Japanese encephalitis among hospitalized pediatric and adult patients with acute encephalitis syndrome in Hanoi, Vietnam 1995

被引:39
作者
Lowry, PW
Truong, DH
Hinh, LD
Ladinsky, JL
Karabatsos, N
Cropp, CB
Martin, D
Gubler, DJ
机构
[1] Univ Minnesota, Sch Publ Hlth, Div Epidemiol, Minneapolis, MN 55455 USA
[2] Univ Minnesota, Sch Publ Hlth, Div Infect Dis, Minneapolis, MN USA
[3] Univ Minnesota, Sch Med, Minneapolis, MN 55455 USA
[4] Bach Mai Hosp, Dept Neurol, Hanoi, Vietnam
[5] Univ Wisconsin, Sch Med, Dept Prevent Med, Madison, WI 53706 USA
[6] Ctr Dis Control & Prevent, Div Vector Borne Infect Dis, Ft Collins, CO 80522 USA
关键词
D O I
10.4269/ajtmh.1998.58.324
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The etiologic spectrum of acute encephalitis syndrome (AES) has not been well defined in Vietnam. Cohort and case-control studies were performed on all adult and pediatric AES patients admitted to the Neurology Service of Each Mai Hospital between June 5 and August 3, 1995. Among pediatric AES patients, 31 (67%) of 46 had acute Japanese encephalitis (JE), compared with only two (6%) of 33 adult AES patients (P < 0.0001). For confirmed JE cases, serum specimens obtained 15-21 days after symptom onset had the highest mean anti-JE IgM signal-to-noise (PIN) ratios (8.08 + 1.09 SE). A serosurvey of adult household members did not reveal any cases of recent subclinical JE infection, although 26% had evidence of past JE infection. The use of bed netting was nearly universal but did not appear to reduce the risk of AES or JE. Given the high incidence of JE, particularly among children, Vietnam seems well suited for the development of a targeted JE vaccination strategy.
引用
收藏
页码:324 / 329
页数:6
相关论文
共 42 条
  • [11] IDENTIFICATION OF DISTINCT ANTIGENIC DETERMINANTS ON DENGUE-2 VIRUS USING MONOCLONAL-ANTIBODIES
    GENTRY, MK
    HENCHAL, EA
    MCCOWN, JM
    BRANDT, WE
    DALRYMPLE, JM
    [J]. AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 1982, 31 (03) : 548 - 555
  • [12] STUDY OF JAPANESE ENCEPHALITIS-VIRUS IN CHIANGMAI VALLEY, THAILAND .3. HUMAN SEROEPIDEMIOLOGY AND INAPPARENT INFECTIONS
    GROSSMAN, RA
    EDELMAN, R
    WILLHIGHT, M
    PANTUWATANA, S
    UDOMSAKDI, S
    [J]. AMERICAN JOURNAL OF EPIDEMIOLOGY, 1973, 98 (02) : 133 - 149
  • [13] ARBOVIRUSES AS ETIOLOGIC AGENTS OF ENCEPHALITIS IN THE PEOPLES-REPUBLIC-OF-CHINA
    GU, HX
    ARTSOB, H
    LIN, YZ
    WANG, DM
    ZHAO, BY
    LONG, QZ
    [J]. TRANSACTIONS OF THE ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE, 1992, 86 (02) : 198 - 201
  • [14] MOSQUITO CELL-CULTURES AND SPECIFIC MONOCLONAL-ANTIBODIES IN SURVEILLANCE FOR DENGUE VIRUSES
    GUBLER, DJ
    KUNO, G
    SATHER, GE
    VELEZ, M
    OLIVER, A
    [J]. AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 1984, 33 (01) : 158 - 165
  • [15] ISOLATION OF A NEWLY RECOGNIZED ALPHAVIRUS FROM MOSQUITOS IN VIETNAM AND EVIDENCE FOR HUMAN INFECTION AND DISEASE
    HA, DQ
    CALISHER, CH
    TIEN, PH
    KARABATSOS, N
    GUBLER, DJ
    [J]. AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 1995, 53 (01) : 100 - 104
  • [16] DENGUE VIRUS-SPECIFIC AND FLAVIVIRUS GROUP DETERMINANTS IDENTIFIED WITH MONOCLONAL-ANTIBODIES BY INDIRECT IMMUNOFLUORESCENCE
    HENCHAL, EA
    GENTRY, MK
    MCCOWN, JM
    BRANDT, WE
    [J]. AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 1982, 31 (04) : 830 - 836
  • [17] Herrera J. L., 1993, Morbidity and Mortality Weekly Report, V42, P1
  • [18] HINH LD, 1986, CLIN NEUROL NEUROSUR, P189
  • [19] PROTECTION AGAINST JAPANESE ENCEPHALITIS BY INACTIVATED VACCINES
    HOKE, CH
    NISALAK, A
    SANGAWHIPA, N
    JATANASEN, S
    LAORAKAPONGSE, T
    INNIS, BL
    KOTCHASENEE, SO
    GINGRICH, JB
    LATENDRESSE, J
    FUKAI, K
    BURKE, DS
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1988, 319 (10) : 608 - 614
  • [20] STUDIES OF JAPANESE ENCEPHALITIS IN CHINA
    HUANG, CH
    [J]. ADVANCES IN VIRUS RESEARCH, 1982, 27 : 71 - 101