A STUDY ON HUMAN PARVOVIRUS B19 INFECTION IN PEOPLE IN ZHAOQING

Cai Dingbang, Chen Xiang, Guo Liang, Wen Zhong, Lu Xing, Mo Weixiong, Yan Zhixian

The First People’s Hospital, Zhaoqing, China

ObjectiveTo study the prevalence of human parvovirus B19 infection in various people in Zhaoqing. MethodHuman parvovirus B19 DNA was detected with nested polymerase chain reaction (PCR) in various people. Result The positive detective rates were 8.72% in 1662 cases of healthy people, 10.71% in newborns, 10.27% in pregnant women and 5.08% in normal adults, respectively. The new borns and pregnant women had higher positive rate than adults (P0.01), but no significant difference existed between infants and adults and no sex difference was found. Among 101 pairs of newborns(including 2 pairs of twins) and maternal women, the positive detective rates were 19.42% in newborns and 12.87% in maternal women(there was no significant difference between them), co-positive rates were 2.97%. The newborns and maternal women had higher positive rate than normal people (P0.01). 2 cases of hydrocephalus and edema occurred in 20 cases of positive newborns. The positive detective rate was 5.08% in 374 cases of blood donors, including 6.45% in 93 cases of A type, 3.45% in 58 cases of B type, 13.64% in 44 cases of AB type and 2.79% in 179 cases of O type. The positive detective rate were 28.54% in 522 cases of hospitalized newborns and children, including 46.21% in 132 newborns and 22.56% in 390 childrensignificantly higher than those in normal newborns and children (P0.01. The positive detective rate was 33.33% in 84 cases of congenital cleft lip and cleft palate, significantly higher than that in hospitalized and normal children (P0.001. The positive detective rate was 19.1% in 63 cases of idiopathic thrombocytopenic purpura (ITP), significantly higher than that in normal children (P0.01. The positive detective rate was 34.69% in 49 cases of congenital cerebralpathy, significantly higher than that in other 102 hospitalized children (P0.01. The positive detective rate was 51.4% in 72 cases of congenital heart defect, significantly higher than that in hospitalized and normal children (P0.01). Conclusions The positive infection rate of parvovirus B19 in healthy population rages from 5.08% to 10.71%. Owing to lower immunity and resistance to infection as physiological cause, there are higher infection rates in newborns and pregnant women. The positive infection rate of parvovirus B19, in blood donors is 5.08%. To prevent the infection of parvovirus B19 the use of positive blood should be prohibited in blood donors. The positive infection rate is respectively 46.21% and 22.56% in hospitalized newborns and children, significantly higher than that in normal newborns and children. There are very high infection rates in some congenital diseases as cleft lip and cleft palate, cerebralpathy and heart defect. In addition, the infection of parvovirus B19 in pregnant women might result in congenital anomaly. The parvovirus B19 infection might also play a role in the pathogenesis of ITP.

 
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