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[奥地利东南部猎人中人畜共患病感染的血清流行病学研究——患病率、危险因素及预防方法]

[Seroepidemiological studies of zoonotic infections in hunters in southeastern Austria--prevalences, risk factors, and preventive methods].

作者信息

Deutz Armin, Fuchs Klemens, Schuller Walter, Nowotny Norbert, Auer Herbert, Aspöck Horst, Stünzner Doris, Kerbl Ulrike, Klement Charlotte, Köfer Josef

机构信息

Fachabteilung 8C-Veterinärwesen, Universität Wien.

出版信息

Berl Munch Tierarztl Wochenschr. 2003 Jul-Aug;116(7-8):306-11.

Abstract

The aim of this study was to investigate the seroprevalences to zoonotic pathogens in hunters, to propose preventive measures and to obtain more information about the occurrence of zoonotic pathogens in local wild animal populations. From 146 male and 3 female hunters originating from the south-eastern Austrian federal states of Styria and Burgenland blood samples were taken and anamnestic data were obtained using a questionnaire. The serological investigations included the following viral, bacterial and parasitic zoonotic agents or zoonoses, respectively (antibody-seroprevalences in brackets): encephalomyocarditis virus (EMCV, 15%), Puumala-Hantavirus (10%), Newcastle Disease virus (NDV, 4%), borreliosis (IgG 42%, IgM 7%), brucellosis (1%), chlamydiosis (3%), ehrlichiosis (IgG 15%, IgM 3%), leptospirosis (10%), tularaemia (3%), Q fever (0%), Echinococcus multilocularis/E. granulosus (5%/11%), toxocariasis (17%). Out of a control group of 50 persons (urban population, no hunters) only one person was found to be seropositive for Toxocara canis and NDV and four for EMCV, all other results were negative in the control group. The high seroprevalences especially to Borrelia burgdorferi s.l., Ehrlichia spp., Leptospira interrogans, E. granulosus, E. multilocularis, encephalomyocarditis virus and Puumala virus demonstrate that hunters are particularly exposed to zoonotic pathogens. It should also be noted that one hunter was seropositive for Brucella abortus and five exhibited antibodies to Francisella tularensis. In these cases, as well as in the cases of the 15 seropositives for Leptospira interrogans, the suspected source of infection may--besides rodents--also include wild boars and brown hares. The infections with NDV and Chlamydophila psittaci may be traced back to contact with certain species of birds (potential risk: aviaries). For Hantaviruses, rodents are considered to be the main source of human infections.

摘要

本研究的目的是调查猎人中人畜共患病原体的血清流行率,提出预防措施,并获取有关当地野生动物种群中人畜共患病原体发生情况的更多信息。从来自奥地利东南部施蒂利亚州和布尔根兰州的146名男性和3名女性猎人身上采集血样,并通过问卷调查获取既往病史数据。血清学调查分别包括以下病毒、细菌和寄生虫人畜共患病原体或人畜共患病(括号内为抗体血清流行率):脑心肌炎病毒(EMCV,15%)、普马拉汉坦病毒(10%)、新城疫病毒(NDV,4%)、莱姆病(IgG 42%,IgM 7%)、布鲁氏菌病(1%)、衣原体病(3%)、埃立克体病(IgG 15%,IgM 3%)、钩端螺旋体病(10%)、兔热病(3%)、Q热(0%)、多房棘球绦虫/细粒棘球绦虫(5%/11%)、弓蛔虫病(17%)。在50人的对照组(城市人口,非猎人)中,仅发现1人犬弓蛔虫和NDV血清阳性,4人EMCV血清阳性,对照组的所有其他结果均为阴性。尤其是对伯氏疏螺旋体狭义种、埃立克体属、问号钩端螺旋体、细粒棘球绦虫、多房棘球绦虫、脑心肌炎病毒和普马拉病毒的高血清流行率表明,猎人特别容易接触人畜共患病原体。还应注意的是,一名猎人流产布鲁氏菌血清阳性,五名猎人显示兔热弗朗西斯菌抗体。在这些病例以及15例问号钩端螺旋体血清阳性病例中,除啮齿动物外,疑似感染源还可能包括野猪和褐兔。NDV和鹦鹉热衣原体感染可能追溯到与某些鸟类的接触(潜在风险:鸟类饲养场)。对于汉坦病毒,啮齿动物被认为是人类感染的主要来源。

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