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HIV-1母婴传播早期诊断检测方法应用
引用本文:贺健梅,陈曦,李向忠,张国强,江洋,邹潇白,丁莉莎.HIV-1母婴传播早期诊断检测方法应用[J].中国自然医学杂志,2011(4).
作者姓名:贺健梅  陈曦  李向忠  张国强  江洋  邹潇白  丁莉莎
作者单位:湖南省疾病预防控制中心;
基金项目:全球基金中国艾滋病防治项目(CHN-304-G03-H); 湖南省卫生厅科研计划项目(B2010-091)
摘    要:目的应用核酸扩增技术对母婴传播婴幼儿人类免疫缺陷病毒(HIV)感染进行早期诊断,为临床应用提供依据。方法对2009-2010年HIV阳性孕产妇活产的34例3~14个月龄婴幼儿收集足底干血斑样本进行HIV-1 DNA检测。随访18个月后进行血清HIV抗体检测比较。结果 34例婴幼儿中,检出HIV-1 DNA 9例,检出率26.5%。9例HIV-1 DNA阳性患儿均未使用过抗病毒治疗。18个月后随访,34例婴幼儿除1例失访,2例检出HIV-1 DNA婴儿已死亡(根据临床有机会性感染体征诊断为AIDS),7例检出HIV-1 DNA婴儿血清抗体阳性外,其他24例未检出HIV-1 DNA的婴儿其血清抗体为阴性。两种方法检测结果比较符合率为100.0%。结论核酸检测是有效的早期诊断方法,早期诊断有利于后续开展母婴阻断工作。

关 键 词:母婴传播  HIV-1DNA检测  蛋白印迹试验  HIV抗体  干血斑样本  

Early laboratory detection of HIV type 1 in infants
HE Jian-mei,CHEN Xi,LI Xiang-zhong,ZHANG Guo-qiang,JIANG Yang,ZOU Xiao-bai,DING Li-sha Hunan Provincial Center for Disease Prevention , Control,Changsha,Hunan ,China.Early laboratory detection of HIV type 1 in infants[J].Chinese Journal of Natural Medicine,2011(4).
Authors:HE Jian-mei  CHEN Xi  LI Xiang-zhong  ZHANG Guo-qiang  JIANG Yang  ZOU Xiao-bai  DING Li-sha Hunan Provincial Center for Disease Prevention  Control  Changsha  Hunan  China
Institution:HE Jian-mei,CHEN Xi,LI Xiang-zhong,ZHANG Guo-qiang,JIANG Yang,ZOU Xiao-bai,DING Li-sha Hunan Provincial Center for Disease Prevention and Control,Changsha,Hunan 410005,China
Abstract:Objective To establish and evaluate polymerase chain reaction for the early detection of HIV type 1 in infants.Methods A total of 34 dried blood spot(DBS) samples were collected during 2009 and 2010 from 3-14 months infants of HIV positive mothers.All the specimens were tested by qualitative HIV-1 DNA polymerase chain reaction.HIV antibodies were tested with Western blot assay after 18 months following-up.Results HIV-1 DNA was positive in 9(26.5%) samples by HIV-1 DNA polymerase chain reaction.Of 9 HIV-1 DN...
Keywords:Mother-to-child transmission  HIV-1 DNA polymerase chain reaction  Western blot test  HIV antibody  Dried blood spot(DBS) sample  
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