Molecular epidemiology of dengue viruses in three provinces of Lao PDR, 2006-2010.

Autor: Castonguay-Vanier J; Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Microbiology Laboratory, Mahosot Hospital, Vientiane, Lao PDR.; Centre for Tropical Medicine & Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Churchill Hospital, Oxford, United Kingdom., Klitting R; UMR 'Unité des Virus Emergents' (UVE: Aix-Marseille Univ-IRD 190 -Inserm 1207 -IHU Méditerranée Infection), Marseille, France., Sengvilaipaseuth O; Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Microbiology Laboratory, Mahosot Hospital, Vientiane, Lao PDR., Piorkowski G; UMR 'Unité des Virus Emergents' (UVE: Aix-Marseille Univ-IRD 190 -Inserm 1207 -IHU Méditerranée Infection), Marseille, France., Baronti C; UMR 'Unité des Virus Emergents' (UVE: Aix-Marseille Univ-IRD 190 -Inserm 1207 -IHU Méditerranée Infection), Marseille, France., Sibounheuang B; Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Microbiology Laboratory, Mahosot Hospital, Vientiane, Lao PDR., Vongsouvath M; Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Microbiology Laboratory, Mahosot Hospital, Vientiane, Lao PDR., Chanthongthip A; Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Microbiology Laboratory, Mahosot Hospital, Vientiane, Lao PDR., Thongpaseuth S; Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Microbiology Laboratory, Mahosot Hospital, Vientiane, Lao PDR., Mayxay M; Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Microbiology Laboratory, Mahosot Hospital, Vientiane, Lao PDR.; Centre for Tropical Medicine & Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Churchill Hospital, Oxford, United Kingdom.; Faculty of Postgraduate Studies, University of Health Sciences, Vientiane, Lao PDR., Phommasone K; Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Microbiology Laboratory, Mahosot Hospital, Vientiane, Lao PDR., Douangdala P; Luang Namtha Provincial Hospital, Luang Namtha, Luang Namtha Province, Lao PDR., Inthalath S; Luang Namtha Provincial Hospital, Luang Namtha, Luang Namtha Province, Lao PDR., Souvannasing P; Salavan Provincial Hospital, Sekong, Salavan Province, Lao PDR., Newton PN; Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Microbiology Laboratory, Mahosot Hospital, Vientiane, Lao PDR.; Centre for Tropical Medicine & Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Churchill Hospital, Oxford, United Kingdom., de Lamballerie X; UMR 'Unité des Virus Emergents' (UVE: Aix-Marseille Univ-IRD 190 -Inserm 1207 -IHU Méditerranée Infection), Marseille, France., Dubot-Pérès A; Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Microbiology Laboratory, Mahosot Hospital, Vientiane, Lao PDR.; Centre for Tropical Medicine & Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Churchill Hospital, Oxford, United Kingdom.; UMR 'Unité des Virus Emergents' (UVE: Aix-Marseille Univ-IRD 190 -Inserm 1207 -IHU Méditerranée Infection), Marseille, France.
Jazyk: angličtina
Zdroj: PLoS neglected tropical diseases [PLoS Negl Trop Dis] 2018 Jan 29; Vol. 12 (1), pp. e0006203. Date of Electronic Publication: 2018 Jan 29 (Print Publication: 2018).
DOI: 10.1371/journal.pntd.0006203
Abstrakt: Few data on dengue epidemiology are available for Lao PDR. Here, we provide information on the complexity of dengue epidemiology in the country, demonstrating dynamic circulation that varies over space and time, according to serotype. We recruited 1,912 consenting patients presenting with WHO dengue criteria at Mahosot Hospital, Vientiane (central Laos), between 2006 and 2010. Between 2008 and 2010, 1,413 patients with undifferentiated fever were also recruited at Luang Namtha (LNT) Provincial Hospital (northern Laos) and 555 at Salavan (SV) Provincial Hospital (southern Laos). We report significant variations in Dengue virus (DENV) circulation between the three sites. Peaks of DENV infection were observed in the rainy seasons, although 11% of confirmed cases in the provinces and 4.6% in the capital were detected during the dry and cool seasons (between December and February). Four DENV serotypes were detected among the 867 RT-PCR positive patients: 76.9% DENV-1, 9.6% DENV-2, 7.7% DENV-4 and 5.3% DENV-3. DENV-1 was the predominant serotype throughout the study except in LNT in 2008 and 2009 when it was DENV-2. Before July 2009, DENV-2 was not detected in SV and only rarely detected in Vientiane. DENV-3 and DENV-4 were commonly detected in Vientiane, before 2008 for DENV-4 and after 2009 for DENV-3. The phylogenetic analyses of DENV envelope sequences suggest concurrent multiple introductions of new strains as well as active DENV circulation throughout Laos and with neighboring countries. It is therefore of great importance to develop and strengthen a year-round nation-wide surveillance network in order to collect data that would allow anticipation of public health issues caused by the occurrence of large dengue outbreaks.
Databáze: MEDLINE
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