El Sherbini Azza, Kabbash Ibrahim, Schelling Esther, El Shennawy Salama, Shalapy Nagwa, Elnaby Gamal Hasab, Helmy Abdel Aziz, Eisa Adel
Research Unit, Tanta Fever Hospital, Taha El-Hakim St., Tanta 3111, Egypt.
Trans R Soc Trop Med Hyg. 2007 Sep;101(9):923-8. doi: 10.1016/j.trstmh.2007.04.020. Epub 2007 Jun 29.
This study aimed at assessing the epidemiology of brucellosis among both human and livestock populations in an endemic area in Egypt. A cross-sectional survey was conducted in two villages, where 616 inhabitants (aged 3-75 years) and 350 livestock of 97 households were enrolled. Sera were tested for Brucella spp. antibodies by tube agglutination test for both populations. Proportions of seropositive sera were 0.0 and 1.7% among the inhabitants, and 0.0 and 16% among livestock of villages I and II, respectively. Calculated seroprevalences considering the clustering of brucellosis within households were 0.03 for people and 5.2 for livestock in village II. The village variable (P=0.07) and keeping sheep in the household (P=0.01) were significant risk factors for human brucellosis, whereas only the village was significant for livestock (P<0.001). Sheep showed the highest seropositive proportions of brucellosis among livestock. No association could be detected between human and livestock brucellosis. In conclusion, we found local variation of seroprevalences of brucellosis among human and livestock in the two surveyed villages. Further epidemiological studies have to be conducted in randomly selected governorates, not only to confirm the low seroprevelance of human brucellosis, but also to assess the risk factors of livestock infection for terms of prophylaxis.
本研究旨在评估埃及某流行地区人畜群体中的布鲁氏菌病流行病学情况。在两个村庄开展了一项横断面调查,纳入了616名居民(年龄在3至75岁之间)和97户家庭的350头家畜。对这两个人群的血清均采用试管凝集试验检测布鲁氏菌属抗体。在居民中,血清阳性率分别为0.0%和1.7%,在村庄I和村庄II的家畜中,血清阳性率分别为0.0%和16%。考虑到布鲁氏菌病在家户内的聚集情况,计算得出的村庄II人群血清阳性率为0.03,家畜血清阳性率为5.2。村庄变量(P=0.07)和家庭饲养绵羊(P=0.01)是人类布鲁氏菌病的显著危险因素,而对于家畜,只有村庄是显著危险因素(P<0.001)。在家畜中,绵羊的布鲁氏菌病血清阳性比例最高。未发现人类和家畜布鲁氏菌病之间存在关联。总之,我们发现两个被调查村庄的人畜布鲁氏菌病血清阳性率存在局部差异。必须在随机选择的省份开展进一步的流行病学研究,不仅要确认人类布鲁氏菌病的低血清阳性率,还要评估家畜感染的危险因素以便进行预防。