细小病毒B19:尼日利亚中北部纳萨拉瓦州产前门诊孕妇发病率、流行率和危险因素评估

Akyala Ishaku. A, A. E. U., A. zua A. T, Agieni Ashem Godwin
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引用次数: 4

摘要

据报道,怀孕期间细小病毒B19经胎盘传播是导致非免疫性胎儿水肿、自然流产或子宫内胎儿死亡的主要原因之一。因此,我们着手确定在尼日利亚纳萨拉瓦州凯菲联邦医疗中心产前诊所就诊的两名孕妇中细小病毒B19 (igg和IgM)抗体的存在及其危险因素。经知情同意并获得研究伦理委员会批准,共有273名孕妇(年龄15-40岁)参与研究。在2012年1月至8月期间,每个人都填写了一份自我管理的问卷,并捐献了血液样本。采用美国DeMediTec公司重组细小病毒B19 IgM和Ig G酶联免疫吸附测定试剂盒。在273名参与者中,36人(13.2%)有IgM抗体,75人(27.5%)有Ig G抗体,其中15-20岁和36-40岁的发病率和患病率最高。家庭主妇、多子女、输血史、流产史、死产史与感染相关(P < 0.05)。本研究揭示了细小病毒B19感染在孕妇中的高发和流行。细小病毒B19 IgM抗体的存在,特别是在妊娠的前三个月和中期,有可能经胎盘传播导致自然流产和子宫内胎儿死亡的危险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Parvovirus B19: Evaluation of Incidence, Prevalence and Risk Factors among Pregnant Women Attending Ante-Natal Clinic in Nasarawa State, North Central of Nigeria
Trans-placental transmission of parvovirus B19 during pregnancy has been reported as one of the leading causes of non-immune fetal hydrops, spontaneous abortion or intra-uterine fetal death. We therefore set out to determine the presence of parvovirus B19 (Ig G and IgM) antibodies and their risk factors among pregnant wo men attending ante-natal clin ic, at Federal Medical Center, Keffi, Nasarawa State, Nigeria.A total of 273 pregnant women (Age range 15-40 years) participated after informed consent and clearance fro m the research ethics committee. Each filled a self-ad ministered questionnaire and donated blood samples between January and August 2012. A reco mbinant parvovirus B19 IgM and Ig G ELISA kit fro m DeMediTec (USA) was used for the assays.Of the 273 participants, 36 (13.2 %) had IgM antibodies, while 75 (27.5%) had Ig G antibodies with those aged 15-20 and 36-40 years having the highest incidence and prevalence rates. Being a house wife, having more ch ild ren and histories of blood transfusion, miscarriage and still b irth were associated with infection (P < 0.05).The study reveals high incidence and prevalence of parvovirus B19 infect ion among the pregnant women. The presence of parvovirus B19 IgM antibody particularly in the first and second trimesters of pregnancy poses the danger of likely trans placental transmission leading to spontaneous abortion and intra-uterine fetal death.
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