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捷克共和国南波希米亚选定地区宿主搜寻性蓖麻硬蜱中伯氏疏螺旋体狭义种的流行情况。

Prevalence of Borrelia burgdorferi sensu lato genospecies in host-seeking Ixodes ricinus ticks in selected South Bohemian locations (Czech Republic).

作者信息

Danielová V, Daniel M, Rudenko N, Golovchenko M

机构信息

National Institute of Public Health, Prague, Czech Republic.

出版信息

Cent Eur J Public Health. 2004 Sep;12(3):151-6.

Abstract

In selected localities of Ceské Budĕjovice and Ceský, Krumlov districts, well known by stable high incidence of tick-borne encephalitis (TBE) human cases but with low incidence of Lyme borreliosis, monitoring of Borrelia burgdorferi sensu lato (s.l.) in Ixodes ricinus ticks was performed. Research was also aimed at the spread of I. ricinus to mountain areas of this region (National Park Sumava), as well as at investigating this tick for B. burgdorferi s.l. genospecies and TBE virus infection. Altogether 498 nymphs, 88 females and 11 males of I. ricinus from lower locations and 58 nymphs from mountain locations (760-1080 m above sea level) were tested by polymerase chain reaction. In lower locations total prevalence of Borrelia burgdorferi s.l. in Ixodes ricinus ticks was 35%. Single infection of Borrelia afzelii, B. garinii and B. burgdorferi sensu stricto (s.s.) was found in 59, 50 and 63 ticks, respectively (i.e. in 12.8, 11.2 and 14.1%). Double infection was found in 42 ticks (6.0%) and triple infection in three ticks (0.4%). The high frequency of B. burgdorferi s.s. exceeds the as yet reported occurrence in Central Europe. These circumstances are discussed. In mountain locations B. afzelii was found in five ticks, that including two co-infection with B. garinii, in elevations of 762 m and 1024 m above sea level, respectively. This fact signals a real danger of human infections in a region that was previously deemed to be without risk. Moreover, this region is more and more the target destination of tourist activities. The results also suggest that the penetration of infection can be rapid and formation and establishment of natural focus of Lyme borreliosis might be rather quick.

摘要

在捷克布杰约维采市以及捷克克鲁姆洛夫地区某些特定地点开展了一项研究,这些地方以蜱传脑炎(TBE)人类病例的高发病率稳定而闻名,但莱姆病发病率较低。研究对蓖麻硬蜱中广义伯氏疏螺旋体(Borrelia burgdorferi sensu lato,s.l.)进行了监测。研究还针对蓖麻硬蜱向该地区山区(舒马瓦国家公园)的扩散情况,以及调查这种蜱是否感染广义伯氏疏螺旋体的基因种和TBE病毒。通过聚合酶链反应对来自低海拔地区的498只蓖麻硬蜱若虫、88只雌蜱和11只雄蜱以及来自山区(海拔760 - 1080米)的58只若虫进行了检测。在低海拔地区,蓖麻硬蜱中广义伯氏疏螺旋体的总体感染率为35%。分别在59只、50只和63只蜱中发现了阿氏疏螺旋体(Borrelia afzelii)、加氏疏螺旋体(B. garinii)和狭义伯氏疏螺旋体(Borrelia burgdorferi sensu stricto,s.s.)的单一感染(即分别占12.8%、11.2%和14.1%)。在42只蜱中发现了双重感染(6.0%),在3只蜱中发现了三重感染(0.4%)。狭义伯氏疏螺旋体的高感染频率超过了目前在中欧报道的发生率。对这些情况进行了讨论。在山区,在海拔分别为762米和1024米的5只蜱中发现了阿氏疏螺旋体,其中包括2只与加氏疏螺旋体的共同感染。这一事实表明,在一个以前被认为没有风险的地区,人类感染存在真正的危险。此外,该地区越来越成为旅游活动的目标目的地。研究结果还表明,感染的传播可能很快,莱姆病自然疫源地的形成和确立可能相当迅速。

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