Patton S, Faulkner C T
Department of Environmental Practice, College of Veterinary Medicine, University of Tennessee, Knoxville 37901-1071.
J Am Vet Med Assoc. 1992 May 15;200(10):1533-4.
Clinical records of 6,977 dogs examined at the small animal clinic of the University of Tennessee College of Veterinary Medicine from January 1980 through December 1989 were analyzed to determine the prevalence and changing frequency of Dirofilaria immitis and Dipetalonema reconditum infection. Using the Knott's test on these dogs, 805 (11.54%) tested positive for microfilariae, with D immitis in 430 dogs (6.16%), and Dip reconditum in 375 dogs (5.37%). Statistical analysis confirmed that the prevalence of D immitis and that of Dip reconditum were essentially equal in the population of dogs included in this study. There was a slight decrease in the prevalence of D immitis over the 10 years examined, but the prevalence of Dip reconditum remained constant. The results were not affected by year-to-year variability in the number of examinations performed. On the basis of our findings, in eastern Tennessee, those veterinarians who diagnose heartworm infection by the presence of microfilariae without differentiating the species involved, risk misdiagnosing 50% of the cases. If the patterns of prevalence seen in recent years continue, the chances of error may actually increase.
对1980年1月至1989年12月期间在田纳西大学兽医学院小动物诊所接受检查的6977只犬的临床记录进行了分析,以确定犬恶丝虫和隐匿双瓣线虫感染的患病率及变化频率。对这些犬进行Knott氏试验,805只(11.54%)检测到微丝蚴呈阳性,其中430只犬感染犬恶丝虫(6.16%),375只犬感染隐匿双瓣线虫(5.37%)。统计分析证实,在本研究纳入的犬群中,犬恶丝虫和隐匿双瓣线虫的患病率基本相等。在所检查的10年中,犬恶丝虫的患病率略有下降,但隐匿双瓣线虫的患病率保持不变。结果不受每年检查数量的逐年变化影响。根据我们的研究结果,在田纳西州东部,那些通过微丝蚴的存在来诊断心丝虫感染而不区分所涉及的种类的兽医,有50%的病例存在误诊风险。如果近年来所见的患病率模式持续下去,误诊的可能性实际上可能会增加。