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人体弓蛔虫病:巴西东北部累西腓一家淋巴丝虫病门诊诊所的儿童和青少年中抗弓蛔虫抗体的频率

Human toxocariasis: frequency of anti-Toxocara antibodies in children and adolescents from an outpatient clinic for lymphatic filariasis in Recife, Northeast Brazil.

作者信息

Aguiar-Santos Ana Maria, Andrade Luiz D, Medeiros Zulma, Chieffi Pedro Paulo, Lescano Suzana Z, Perez Emília P

机构信息

Centro de Pesquisas Aggeu Magalhães, FIOCRUZ, Campus da Universidade Federal de Pernambuco, Cidade Universitária, Recife, PE, 50670-420, Brasil.

出版信息

Rev Inst Med Trop Sao Paulo. 2004 Mar-Apr;46(2):81-5. doi: 10.1590/s0036-46652004000200005. Epub 2004 May 5.

Abstract

In a transversal study on a sample of 386 children and adolescents from an outpatient clinic for filariasis in Recife, Northeast Brazil, the frequency of anti-Toxocara antibodies and its relation to age, gender, number of peripheral eosinophils, Wuchereria bancrofti microfilariae and intestinal helminths was determined. The total anti-Toxocara IgG antibody frequency was 39.4%, by ELISA technique. The difference in frequency between males (40.1%) and females (37.6%) was not statistically significant. The 6 to 10-year-old subset presented the highest frequency of anti-Toxocara antibodies (60%), and within this age group there was a statistically significant male bias. There was also a significant association between the number of eosinophils and the presence of anti-Toxocara antibodies. Intestinal parasite frequency was 52.1%, but no association was found between this data and the presence of anti-Toxocara antibodies. In the present sample, 42.2% of the patients were Wuchereria bancrofti carriers, however, again this was not associated with the presence of anti-Toxocara antibodies. In conclusion, anti-Toxocara antibodies were highly prevalent in this sample. The present data show that there is no cross correlation between anti-Toxocara IgG antibody and the presence of intestinal helminths and filariasis.

摘要

在巴西东北部累西腓一家丝虫病门诊对386名儿童和青少年样本进行的一项横断面研究中,测定了抗弓蛔虫抗体的频率及其与年龄、性别、外周嗜酸性粒细胞数量、班氏吴策线虫微丝蚴和肠道蠕虫的关系。采用酶联免疫吸附测定(ELISA)技术,抗弓蛔虫IgG抗体的总频率为39.4%。男性(40.1%)和女性(37.6%)之间的频率差异无统计学意义。6至10岁年龄组抗弓蛔虫抗体的频率最高(60%),且在该年龄组内存在统计学上显著的男性偏倚。嗜酸性粒细胞数量与抗弓蛔虫抗体的存在之间也存在显著关联。肠道寄生虫感染率为52.1%,但该数据与抗弓蛔虫抗体的存在之间未发现关联。在本样本中,42.2%的患者为班氏吴策线虫携带者,然而,这同样与抗弓蛔虫抗体的存在无关。总之,抗弓蛔虫抗体在该样本中高度流行。目前的数据表明,抗弓蛔虫IgG抗体与肠道蠕虫和丝虫病的存在之间不存在交叉相关性。

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