Field Deployment of a Mobile Biosafety Laboratory Reveals the Co-Circulation of Dengue Viruses Serotype 1 and Serotype 2 in Louga City, Senegal, 2017.

Field Deployment of a Mobile Biosafety Laboratory Reveals the Co-Circulation of Dengue Viruses Serotype 1 and Serotype 2 in Louga City, Senegal, 2017.
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DOI:
10.1155/2021/8817987
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发表时间:
2021
影响因子:
2.2
通讯作者:
Faye O
Faye O
中科院分区:
医学4区
文献类型:
--
作者:
Dieng I;Diarra M;Diagne MM;Faye M;Dior Ndione MH;Ba Y;Diop M;Ndiaye EH;Marinho de Andrade Zanotto P;Diop B;Ndiaye M;Bousso A;Dia N;Diallo M;Barry A;Fall G;Loucoubar C;Sall AA;Faye O;Faye O

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登革病毒(DENV)是世界范围内最普遍的虫媒病毒威胁。这种病毒属于黄病毒科黄病毒属,引起广泛的临床表现,从无症状或轻度发热性疾病(登革热)到危及生命的感染(严重登革热)。自1970年以来,塞内加尔发生了许多零星病例和疫情。尽管如此,本文描述了2017年9月5日至2017年12月17日期间通过部署移动的生物安全实验室(MBS-Lab)对疑似登革热病例进行的实地调查。总共收集了960份人血清,并通过实时RT-PCR在现场检测病毒RNA的存在。同时进行血清学分型、E基因全序列测定和系统发育分析。在960例疑似病例中,131例为确诊登革热病例。大多数确诊病例来自Louga社区。血清分型显示两种血清型,登革热1型(100/104; 96,15%)和登革热2型(04/104; 3,84%)。对获得的序列的系统发育分析表明,登革热1型毒株与2013年新加坡(亚洲)爆发的毒株(KX 380803.1)密切相关,并与2016年布基纳法索登革热爆发的毒株(KY62776.1)密切相关的登革热2型毒株共传播。我们的研究结果表明,在一次暴发中,两种登革热病毒血清型在短时间内共同传播。这种共同传播强调了改善监测的必要性,以便通过抗体依赖性增强(ADE)预防未来潜在的严重登革热病例。有趣的是,它还证明了MBS-Lab在需要时快速应对疫情的可靠性和实用性,这使得早期病例管理成为可能。
Dengue virus (DENV) is the most prevalent arboviral threat worldwide. This virus belonging to genus Flavivirus, Flaviviridae family, is responsible for a wide spectrum of clinical manifestations, ranging from asymptomatic or mild febrile illness (dengue fever) to life-threatening infections (severe dengue). Many sporadic cases and outbreaks have occurred in Senegal since 1970. Nevertheless, this article describes a field investigation of suspected dengue cases, between 05 September 2017 and 17 December 2017 made possible by the deployment of a Mobile Biosafety Laboratory (MBS-Lab). Overall, 960 human sera were collected and tested in the field for the presence of viral RNA by real-time RT-PCR. Serotyping, sequencing of complete E gene, and phylogenetic analysis were also performed. Out of 960 suspected cases, 131 were confirmed dengue cases. The majority of confirmed cases were from Louga community. Serotyping revealed two serotypes, Dengue 1 (100/104; 96, 15%) and Dengue 2 (04/104; 3, 84%). Phylogenetic analysis of the sequences obtained indicated that the Dengue 1 strain was closely related to strains isolated, respectively, in Singapore (Asia) in 2013 (KX380803.1) outbreak and it cocirculated with a Dengue 2 strain closely related to strains from a Burkina Faso dengue outbreak in 2016 (KY62776.1). Our results showed the co-circulation of two dengue virus serotypes during a single outbreak in a short time period. This co-circulation highlighted the need to improve surveillance in order to prevent future potential severe dengue cases through antibody-dependent enhancement (ADE). Interestingly, it also proved the reliability and usefulness of the MBS-Lab for expedient outbreak response at the point of need, which allows early cases management.
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