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Vogel MA, Silva GA, Otero-Rodríguez S, Deschutter EJ, Ramos Rincón JM. Seroprevalence of dengue IgG and associated risk factors in symptomatic and asymptomatic adults in Posadas (Misiones, Argentina), 2017-2019. J Infect Public Health 2024; 17:663-668. [PMID: 38447322 DOI: 10.1016/j.jiph.2024.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2023] [Revised: 01/30/2024] [Accepted: 02/05/2024] [Indexed: 03/08/2024] Open
Abstract
BACKGROUND Dengue represents a major public health problem in the Americas in general, and in Posadas (Misiones, Argentina) in particular. This study aimed to assess the seroprevalence of dengue virus infection, analyze associated factors, and determine the proportion of asymptomatic cases. METHODS This prospective cross-sectional study took place from November 2017 to April 2019 in the High Complexity Laboratory of Misiones, at the School Hospital Dr. Ramón Madariaga in Posadas. A random sample of 301 adults (≥ 15 years) was selected from the electoral registry and stratified by geographical area of residence. Sociodemographic, clinical, and laboratory data were collected by means of a survey and serology. Results were analyzed using multivariable logistic regression. RESULTS The median age of the sample was 33 years; 66% were women, and 46.5% had completed at least secondary school. Anti-dengue IgG antibodies were present in 40.2% of the sample (95% confidence interval [CI] 34.5-45.9%), including 90% of those who reported dengue and 20.5% who did not (odds ratio [OR] 33.25, 95% CI 15.46-71.51, p < 0.001). In the multivariable analysis, adjusted for age, group, gender, and vaccination against yellow fever, seropositivity was associated with having relatives with dengue (adjusted OR 3.96, 95% CI 2.18-7.23; p < 0.001). CONCLUSION Seroprevalence for dengue in Posadas was higher than estimates based on the notification records, and there was a high proportion of asymptomatic cases. Educational level and having a family member who had suffered from dengue were associated with positive serology.
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Affiliation(s)
- Mara Angelina Vogel
- High Complexity Laboratory of Misiones, Ministry of Health, Posadas, Misiones, Argentina; Master of Public Health and Communicable Diseases, National University of Misiones, Posadas, Argentina.
| | - Gustavo Alfredo Silva
- Master of Public Health and Communicable Diseases, National University of Misiones, Posadas, Argentina; Department of Microbiology. Faculty of Exact, Chemical and Natural Sciences, National University of Misiones, Posadas, Argentina.
| | - Silvia Otero-Rodríguez
- Infectious Diseases Unit, Dr. Balmis General University Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain.
| | - Enrique Jorge Deschutter
- Master of Public Health and Communicable Diseases, National University of Misiones, Posadas, Argentina; Department of Microbiology. Faculty of Exact, Chemical and Natural Sciences, National University of Misiones, Posadas, Argentina.
| | - José Manuel Ramos Rincón
- Clinical Medicine Department, University Miguel Hernández de Elche, Spain; Internal Medicine Department, Dr. Balmis General University Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain.
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Gómez-Vicente E, Garcia R, Calatrava E, Olivares Duran MJ, Gutiérrez-Bautista JF, Rodriguez-Granger J, Cobo F, Navarro Mari JM, Sampedro-Martinez A. Comparative evaluation of chemiluminescent immunoassay and enzyme-linked immunosorbent assays for the diagnosis of West Nile virus infections. APMIS 2022; 130:215-220. [PMID: 35060204 DOI: 10.1111/apm.13207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
In August 2020, anew West Nile virus (WNV) outbreak affected 71 people with meningoencephalitis in Andalusia (Spain). Samples from these individuals were received in our laboratory, a regional Virus Referral Centre. The aim of this study was to compare the agreement, sensitivity and specificity of findings between the WNV VIRCLIA IgG and IgM assay (Vircell, Spain) and the WNV ELISA IgM and IgG assay (Euroimmun, Germany) and to compare the performance of WNV VIRCLIA IgM and Euroimmun ELISA for cerebrospinal fluid (CSF) diagnosis. The study included 24 CSF samples (paired with serum samples) and 247 serum samples from 217 patients with suspected WNV infection (1 or 2 per patient). The agreement between ELISA and CLIA tests for IgM and Ig G detection in serum was 93% (kappa index = 0.85) and 96% (kappa index = 0.89) respectively. Sensitivity values of ELISA and CLIA tests for IgM in serum samples were 96.7% and 98.9%, respectively, and specificity values were 96.4% and 95.4% respectively. Sensitivity values of ELISA and CLIA test for IgG in serum samples were 91.1% and 97%, respectively, and specificity values were 100% and 98.8% respectively. Results obtained with ELISA and CLIA tests in CSF samples showed 75% agreement between them (kappa index = 0.51). According to these findings, the WNV VIRCLIA IgM and IgG monotest offers an accurate qualitative detection of WNV in serum and CSF specimens.
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Affiliation(s)
- Esther Gómez-Vicente
- Servicio de Microbiología, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | | | - Elizabeth Calatrava
- Servicio de Microbiología, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | - María Jose Olivares Duran
- Servicio de Análisis Clínicos e Inmunología, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | | | | | - Fernando Cobo
- Servicio de Microbiología, Hospital Universitario Virgen de las Nieves, Granada, Spain
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Casimiro-Soriguer CS, Perez-Florido J, Fernandez-Rueda JL, Pedrosa-Corral I, Guillot-Sulay V, Lorusso N, Martinez-Gonzalez LJ, Navarro-Marí JM, Dopazo J, Sanbonmatsu-Gámez S. Phylogenetic Analysis of the 2020 West Nile Virus (WNV) Outbreak in Andalusia (Spain). Viruses 2021; 13:836. [PMID: 34063166 PMCID: PMC8148183 DOI: 10.3390/v13050836] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Revised: 04/29/2021] [Accepted: 05/03/2021] [Indexed: 12/17/2022] Open
Abstract
During recent decades West Nile Virus (WNV) outbreaks have continuously occurred in the Mediterranean area. In August 2020 a new WNV outbreak affected 71 people with meningoencephalitis in Andalusia and six more cases were detected in Extremadura (south-west of Spain), causing a total of eight deaths. The whole genomes of four viruses were obtained and phylogenetically analyzed in the context of recent outbreaks. The Andalusian viral samples belonged to lineage 1 and were relatively similar to those of previous outbreaks which occurred in the Mediterranean region. Here we present a detailed analysis of the outbreak, including an extensive phylogenetic study. As part on this effort, we implemented a local Nextstrain server, which has become a constituent piece of regional epidemiological surveillance, wherein forthcoming genomes of environmental samples or, eventually, future outbreaks, will be included.
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Affiliation(s)
- Carlos S. Casimiro-Soriguer
- Clinical Bioinformatics Area, Fundación Progreso y Salud (FPS), Hospital Virgen del Rocio, 41013 Sevilla, Spain; (C.S.C.-S.); (J.P.-F.); (J.L.F.-R.)
- Computational Systems Medicine, Institute of Biomedicine of Seville (IBIS), Hospital Virgen del Rocio, 41013 Sevilla, Spain
| | - Javier Perez-Florido
- Clinical Bioinformatics Area, Fundación Progreso y Salud (FPS), Hospital Virgen del Rocio, 41013 Sevilla, Spain; (C.S.C.-S.); (J.P.-F.); (J.L.F.-R.)
- Computational Systems Medicine, Institute of Biomedicine of Seville (IBIS), Hospital Virgen del Rocio, 41013 Sevilla, Spain
| | - Jose L. Fernandez-Rueda
- Clinical Bioinformatics Area, Fundación Progreso y Salud (FPS), Hospital Virgen del Rocio, 41013 Sevilla, Spain; (C.S.C.-S.); (J.P.-F.); (J.L.F.-R.)
| | - Irene Pedrosa-Corral
- Laboratorio de Referencia de Virus de Andalucía, Servicio de Microbiología, Hospital Virgen de las Nieves, 18014 Granada, Spain; (I.P.-C.); (V.G.-S.); (J.M.N.-M.)
- Instituto de Investigación Biosanitaria, ibs.GRANADA, 18012 Granada, Spain
| | - Vicente Guillot-Sulay
- Laboratorio de Referencia de Virus de Andalucía, Servicio de Microbiología, Hospital Virgen de las Nieves, 18014 Granada, Spain; (I.P.-C.); (V.G.-S.); (J.M.N.-M.)
- Instituto de Investigación Biosanitaria, ibs.GRANADA, 18012 Granada, Spain
| | - Nicola Lorusso
- Dirección General de Salud Pública y Ordenación Farmacéutica, Consejería de Salud y Familias, Junta de Andalucía, 41020, Sevilla, Spain;
| | - Luis Javier Martinez-Gonzalez
- GENYO, Centre for Genomics and Oncological Research: Pfizer—University of Granada—Andalusian Regional Government, 18016 Granada, Spain;
| | - Jose M. Navarro-Marí
- Laboratorio de Referencia de Virus de Andalucía, Servicio de Microbiología, Hospital Virgen de las Nieves, 18014 Granada, Spain; (I.P.-C.); (V.G.-S.); (J.M.N.-M.)
- Instituto de Investigación Biosanitaria, ibs.GRANADA, 18012 Granada, Spain
| | - Joaquin Dopazo
- Clinical Bioinformatics Area, Fundación Progreso y Salud (FPS), Hospital Virgen del Rocio, 41013 Sevilla, Spain; (C.S.C.-S.); (J.P.-F.); (J.L.F.-R.)
- Computational Systems Medicine, Institute of Biomedicine of Seville (IBIS), Hospital Virgen del Rocio, 41013 Sevilla, Spain
- Bioinformatics in Rare Diseases (BiER), Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), FPS, Hospital Virgen del Rocio, 41013 Sevilla, Spain
- ELIXIR.ES/FPS, Hospital Virgen del Rocio, 41013 Sevilla, Spain
| | - Sara Sanbonmatsu-Gámez
- Laboratorio de Referencia de Virus de Andalucía, Servicio de Microbiología, Hospital Virgen de las Nieves, 18014 Granada, Spain; (I.P.-C.); (V.G.-S.); (J.M.N.-M.)
- Instituto de Investigación Biosanitaria, ibs.GRANADA, 18012 Granada, Spain
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Arsuaga M, de la Calle-Prieto F, Negredo Antón A, Vázquez González A. [Emerging viral infections and hepatotropic virus]. Enferm Infecc Microbiol Clin 2016; 34:508-15. [PMID: 27156244 DOI: 10.1016/j.eimc.2016.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2016] [Accepted: 04/01/2016] [Indexed: 11/18/2022]
Abstract
Environmental degradation, population movements and urban agglomerations have broken down the borders for infectious diseases. The expansion of microorganisms has entered an increasing area of transmission vectors. The lack of immunity of the population leads to an increased risk of spreading infectious diseases. Furthermore, the decline in vaccination rates in developed countries and socio-economic difficulties in large regions has meant that diseases in the process of eradication have re-emerged. That is why health care workers must be trained to avoid delaying in diagnosis and to accelerate the implementation of public health measures. A great deal of education and health prevention should fall under the responsibilities of travellers who move around different regions.
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Affiliation(s)
- Marta Arsuaga
- Unidad de Medicina Tropical y Consulta del Viajero. Centro de Referencia Nacional de Enfermedades Tropicales. Servicio de Medicina Interna. Hospital La Paz-Carlos III, Madrid, España.
| | - Fernando de la Calle-Prieto
- Unidad de Medicina Tropical y Consulta del Viajero. Centro de Referencia Nacional de Enfermedades Tropicales. Servicio de Medicina Interna. Hospital La Paz-Carlos III, Madrid, España
| | - Ana Negredo Antón
- Laboratorio de Arbovirus y Enfermedades Víricas Importadas, Centro Nacional de Microbiología, ISCIII, Majadahonda, Madrid, España
| | - Ana Vázquez González
- Laboratorio de Arbovirus y Enfermedades Víricas Importadas, Centro Nacional de Microbiología, ISCIII, Majadahonda, Madrid, España
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