Makeev S M, Maramovich A S, Iaroshenko V A, Kuznetsov A P, Kondakov A A, Cherniavskiĭ V F, Gordeev P P
Med Parazitol (Mosk). 2002 Oct-Dec(4):15-20.
There have recently substantial changes in the basic parameters of Leptospira infection in the eastern regions. The infection is characterized by a pronounced and steady-state rise in morbidity rates, by its trend for urbanization, by the spread of the disease in recreational areas, by a primary role of dogs as sources of infection, by polymorphism and atypical nature of the clinical picture of Canicola leptospirosis, which make its diagnosis difficult. The anthropurgic foci where dogs and pigs are the main sources of pathogenic leptospiras are of the leading epidemiological significance. The optimum package of measures reducing a risk of human infection is recommended.
最近,东部地区钩端螺旋体感染的基本参数发生了重大变化。该感染的特点是发病率显著且呈稳态上升、具有城市化趋势、疾病在娱乐场所传播、狗作为主要传染源、犬型钩端螺旋体病临床表现具有多态性和非典型性,这使得其诊断困难。以狗和猪为致病性钩端螺旋体主要来源的人为疫源地具有重要的流行病学意义。建议采取最佳措施组合以降低人类感染风险。