MONITORING THE LEVEL OF ANTIBODIES AGAINST THE MEASLES VIRUS AMONG STAFF OF HEALTH INSTITUTIONS OF THE REGIONAL CENTER IN 2023

V. M. Tsyrkunov, N. G. Malyshko, A. A. Grik, I. A. Kuzmich
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Abstract

Background. In 2023, measles incidence has worsened in the world and the European region. The purpose of the study is to assess the strength of immunity against the measles virus based on the level of antibodies among students and staff of healthcare institutions of the regional center in 2023. Material and methods. The object of the study was different categories of medical workers (students, doctors, nurses, orderlies, paramedical personnel) of city/regional healthcare institutions in Grodno, who were examined for the content of measles antibodies. Determination of the level of IgG to the measles virus in blood serum was carried out by ELISA using Vector-Best test systems (Russia). The level was considered protective with an IgG titer of more than 0.18 IU/ml, uncertain (gray zone ELISA) with an IgG titer of 0.11-0.18 IU/ml, the absence of a protective antibody level was observed with an IgG titer of less than 0.11 IU/ml. Results. In 2023, the non-immune proportion of personnel working in the city's healthcare system, who did not have a protective level of specific antibodies, amounted to 15.3%, which creates additional risks of the spread of measles in the region and in healthcare institutions when providing medical care. The most vulnerable age group is medical workers aged 19 to 50 years. Сonclusions. The significant difference in the strength of immunity against measles among personnel of various healthcare institutions necessitates an additional assessment of the strength of immunity in all healthcare workers as well as individual preventive vaccination for persons with no protective level of antibodies.
监测 2023 年地区中心卫生机构工作人员的麻疹病毒抗体水平
背景。2023 年,世界和欧洲地区的麻疹发病率有所恶化。本研究的目的是根据 2023 年地区中心医疗机构学生和工作人员的抗体水平,评估他们对麻疹病毒的免疫力。材料和方法。研究对象是格罗德诺市/州医疗机构的各类医务工作者(学生、医生、护士、护理员、医务辅助人员),他们都接受了麻疹抗体含量的检查。血清中麻疹病毒 IgG 含量的测定是通过使用 Vector-Best 测试系统(俄罗斯)的 ELISA 方法进行的。IgG 滴度超过 0.18 IU/ml 时,被认为是保护性抗体;IgG 滴度在 0.11-0.18 IU/ml 时,被认为是不确定抗体(灰区 ELISA);IgG 滴度低于 0.11 IU/ml 时,被认为是无保护性抗体。结果2023 年,在该市医疗系统工作的人员中,没有特异性抗体保护水平的非免疫人群比例达到 15.3%,这给该地区和医疗机构在提供医疗服务时带来了麻疹传播的额外风险。最易受感染的年龄组是 19-50 岁的医务工作者。结论。各医疗机构人员对麻疹的免疫力存在明显差异,因此有必要对所有医疗工作者的免疫力进行额外评估,并对没有保护性抗体水平的人员进行个体预防性接种。
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