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急性呼吸系统疾病暴发疫情多重巢式PCR检测分析

Application of multiplex RT-nested PCR in pathogen screening for outbreak of acute respiratory system diseases

  • 摘要: 目的对3起不明原因的聚集性急性呼吸系统疾病暴发疫情的标本进行多重巢式PCR检测,及时筛查SARS病毒、高致病性人禽流感H5N1亚型病毒并检测其他亚型流感病毒、副流感病毒、支原体、肺炎衣原体等病原体,探讨该方法在聚集性急性呼吸系统疾病调查中的应用意义。方法采用多重巢式PCR方法对3起疫情的咽拭标本进行可引起急性呼吸系统疾病的23种病原体进行筛查。结果医院甲不明原因肺炎聚集性病例9例,对9例咽拭标本进行筛查,肺炎衣原体感染6例;学校乙不明原因肺炎聚集性病例69例,对13份咽拭标本进行检测,B型流感嗜血杆菌(HIB)感染7例;学校丙不明原因肺炎聚集性病例12例,对12份咽拭标本进行检测,HIB感染5例。结论多重巢式PCR方法可快速有效地筛查引起聚集性急性呼吸系统疾病暴发疫情的病原体,为有效遏制疫情及进一步处理提供线索。

     

    Abstract: ObjectiveTo explore the application of multiplex reverse transcription(RT)nested PCR in the screening of pathogens related to epidemic outbreak of acute respairatory system diseases.MethodsTotally 34 oropharyngeal swab specimens were collected from the cases of 3 epidemics of acute respiratory diseases and detected with multiplex RT-nested PCR for 23 pathogens related to the diseases.ResultsThere were 9 cases of unknown pneumonosis happened in hospital A.Chlamydia pneumoniae was detected among 66.7% of the cases.There were 13 cases of unknown pneumonosis in school B and hemophilies influenzae B was detected in 7 cases(53.8%).There were 12 cases of unknown pneumonosis in school C and hemophilies influenzae B was detected in 5 cases(41.7%).ConclusionMultiplex RT-nested PCR is a rapid and highly efficient method to screen the pathogens related to epidemic outbreak of acute respiratory system disease.

     

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