Pediatric Gastroenterology, Hepatology & Nutrition
- 제7권2호
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- Pages.143-152
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- 2004
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- 2234-8646(pISSN)
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- 2234-8840(eISSN)
간접 효소 면역측정법을 이용한 입원 환아의 대변에서 바이러스 항원의 검출과 임상적 의의
Detection of Viral Antigens in Stool Using EIA in Hospitalized Children and Clinical Implication
- Min, Jung Hye (Department of Pediatrics, Hongik General Hospital) ;
- Seo, Jeong Wan (Department of Pediatrics, Ewha Womans University College of Medicine) ;
- Park, Hye Kyung (Department of Microbiology, Ewha Womans University College of Medicine)
- 투고 : 2004.08.05
- 심사 : 2004.09.17
- 발행 : 2004.09.01
초록
목적: 급성 설사로 입원한 소아의 대변 검체에서 rotavirus, adenovirus, astrovirus, calicivirus 및 enterovirus의 바이러스 항원을 검출하고 임상 증상과의 연관성을 알기 위해 본 연구를 시도하였다. 방법: 이화여자대학교 의과대학 목동병원 소아과에 1996년 3월부터 1999년 12월 사이에 입원하였던 소아 74명의 대변을 채취하였는데, 53개는 급성 설사 환자에서 채취하여 이를 설사군으로, 21개는 동일시기에 설사가 없는 타질환으로 입원한 소아에서 무작위로 채취하여 이는 대조군으로 분류하였다. 대변 검체는 영하
Purpose: The purpose of this study is to detect viral coproantigens in children who were hospitalized with acute diarrhea and to compare its association with clinical symptoms. Methods: Seventy-four stool samples were collected from children admitted to Ewha Mokdong Hospital from March 1996 to December 1999. The samples were frozen and analyzed for rotavirus, adenovirus, enterovirus, astrovirus, and calicivirus by enzyme immunoassay (EIA) with monoclonal antibody. 53 stool samples were collected from patients with diarrhea (diarrheal group) and 21 stool samples from patients hospitalized for reasons other than diarrhea (control group). Clinical features and laboratory findings were reviewed in both groups. Results: Among 74 stool samples, virus antigens were detected in 60 samples. Of the 60 virus-positive stool samples, 47 enterovirus, 26 rotavirus, 16 adenovirus, 11 astrovirus, and 11 calicivirus antigens were detected by EIA. Of the 60 virus-positive stool samples, 28 samples have one viral antigen, 30 samples have 2 or more viral antigens, and 2 samples showed a simultaneous infection of Salmonella group B and enterovirus. There was no relationship between the detected virus and clinical features. Conclusion: In this study, viral coproantigen and clinical symptoms were not associated. In the future, further larger scale studies are necessary.