临床儿科杂志 ›› 2016, Vol. 34 ›› Issue (4): 241-.doi: 10.3969 j.issn.1000-3606.2016.04.001

• 消化系统疾病专栏 •    下一篇

2014 年重庆地区星状病毒、札如病毒、腺病毒致儿童急性腹泻流行特点

陈婉冰, 余凤, 乔英琴, 许红梅   

  1. 重庆医科大学附属儿童医院 儿童医院儿科研究所 儿童发育疾病研究教育部重点实验室 儿童发育重大疾病国家国际科技合作基地 儿科学重庆市重点实验室 (重庆 400014)
  • 收稿日期:2016-04-15 出版日期:2016-04-15 发布日期:2016-04-15
  • 通讯作者: 许红梅 E-mail:xuhongmwpx@yahoo.com
  • 基金资助:
    “ 十二五”国家科技重大专项(No.2012ZX10004212-003)

The prevalence of astrovirus, sapovirus, and adenovirus enteric infections in children with acute diarrhea in Chongqing in 2014

CHEN Wanbing, YU Feng, QIAO Yingqin, XU Hongmei   

  1. Pediatric Research Institute, Children’s Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing 400014, China
  • Received:2016-04-15 Online:2016-04-15 Published:2016-04-15

摘要: 目的 了解重庆地区2014 年人腺病毒(HAdV)、星状病毒(HAstrV)及札如病毒(SLV)所导致的儿童急性腹泻的流行特点。方法 以2014 年重庆地区5岁以下患急性腹泻儿童为研究对象,对其粪标本进行核酸检测,分析三种病毒的流行时间及感染对象的年龄、型别等。结果 纳入511 例患儿,男290 例、女221 例。SLV阳性率4.7%(24/511),以GI.1和GI.2型为优势株;HAdV阳性率2.9%(15/511),以HAdV-40、41型为优势株;人星状病毒(HAdV)阳性率2.7%(14/511),流行株为HAstrV-1 型;无混合感染病例。三种病毒感染率性别差异无统计学意义(P > 0.05)。SLV 分布以11 月份最高,HAstrV以1 月份最高,HAdV分布在各月份间无差异。病毒检出阳性者均为36 月龄以下的婴幼儿,SLV感染尤以13 ~ 36 月龄患儿为主。结论 SLV、HAstrV、HAdV是引起重庆地区儿童急性腹泻的重要病原体。HAdV5、7、31型也可引起儿童急性腹泻,需长期监测进行验证。

Abstract: Objective To investigate the epidemic characteristics of astrovirus (HAstrV), sapovirus(SLV), and adenovirus(HAdV) enteric infections that cause acute diarrhea in children in Chongqing. Methods Children younger than  5-year-old with acute diarrhea were recruited in Chongqing in 2014. Fecal samples were detected by nucleic acid tests. The prevalent time of three viruses and the age and gender of infected patients were analyzed. Results In 511 patients (290 males and 221 females), the positive rate of SLV was 4.7% (24/511), in which the dominant strains were GI.1 and GI.2. The positive rate of HAdV was 2.9% (15/511), in which the dominant strains were HAdV-40 and 41. The positive rate of HAstrV was 2.7% (14/511), in which the dominant strain was HAstrV-1. Patients with co-infection were not found. There were no significant differences of the infection rates between females and males in the three types of viruses (P > 0.05). The highest positive rate of SLV was in November and the highest positive rate of HAstrV was in January. The positive rate of HAdV was not different among different months. All of the positive patients were younger than 36 months. SLV infection existed mainly in 13-36 month old children. Conclusions SLV, HAstrV and HAdV are three important pathogens in acute diarrhea in Chongqing. HAdV5, 7 and 31 also cause acute diarrhea, which need long-term monitoring to verify.