首页|2022年德清县8-20岁中小学生水痘-带状疱疹病毒抗体水平调查

2022年德清县8-20岁中小学生水痘-带状疱疹病毒抗体水平调查

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目的 分析德清县中小学生水痘-带状疱疹病毒(Varicella-zoster virus,VZV)抗体水平.方法 采用分层整群随机抽样方法,选取德清县5所中小学校8-20岁学生并采集血清标本,采用酶联免疫吸附试验检测VZV免疫球蛋白(Immunoglobulin G,IgG)抗体,分析抗体阳性率和几何平均浓度(Geometric mean concentration,GMC).结果 调查对象VZV IgG抗体阳性率为55.70%(1 100/1 975),GMC为98.79 mIU/mL.多因素Logistic回归分析显示,抗体阳性率随着年龄增加而降低(OR=0.96,95%CI:0.93-0.99);男性低于女性(OR=0.71,95%CI:0.59-0.85);有水痘患病史者高于无患病史者(OR=9.10,95%CI:4.53-18.31);2剂次水痘疫苗接种史者高于无接种史者(OR=1.94,95%CI:1.31-2.86),1剂次接种史者与无接种史者无显著性差异(OR=0.75,95%CI:0.49-1.10).结论 德清县中小学生VZV抗体水平总体偏低,建议提高适龄儿童两剂次水痘疫苗接种率.
Varicella-zoster virus antibody levels among 8-20-year-olds in Deqing county in 2022
Objective To determine seroprevalence of varicella zoster virus(VZV)antibody among primary and middle school students in Deqing county.Methods We used a stratified cluster random sampling method to select 8-20-year-old students from five primary and middle schools in Deqing and collect serum samples.We tested sera for VZV immunoglobulin G(IgG)antibody using enzyme-linked immunosorbent assay and calculated positivity rates and geometric mean concentration(GMC).Results The overall positivity rate and GMC of VZV IgG antibody among subjects were 55.70%(1 100/1 975)and 98.79 mIU/mL.Multivariate logistic regression showed that the positive rate decreased with increasing age(OR=0.96,95%CI:0.93-0.99);was lower in males than females(OR=0.71,95%CI:0.59-0.85);was higher among subjects with varicella history than among subjects without varicella history(OR=9.10,95%CI:4.53-18.31);and was higher among subjects who received two doses of varicella vaccine(OR=1.94,95%CI:1.31-2.86)and with no significant difference among subjects who received one dose of vaccine(OR=0.75,95%CI:0.49-1.10),compared with subjects who received no varicella vaccine doses.Conclusions Seroprevalence of VZV antibody was generally low among primary and middle school students in Deqing.We recommend increasing two-dose varicella vaccination coverage in age-eligible children.

VaricellaVaricella-zoster virusAntibody levelPrimary and middle school student

陈颖峰、叶品凯、陈胜玉、金梦、董晓莲、汪婧、吴博

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德清县疾病预防控制中心,浙江湖州 313200

复旦大学公共卫生学院,国家卫健委卫生技术评估重点实验室,上海 200032

水痘 水痘-带状疱疹病毒 抗体水平 中小学生

2024

中国疫苗和免疫
中国疾病预防控制中心

中国疫苗和免疫

CSTPCD北大核心
影响因子:2.311
ISSN:1006-916X
年,卷(期):2024.30(6)