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巨细胞病毒特异性IgG抗体亲和力测定及其临床意义
引用本文:李革,熊杰,刘志峰. 巨细胞病毒特异性IgG抗体亲和力测定及其临床意义[J]. 中国实用儿科杂志, 2001, 16(3): 162-164
作者姓名:李革  熊杰  刘志峰
作者单位:华中科技大学同济医学院附属同济医院儿科临床病毒室
摘    要:
目的

关 键 词:巨细胞病毒
文章编号:1005-2224(2001)03-0162-03
修稿时间:2000-10-30

Measurement of specificIgG avidity for verification of recent primary cytomegalovirus infection
Li Ge,XIONG Jie,Liu Zhifeng. Measurement of specificIgG avidity for verification of recent primary cytomegalovirus infection[J]. Chinese Journal of Practical Pediatrics, 2001, 16(3): 162-164
Authors:Li Ge  XIONG Jie  Liu Zhifeng
Affiliation:Li Ge,Xiong Jie,Liu Zhifeng.Department of Pediatrics,Tongji Hospital of Tongji Medical College,Huazhong Science and Technology University,Wuhan 430030
Abstract:
Objective To distinguish primary CMV infection from reactivation or reinfection.Methods A urea denaturation test was included in the washstep of the standard IgG ELISA in 12 patients of age<12 whose serum CMV-IgG were positive,avidity indexes of CMV-IgG were measured.Results Among children aged 1~12 years,the varieties of avidity indexes of CMV-IgG in A group(IgM negative and IgG positive) and B group(IgM positive and IgG positive) had the same trend.There was only one case in B group whose avidity index was under 30%,the other were all above 30%,and most were above 50%.But among 40 children aged 1~12 months,the avidity indexes were under 30% in 21 cases,8 cases were 30~50%,and 11 cases were above 50%.The antibody avidity in 1~6 months children was influenced by their mother's IgG,80%(12/15) of 7~12 months children had low-avidity antibodies.Conclusion CMV infection mostly occurred among 1~12 months children.Urea denaturation test was an efficient method to distinguish primary CMV infection from reactivation or reinfection.
Keywords:Cytomegalovirus IgG antibody Avidity index
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