期:2014-01-06 出版日期:2014-04-05 发布日期:2014-03-31
  • 通讯作者: 王健伟 E-mail:wangjw28@163.com
  • 基金资助:
    国家科技重大专项“传染病监测技术平台”项目

On Spectrum analysis of Enteroviruses in Children with Acute Respiratory Tract Infections in Beijing

  • Received:2013-12-12 Revised:2014-01-06 Online:2014-04-05 Published:2014-03-31
  • Contact: Jian-wei WANG E-mail:wangjw28@163.com

摘要: 目的 了解北京地区儿童急性上呼吸道感染中肠道病毒(EV)的感染谱。方法 收集2009-05至09月于北京儿童医院就诊的急性上呼吸道感染患者的咽拭子1 121份,用反转录-聚合酶链反应(RT-PCR)方法对EV的VP1基因进行了扩增并测序。结果 发现55例为EV阳性,分属14个血清型。其中44例属于A种EV(EV-A),11例为EV-B。检出EV与手足口病及无菌性脑膜炎中检测到的EV具有高度同源性,但和EV原型株相比较均发生了不同程度的变异。结论 2009年北京地区急性上吸道感染儿童中以EV-A感染为主,与成人病原谱存在差异。

关键词: 肠道病毒, 呼吸道感染, 感染谱

Abstract: Objective To determine the spectrum of enteroviruses (EV) in children with acute respiratory tract infections (ARTI) in Beijing. Method Throat swabs were collected from 1,121 children at the time of admission to the Beijing Children’s Hospital for ARTI during May 2009 through September 2009. To detect EV, the viral protein 1 (VP1) gene were amplified by reverse transcription PCR and verified the findings by sequence analysis. Results EV was detected in 55 children and 14 EV serotypes were identified. Among of them, 7 EV serotypes including 44 cases belonged to EV-A and the others belonged to EV-B. The sequences of EV in this research had very high homology with that detected in hand-foot-and-mouth disease or aseptic meningitis. Compared to prototype, mutations were happened in clinical strains. Conclusions EV-A was dominant in children with acute respiratory tract infections which was different to that of the adult in Beijing in 2009.

Key words: enteroviruses, respiratory tract infections, spectrum of infection

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