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Epidemiologic and Virologic Investigation of Hand, Foot, and Mouth Disease, Southern Vietnam, 2005

机译:越南南部手足口病的流行病学和病毒学调查,2005年

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During 2005, 764 children were brought to a large chil-dren's hospital in Ho Chi Minh City, Vietnam, with a diagno-sis of hand, foot, and mouth disease. All enrolled childrenhad specimens (vesicle . uid, stool, throat swab) collected for enterovirus isolation by cell culture. An enterovirus was isolated from 411 (53.8%) of the specimens: 173 (42.1%) isolates were identifi ed as human enterovirus 71 (HEV71) and 214 (52.1%) as coxsackievirus A16. Of the identifi ed HEV71 infections, 51 (29.5%) were complicated by acute neurologic disease and 3 (1.7%) were fatal. HEV71 was iso-lated throughout the year, with a period of higher prevalence in October–November. Phylogenetic analysis of 23 HEV71 isolates showed that during the fi rst half of 2005, viruses belonging to 3 subgenogroups, C1, C4, and a previously undescribed subgenogroup, C5, cocirculated in southern Vietnam. In the second half of the year, viruses belonging to subgenogroup C5 predominated during a period of higher HEV71 activity
机译:在2005年,有764名儿童被带到越南胡志明市的一家大型儿童医院,对手足口病进行了诊断。收集所有入选儿童的标本(囊泡,uid,粪便,咽喉拭子),以通过细胞培养分离肠病毒。从411(53.8%)个标本中分离出了肠道病毒:173株(42.1%)被鉴定为人肠道病毒71(HEV71),214株(52.1%)被鉴定为柯萨奇病毒A16。在已确定的HEV71感染中,有51例(29.5%)并发急性神经系统疾病,其中3例(1.7%)致命。 HEV71全年处于隔离状态,10月至11月的患病率较高。对23个HEV71分离株的系统发育分析表明,在2005年上半年,越南南部共同传播了属于3个亚基因组C1,C4和一个先前未描述的亚基因组C5的病毒。在下半年,在HEV71活性较高的时期,属于C5亚基因组的病毒占主导地位

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