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几内亚共和国医护人员中艾滋病毒和病毒性肝炎标志物的流行情况。

Prevalence of HIV and Viral Hepatitis Markers among Healthcare Workers in the Republic of Guinea.

作者信息

Ostankova Yulia V, Shchemelev Alexander N, Boumbaly Sanaba, Balde Thierno A L, Zueva Elena B, Valutite Diana E, Serikova Elena N, Davydenko Vladimir S, Skvoroda Vsevolod V, Vasileva Daria A, Semenov Alexander V, Esaulenko Elena V, Totolian Areg A

机构信息

Saint Petersburg Pasteur Institut of the Federal Service for Surveillance of Consumer Rights Protection and Human Welfare (Rospotrebnadzor), 197101 Saint Petersburg, Russia.

Institute of Applied Biological Research of Guinea (IRBAG), Kindia 100 BP 75, Guinea.

出版信息

Diagnostics (Basel). 2023 Jan 19;13(3):378. doi: 10.3390/diagnostics13030378.

Abstract

Healthcare workers are much more likely to be infected with HIV and hepatitis viruses compared to the general population. Although healthcare workers are more aware of HIV and hepatitis viruses, several countries in Africa lack a comprehensive grasp of disease routes and transmission risks. The aim of this study was to assess the prevalence of the serological and molecular biological markers of HIV and viral hepatitis among healthcare workers in the Republic of Guinea. The study material was 74 blood serum samples collected from healthcare workers who received additional training at the Institute of Applied Biological Research of Guinea (IRBAG, Kindia, Republic of Guinea). The markers examined included HBsAg, HBeAg, anti-HBs IgG, anti-HBcore IgG, anti-HCV qualitative determination, anti-HEV IgM and IgG, anti-HAV IgM and IgG, and anti-HIV. For viral DNA and RNA detection, nucleic acids were extracted from blood serum, and viral presence was inferred using real-time PCR with hybridization fluorescence detection. A high prevalence of viral hepatitis B markers was shown, and significantly fewer cases of viral hepatitis C and HIV were detected. Almost all examined medical workers had anti-HAV IgG antibodies, but no antibodies to hepatitis E virus. Apparently, the identified markers depend on the general prevalence of certain pathogens in the region and are associated with the traditions and characteristics of the country's residents.

摘要

与普通人群相比,医护人员感染艾滋病毒和肝炎病毒的可能性要高得多。尽管医护人员对艾滋病毒和肝炎病毒的了解更多,但非洲的几个国家对疾病传播途径和传播风险缺乏全面的认识。本研究的目的是评估几内亚共和国医护人员中艾滋病毒和病毒性肝炎的血清学和分子生物学标志物的流行情况。研究材料是从在几内亚应用生物研究所(IRBAG,几内亚金迪亚)接受额外培训的医护人员中采集的74份血清样本。检测的标志物包括乙肝表面抗原(HBsAg)、乙肝e抗原(HBeAg)、乙肝表面抗体IgG(anti-HBs IgG)、乙肝核心抗体IgG(anti-HBcore IgG)、丙肝抗体定性检测、戊肝抗体IgM和IgG(anti-HEV IgM和IgG)、甲肝抗体IgM和IgG(anti-HAV IgM和IgG)以及艾滋病毒抗体(anti-HIV)。对于病毒DNA和RNA检测,从血清中提取核酸,并使用杂交荧光检测的实时聚合酶链反应推断病毒的存在。结果显示乙肝病毒标志物的流行率很高,而丙肝病毒和艾滋病毒的检测病例明显较少。几乎所有接受检查的医护人员都有甲肝抗体IgG,但没有戊肝病毒抗体。显然,所确定的标志物取决于该地区某些病原体的总体流行情况,并与该国居民的传统和特征有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2709/9914033/031d52b7e6fa/diagnostics-13-00378-g001.jpg

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