首页|新疆乌鲁木齐市莱姆病血清流行病学调查

新疆乌鲁木齐市莱姆病血清流行病学调查

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目的 了解新疆乌鲁木齐市莱姆病在人群中的血清流行病学状况.方法 选取2022-2023年乌鲁木齐市周边地区3个乡镇的体检人群血清795人份,其中芦草沟镇383人份、水西沟镇145人份和托里乡267人份,检测人群血清抗体IgG和IgM,采用酶联免疫吸附试验(ELISA)进行初筛,初筛阳性者行蛋白免疫印迹法(Western blot,WB)进行确认,收集WB阳性者临床资料,综合分析进行病例诊断.结果 ELISA共计检出阳性110人份,阳性率13.84%(110/795),男性、女性阳性率分别为10.69%(37/346)、16.26%(73/449),女性血清抗体阳性率高于男性(x2=5.076,P=0.024).不同年龄分层中的血清抗体阳性率差异无统计学意义(x2=2.569,P=0.766).水西沟镇、芦草沟镇和托里乡的血清抗体阳性率分别为17.98%(48/267)、14.48%(21/145)、10.70%(41/383),其中托里乡的血清抗体阳性率高于芦草沟镇(x2=7.041,P=0.008).将ELISA初筛阳性的110人的血清进一步行WB确认实验(分别检测IgG、IgM蛋白条带),共检出阳性82人,阳性率10.31%(82/795).依据莱姆病诊断标准共确诊莱姆病患者20例,粗患病率为2.52%.结论 乌鲁木齐市人群中存在莱姆病的感染和流行,感染率高于全国平均水平,建议进一步加强莱姆病的调查研究和防治.
Seroepidemiological survey of Lyme disease in Urumqi City,Xinjiang,China
The prevalence of Lyme disease in endogenous populations in Urumqi,Xinjiang was investigated.In total,795 serum samples were collected from residents of three townships in the surrounding area of Urumqi City from 2022 to 2023,which included 383 from Lucaogou Town,145 from Shuixigou Town,and,267 from Tori Township.Serum levels of IgG and IgM antibodies were screened with an enzyme linked immunosorbent assay(ELISA)and confirmed by western blot(WB)analysis.Clinical data of WB-positive indi-viduals were collected and comprehensive analysis was con-ducted for case diagnosis.The chi square test was used for statistical analysis of the results and the P<0.05 was consid-ered statistically significant.In total,110(13.84%)of 795 samples were positive.The positivity rates was higher in females than males[16.26%(73/449)vs.10.69%(37/346),x2=5.076,P=0.024],while there was no significant difference among age groups(x2=2.569,P=0.766).The positivity rates for serum antibodies in Shuixigou Town,Lucaogou Town,and Tuoli Township were 17.98%(48/267),14.48%(21/145),and 10.70%(41/383),respectively,with a significantly higher rate in Tuoli Township than Lucaogou Town(x2=7.041,P=0.008).Of 110 individuals who were initially positive for IgG and IgM antibodies with the ELISA,82(10.31%)were con-firmed positive by WB analysis.In total,20(2.52%)patients were diagnosed with Lyme disease based on clinical manifesta-tions.Lyme disease is epidemic among the population in Urumqi,as the infection rate is higher than the national average.Hence,continued surveillance is recommended for prevention of Lyme disease.

Lyme diseaseseroepidemiologyUrumqi City

杨丽、张紫怡、邵彤彤、李新婷、郑嵘炅、王世一、王远志、郝琴、鲁晓擘

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新疆医科大学第一附属医院感染与肝病中心,乌鲁木齐 830000

新疆医科大学第八附属医院呼吸与危重症医学科,乌鲁木齐 830000

石河子大学医学院,石河子 832000

中国疾病预防控制中心传染病预防控制所螺旋体病控制室,传染病预防控制国家重点实验室,北京 102206

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莱姆病 血清流行病学 乌鲁木齐市

自治区重点研发任务专项国家自然科学基金新疆维吾尔自治区自然科学基金重点项目省部共建中亚高发病成因与防治国家重点实验室项目

2022B03014-2820601152022D01D19SKL-HIDCA-2022-GR1

2024

中国人兽共患病学报
中国微生物学会

中国人兽共患病学报

CSTPCD北大核心
影响因子:0.814
ISSN:1002-2694
年,卷(期):2024.40(4)
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