首页|2022年昆明市407例手足口病病例病原学监测分析

2022年昆明市407例手足口病病例病原学监测分析

Etiological surveillance and analysis of 407 cases of hand,foot and mouth disease in a hospital of Kunming in 2022

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目的 了解2022年云南省昆明市手足口病病例的病原构成,为手足口病的预防和控制提供科学依据.方法 收集2022年6-9月昆明市儿童医院诊断为手足口病患儿的407份粪便样品,采用巢式反转录-聚合酶链反应(reverse transcription-polymerase chain reaction,RT-PCR)方法对粪便样品进行肠道病毒核酸检测,利用通用肠道病毒引物扩增其VP1区基因并测序,采用SPSS 11.5,肠道病毒定型和Mega 6.0等软件分析数据.结果 407份粪便样品中,肠道病毒阳性检出率为74.69%(304/407),有13种肠道病毒被检测到,其中,柯萨奇病毒A组6型(coxsackievirus A6,CVA6)所占比例最高,达42.43%(129/304),其次是 CVA16(35.53%,108/304)、CVA5(11.84%,36/304)、CVA12(2.30%,7/304)、CVA2(1.97%,6/304)、CVA10(1.31%,4/304),CVA4、柯萨奇病毒 B组 5型(coxsackievirus B5,CVB5)和埃可病毒 11 型(echovirus 11,E11)均各占 0.99%(3/304),CVB2 占 0.66%(2/304),CVA8、E3和肠道病毒A组71型(enterovirusA71,EV-A71)均各占0.33%(1/304).其中CVA6和CVA16分别属于B1a和D3a基因型.结论 2022年昆明市儿童医院手足口病由13种肠道病毒引起,其中CVA6和CVA16为优势病原体并属于中国流行株.
Objective To understand the pathogen composition of hand,foot and mouth disease(HFMD)in a hospital in Kunming,Yunnan province in 2022,and to provide some scientific basis for the prevention and control of HFMD.Methods A total of 407 stool samples were collected from children diagnosed with HFMD in a hospital in Kunming from June to September 2022.The VP1 coding region of enterovirus(EV)was amplified by RT-PCR and EV positive strains were sequenced.Three hundred and four The clinical and pathogenic characteristics were analyzed using software such as SPSS 11.5,enterovirus genotyping and Mega 6.06.Results A total of 407 specimens(74.69%),were positive for EV.A total of 13 genotypes were detected.Coxsackievirus A6(CVA6)was the most frequently detected in the EV(42.43%,129/304),followed by CVA16(35.53%,108/304),CVA5(11.84%,36/304),CVA12(2.30%,7/304),CVA2(1.97%,6/304),CVA10(1.31%,4/304).CVA4,coxsackievirus B5(CVB5)and echovirus 11(E11)accounted for 0.99%(3/304),CVB2 for 0.66%(2/304),and CVA8,E3 and enterovirus A71(EV-A71)were 0.33%(1/304).Among them,CVA6 and CVA16 belonged to B1a and D3a genotypes,respectively.Conclusion HFMD is caused by 13 enteroviruses in a hospital in Kunming city in 2022,of which CVA6 and CVA16 are the predominant pathogens and belonged to the epidemic strains in China.

Hand,foot and mouth diseaseEtiologyEnterovirusCoxsackievirus A6Coxsackievirus A16Phyloge-netic analysis

李丽、张倩、马绍辉、张磊

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昆明市妇幼保健院检验科,云南昆明 650031

昆明市儿童医院检验科,云南昆明 650100

中国医学科学院北京协和医学院医学生物学研究所、云南省重大传染病疫苗研发重点实验室,云南昆明 650118

手足口病 病原学 肠道病毒 柯萨奇病毒A组6型 柯萨奇病毒A组16型 系统发育

云南省科技重大专项昆明市卫生健康委卫生科研项目

202202AA1000162022-11-01-001

2024

中国病毒病杂志

中国病毒病杂志

CSTPCD
影响因子:0.734
ISSN:
年,卷(期):2024.14(1)
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