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阿根廷一个农村社区中人类弓蛔虫病的相关因素。

Related factors to human toxocariasis in a rural community of Argentina.

作者信息

Chiodo Paula, Basualdo Juan, Ciarmela Laura, Pezzani Betina, Apezteguía María, Minvielle Marta

机构信息

Faculdad de Ciencias Medicas, Universidad Nacional de La Plata,La Plata, Argentina.

出版信息

Mem Inst Oswaldo Cruz. 2006 Jun;101(4):397-400. doi: 10.1590/s0074-02762006000400009.

Abstract

The objective of this study was to evaluate the relationship between toxocariasis frequency and demographic, environmental, sanitary variables, eosinophylia, and other intestinal parasites in a rural population of Argentina. Serological examination of 100 individuals was carried out by using ELISA technique for the detection of anti-toxocara antibodies. Eosinophiles in peripheral blood, presence of intestinal parasites, and demographic, environmental, and socio-cultural data were evaluated. Eighty-one feces samples of dogs belonging to the studied people were analyzed to detect eggs of Toxocara canis. Thirty of them were from 30 dogs and 51 were pools from dog feces. Samples of dirt from around the homes (n: 47) and from public park (n: 4) were taken. To determine the associations, the c(2) and Fisher tests were used. The seroprevalence was 23%. Eosinophilia in peripheral blood was detected in 86.95% seropositive individuals and in 37.66% seronegative individuals (p < 0.001, OR = 11.03). Of the 23 people with positive serology, 69.56% had at least one intestinal parasite. All individuals with positive serology had dogs in their homes. Among the dog owners there was a significant association between the presence of anti-toxocara antibodies and home flooding. Eggs of T. canis were detected in the feces of 5/81 dogs and three of these dogs belonged to individuals with positive serology. Eggs of Toxocara spp. were found in 41.17% of the dirt samples, eight of which came from the area surrounding the homes of individuals with positive serology (p = 0.032; OR = 4.36). Taking into account all the variables influencing the frequency of toxocariasis in this population, the implementation of Public Health programs specifically focused on anti-parasitic treatment of dogs is recommended.

摘要

本研究的目的是评估阿根廷农村人口中弓蛔虫病感染率与人口统计学、环境、卫生变量、嗜酸性粒细胞增多以及其他肠道寄生虫之间的关系。采用酶联免疫吸附测定(ELISA)技术对100名个体进行血清学检测,以检测抗弓蛔虫抗体。评估外周血中的嗜酸性粒细胞、肠道寄生虫的存在情况以及人口统计学、环境和社会文化数据。对属于研究对象的81份犬粪便样本进行分析,以检测犬弓蛔虫卵。其中30份来自30只犬,51份是犬粪便混合样本。采集了房屋周围(n = 47)和公共公园(n = 4)的泥土样本。为确定关联,使用了卡方检验和费舍尔检验。血清阳性率为23%。外周血嗜酸性粒细胞增多在86.95%的血清阳性个体和37.66%的血清阴性个体中被检测到(p < 0.001,比值比(OR)= 11.03)。在23名血清学阳性的人中,69.56%至少有一种肠道寄生虫。所有血清学阳性的个体家中都养狗。在狗主人中,抗弓蛔虫抗体的存在与房屋被洪水淹没之间存在显著关联。在81只犬的粪便中检测到5只犬的犬弓蛔虫卵,其中3只犬的主人血清学呈阳性。在41.17%的泥土样本中发现了弓蛔虫属的虫卵,其中8份来自血清学阳性个体房屋周围区域(p = 0.032;OR = 4.36)。考虑到影响该人群弓蛔虫病感染率的所有变量,建议实施专门针对犬类抗寄生虫治疗的公共卫生项目。

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