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越南北部高流行区家畜中食源性人兽共患吸虫感染的患病率及风险

Prevalence and risks for fishborne zoonotic trematode infections in domestic animals in a highly endemic area of North Vietnam.

作者信息

Nguyen Thi Lan Anh, Nguyen Thi Phuong, Johansen Maria Vang, Murrell K Darwin, Phan Thi Van, Dalsgaard Anders, Luong To Thu, Thamsborg Stig Milan

机构信息

National Institute of Veterinary Research, Hanoi, Viet Nam.

出版信息

Acta Trop. 2009 Nov;112(2):198-203. doi: 10.1016/j.actatropica.2009.07.027. Epub 2009 Aug 4.

Abstract

Fishborne zoonotic trematodes (FZT) are endemic in humans and cultured fish in Vietnam but little is known about FZT in domestic animals. A study was designed to determine FZT prevalence and species diversity, and risk factors for infection, in dogs, cats and pigs. Faecal samples from 186 dogs, 94 cats and 168 pigs belonging to 132 households in Nghia Hung district, Nam Dinh province, were examined for small trematode eggs; those were trematode eggs with length less than 50 microm. Prevalence of FZT varied significantly between cats (70.2%), dogs (56.9%) and pigs (7.7%). Forty-nine of the egg-positive animals (25 dogs, 20 cats and 4 pigs) were necropsied to obtain adult trematodes for identification. The liver fluke, Clonorchis sinensis, and 11 species of intestinal flukes including Haplorchis, Stellantchasmus, Stictodora and Centrocestus were recovered from the infected animals. The practice of feeding raw fish to the animals was a significant risk factor for infection; this risk was reduced if the animals were periodically treated with anthelmintics. Based on the high prevalence of FZT and certain risky husbandry practices, domestic animals are likely to be major contributors of FZT eggs to the environment. Therefore, education of farmers to avoid feeding raw fish and to perform regular anthelmintic treatment of dogs, cats and pigs is needed in integrated FZT control programs.

摘要

食源性人畜共患吸虫(FZT)在越南的人类和养殖鱼类中呈地方性流行,但对家畜中的FZT了解甚少。一项研究旨在确定狗、猫和猪中FZT的流行率、物种多样性及感染风险因素。对南定省义兴县132户家庭的186只狗、94只猫和168头猪的粪便样本进行检查,以查找小型吸虫卵;这些吸虫卵的长度小于50微米。FZT的流行率在猫(70.2%)、狗(56.9%)和猪(7.7%)之间存在显著差异。对49只卵阳性动物(25只狗、20只猫和4头猪)进行尸检,以获取成虫进行鉴定。从受感染动物体内检出了华支睾吸虫以及包括哈氏属、棘隙属、窄体属和半尾属在内的11种肠吸虫。给动物喂食生鱼的做法是感染的一个重要风险因素;如果定期给动物使用驱虫药,这种风险会降低。基于FZT的高流行率和某些危险的饲养方式,家畜很可能是环境中FZT卵的主要来源。因此,在综合FZT控制项目中,需要对农民进行教育,使其避免喂食生鱼,并对狗、猫和猪定期进行驱虫治疗。

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