2020-2023 年中国黑龙江省人类蜱传脑炎病毒感染流行情况。

IF 2.4 2区 农林科学 Q3 INFECTIOUS DISEASES
Denghui Chen, Yaxian Lu, Wei Wang, Yu Zhang, Tianlu Liu, Hetong Liu, Lu Zhang, Xiaohong Peng, Shouxu Lv, Zedong Wang, Wenzhong Wu, Zhijun Hou
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引用次数: 0

摘要

背景和目的:蜱传脑炎(TBE)是由蜱传脑炎病毒(TBEV)引起的一种严重的急性中枢神经系统感染。近年来,蜱传脑炎已成为一种日益严重的公共卫生威胁,欧洲、俄罗斯远东地区、日本和中国都有病例报告。本研究旨在评估2020年至2023年期间因蜱虫叮咬到黑龙江省红十字森工总医院就诊的患者中TBEV的感染率,并研究与感染风险增加相关的行为:我们采集了被蜱虫叮咬者的血液样本并发放了调查问卷。使用巢式 PCR 对 457 份样本进行了筛查,发现 TBEV 感染率为 29.54%(135/457)。蜱虫叮咬部位红肿(42.57%)、发热(28.71%)和头痛(10.89%)等症状是 TBEV 阳性者在就医时被医生发现的。对 TBEV 部分 E 基因的系统发育分析表明,该地区的主要毒株为高致病性的远东亚型。然而,这些菌株并不属于远东亚型的三个既定进化支系。问卷数据分析显示,年龄和首次被蜱叮咬是与 TBEV 感染相关的重要因素:本研究提供了近年来黑龙江省 TBEV 流行病学的基本信息,并确定了蜱虫暴露是感染 TBEV 的最相关危险因素。要制定有效的预防和控制措施,还需要进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Prevalence of Tick-Borne Encephalitis Virus Infection Among Humans in Heilongjiang Province of China in 2020–2023

Background and Aims

Tick-borne encephalitis (TBE) is a serious and acute central nervous system infection caused by the tick-borne encephalitis virus (TBEV). In recent years, TBE has emerged as a growing public health threat, with cases reported across Europe, the Russian Far East, Japan and China. This study aims to assess the prevalence of TBEV infection and examine behaviours associated with an increased risk of infection among individuals who visited the Heilongjiang Red Cross Sengong General Hospital due to tick bites from 2020 to 2023.

Methods and Results

We collected blood samples and administered survey questionnaires from tick-bitten people. A total of 457 samples were screened using Nested PCR, and the detected TBEV prevalence rate was 29.54% (135/457). The symptoms of redness and swelling at the site of tick bite (42.57%), fever (28.71%) and headache (10.89%) were identified in the TBEV-positive individuals when they visited the hospital by the physician. Phylogenetic analysis of the partial E gene of TBEV revealed that the predominant strains in the region are highly virulent Far Eastern subtype. However, they do not cluster with the three established evolutionary clades of the Far Eastern type. Questionnaires data analysis identified age and first tick bite as important factors associated with TBEV infection.

Conclusions

This study provides basic information on the epidemiology of TBEV in Heilongjiang Province in recent years and identifies that the most related risk factor of infecting TBEV is tick exposure. Further research is needed to develop effective prevention and control measures.

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来源期刊
Zoonoses and Public Health
Zoonoses and Public Health 医学-传染病学
CiteScore
5.30
自引率
4.20%
发文量
115
审稿时长
6-12 weeks
期刊介绍: Zoonoses and Public Health brings together veterinary and human health researchers and policy-makers by providing a venue for publishing integrated and global approaches to zoonoses and public health. The Editors will consider papers that focus on timely collaborative and multi-disciplinary research in zoonoses and public health. This journal provides rapid publication of original papers, reviews, and potential discussion papers embracing this collaborative spirit. Papers should advance the scientific knowledge of the sources, transmission, prevention and control of zoonoses and be authored by scientists with expertise in areas such as microbiology, virology, parasitology and epidemiology. Articles that incorporate recent data into new methods, applications, or approaches (e.g. statistical modeling) which enhance public health are strongly encouraged.
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