[在哥伦比亚博亚卡省西部马格达莱纳河谷中部山麓两个流行疫源地的住宅内存在巴拿马利什曼原虫(V.)的感染媒介]
[Presence of infected vectors of Leishmania (V.) panamensis within dwellings in two endemic foci in the foothill of the middle Magdalena valley, western Boyacá, Colombia].
作者信息
Santamaría Erika, Ponce Nubia, Zipa Yaneth, Ferro Cristina
机构信息
Laboratorio de Entomología, Instituto Nacional de Salud, Bogotá, D.C., Colombia.
出版信息
Biomedica. 2006 Oct;26 Suppl 1:82-94.
INTRODUCTION
Case records of leishmaniasis of the years 1997 to 2003 of the department of Boyaca showed that since the year 2000 the department experienced an unusual rise in the incidence of cutaneous leishmaniasis that might correspond to an epidemic outbreak in the western region of the department. Age and gender distribution of cases supported a domestic transmission.
OBJECTIVE
This research was designed to identify the vectors of cutaneous leishmaniasis in the municipalities of Otanche and Pauna through their presence in dwellings and their natural infection with the same species of Leishmania isolated from patients.
MATERIAL AND METHODS
Sampling of sand flies was done with CDC traps in and around dwellings. Samples from patients and pooled females of the most abundant species of Lutzomyia were used to identify the parasite by PCR. Monoclonal antibody typing was also used to confirm the identification of the parasite in samples from patients.
RESULTS
In both municipalities L. trapidoi was the most abundant anthropophilic species of Lutzomyia indoors and around dwellings. L. hartmanni and L. yuilli were also abundant in Otanche, and L. gomezi and L. panamensis in Pauna. Leishmania (V) panamensis was identified both in patients and in the sand flies: L. yuilli, L. gomezi and L. panamensis..
CONCLUSION
Our findings prove the presence of infected vectors of Leishmania panamensis within dwellings in the towns of Otanche and Pauna in Western Boyacá. Since L. trapidoi was the most abundant species, it may be considered as the principal vector of Leishmania (V.) panamensis. The evidence of transmission within human dwellings warrants vector control at least in this environment.
引言
博亚卡省1997年至2003年利什曼病的病例记录显示,自2000年以来,该省皮肤利什曼病的发病率异常上升,这可能与该省西部地区的疫情爆发有关。病例的年龄和性别分布支持家庭传播。
目的
本研究旨在通过在奥坦切和保纳市的住宅中发现利什曼原虫载体以及它们自然感染从患者分离出的同一种利什曼原虫,来确定皮肤利什曼病的传播媒介。
材料与方法
使用疾控中心诱捕器在住宅内及周围采集白蛉样本。来自患者的样本以及最常见的卢氏白蛉雌性群体样本用于通过聚合酶链反应鉴定寄生虫。单克隆抗体分型也用于确认患者样本中寄生虫的鉴定结果。
结果
在这两个市镇,特拉皮多伊白蛉是室内及住宅周围最常见的嗜人卢氏白蛉种类。哈特曼氏白蛉和尤伊利氏白蛉在奥坦切也很常见,戈麦斯氏白蛉和巴拿马白蛉在保纳很常见。在患者和白蛉中均鉴定出巴拿马利什曼原虫(V):尤伊利氏利什曼原虫、戈麦斯氏利什曼原虫和巴拿马利什曼原虫。
结论
我们的研究结果证明,在西博亚卡省的奥坦切和保纳镇的住宅内存在感染巴拿马利什曼原虫的媒介。由于特拉皮多伊白蛉是最常见的种类,它可被视为巴拿马利什曼原虫(V.)的主要传播媒介。在人类住宅内存在传播证据,这至少在这种环境下需要进行媒介控制。