首页|南通市社区人群新型冠状病毒感染血清学监测结果分析

南通市社区人群新型冠状病毒感染血清学监测结果分析

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目的 了解社区人群血清新型冠状病毒感染特异性抗体水平变化特征,为预防再感染提供科学依据.方法 选取崇川区、如东县、启东市作为监测点,分别于2022年12月、2023年3月和5月开展3轮监测,每个监测点每次采集血清人数不少于400人.用化学发光法进行S蛋白免疫球蛋白M(immunoglobulin M,IgM)、免疫球蛋白G(immunoglobulin G,IgG)、免疫球蛋白A(immunoglobulin A,IgA)检测.用SPSS 20.0软件对数据进行整理和分析,两个及以上样本均数比较采用方差分析(F检验),计数资料比较采用x2检验.结果 首轮监测IgG阳性854人,阳性率为69.09%,近期感染292人,占23.62%;IgA阳性263人,阳性率为21.28%.第二轮监测IgM阳性41人,阳性率为3.39%;IgG阳性1 108人,阳性率为91.57%.第三轮监测IgM阳性10人,阳性率为0.84%;IgG阳性1 083人,阳性率为90.48%;IgA阳性698人,阳性率为58.31%.第二轮与第三轮监测IgM阳性率比较,差异有统计学意义(x2=18.910,P<0.001).3轮监测的IgG阳性率比较,差异有统计学意义(x2=286.834,P<0.001).第一轮和第三轮监测的IgA阳性率比较,差异有统计学意义(x2=2 433.000,P<0.001).结论 2022年12月南通市有23.62%的人群近期感染新型冠状病毒,主城区人群、幼儿和小学生感染率较高.2023年3月IgG阳性率到达高峰,2023年5月略有下降,却仍维持较高水平,说明IgG的抗体应答可持续将近6个月,应继续加强疫情监测和免疫接种.
Analysis of serological surveillance results of CO VID-19 in community populations in Nantong City
Objective To understand the variation characteristics of serum COVID-19 specific antibody levels in community populations,and provide a scientific basis for preventing of reinfection.Methods Chongchuan District,Rudong County,and Qidong City were selected as the monitoring points,and the three rounds of surveillance were carried out in December 2022,March and May 2023,respectively,with the number of sera collected in each monitoring point not less than 400 people each time.Immunoglobulin M(IgM),immunoglobulin G(IgG),and immunoglobulin A(IgA)to S protein were detected by chemiluminescence assay.SPSS 20.0 software was used for collated and statistical analysis of data.The analysis of variance(F-test)was used to compare the mean of two or more samples,and the Chi-square test was used to compare the count data.Results A total of 854 people were positive for IgG in the first round of surveillance,the positive rate was 69.09%.Of these,292 cases(23.62%)were infected recently.Two hundred and sixty-three people IgA-positive,the positive rate of IgA was 21.28%.In the second round of surveillance,41 people were positive for IgM,the positive rate was 3.39%,and 1 108 people were positive for IgG,the positive rate was 91.57%.In the third round of surveillance,10 people were positive for IgM,the positive rate was 0.84%.One thousand and eighty-three people were positive for IgG,with a positivity rate of 90.48%.Six hundred and ninety-eight people were positive for IgA,with a positivity rate of 58.31%.There was statistically significant difference in IgM positivity rate between the second and third rounds of surveillance(x2=18.910,P<0.001).The positive rate of IgG differences in three rounds of surveillance was significantly different(x2=286.834,P<0.001).The positive rate of IgA differences in the first round and the third round of surveillance was statistically significant(x2=2 433.000,P<0.001).Conclusion In December 2022,23.62%of the population in Nantong City show recent infection with the SARS-CoV-2,with a higher infection rate in the main urban area population,young children,and primary school students.The positive rate of IgG peakes in March 2023,and decreases slightly in May 2023,however it still maintains a high level,indicating that antibody response to IgG can last for nearly 6 months,and epidemic surveillance and immunization should continue to be strengthened.

Community populationIgMIgGIgACOVID-19SurveillanceAnalysis

陆荣荣、魏叶、戴垚垚、鲍超、刘巧

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南通市疾病预防控制中心急性传染病科,江苏南通 226007

江苏省疾病预防控制中心慢性传染病防制所

社区人群 IgM IgG IgA 新型冠状病毒感染 监测 分析

2025

医学动物防制
中国民主促进会河北省委员会

医学动物防制

影响因子:0.553
ISSN:1003-6245
年,卷(期):2025.41(1)