Turnbull P C, Doganay M, Lindeque P M, Aygen B, McLaughlin J
Division of Biologics, Public Health Laboratory Service Centre for Applied Microbiology and Research, Salisbury, Wiltshire, UK.
Epidemiol Infect. 1992 Apr;108(2):299-313. doi: 10.1017/s0950268800049773.
Results are presented from a number of epidemiological studies using enzyme immunoassays (EIA) based on the purified anthrax toxin antigens, protective antigen, lethal factor and oedema factor. Studies on sera from a group of 62 human anthrax patients in Turkey and from cattle in Britain following two unrelated outbreaks of anthrax show that EIA using protective antigen can be a useful diagnostic aid and will detect subclinical infections in appropriate circumstances. A serological survey on wildlife in the Etosha National Park, Namibia, where anthrax is endemic, showed that naturally acquired anthrax-specific antibodies are rare in herbivores but common in carnivores; in carnivores, titres appear to reflect the prevalence of anthrax in their ranges. Problems, as yet unresolved, were encountered in studies on sera from pigs following an outbreak of anthrax on a farm in Wales. Clinical details, including treatment, of the human and one of the bovine outbreaks are summarized and discussed in relation to the serological findings.
本文展示了多项流行病学研究的结果,这些研究使用基于纯化炭疽毒素抗原、保护性抗原、致死因子和水肿因子的酶免疫测定法(EIA)。对土耳其62名人类炭疽患者的血清以及英国两次无关炭疽疫情后牛的血清进行的研究表明,使用保护性抗原的EIA可作为一种有用的诊断辅助手段,并且在适当情况下能够检测出亚临床感染。在炭疽流行的纳米比亚埃托沙国家公园对野生动物进行的血清学调查显示,食草动物中自然获得的炭疽特异性抗体很少见,但在食肉动物中很常见;在食肉动物中,抗体滴度似乎反映了其活动范围内炭疽的流行情况。在对威尔士一个农场爆发炭疽疫情后的猪血清进行研究时,遇到了一些尚未解决的问题。本文总结并讨论了人类和其中一次牛炭疽疫情的临床细节,包括治疗情况,并将其与血清学研究结果相关联。