Buczek Alicja, Rudek Alicja, Bartosik Katarzyna, Szymanska Jolanta, Wojcik-Fatla Angelina
Department of Occupational Biohazards, Institute of Agricultural Medicine, Jaczewskiego 2, 20-090 Lublin, Poland.
Ann Agric Environ Med. 2009;16(2):257-61.
Forestry workers are a professional group particularly exposed to tick-borne infections; however, continuous monitoring of anti-Borrelia burgdorferi antibodies in this group enables faster diagnosis and more effective treatment for borreliosis. A group of 1,155 forestry workers from six forest inspectorates in southern Poland were examined with the immunoenzymatic method (ELISA test). The general level of anti-Borrelia burgdorferi antibodies was 12.8 % in IgM class, and 25 % in IgG class. Markedly more seropositive results were found in the group of fieldworkers (13.8 % - IgM and 25.0 % - IgG) than in office workers (10.0 % - IgM and 13.7 % - IgG). The highest proportions of infections both in IgM and IgG class (17.4 % and 34.8 %, respectively) were recorded in the group of persons over 50 years of age, the lowest - in the group of workers younger than 30 (IgM - 13.0 %, IgG - 14.1%). Significant differences in the level of seropositive results in IgG class were related to the workers' gender - in women the percentage was 9.8 %, in men - 28.1 %. It was found that in the studied region of southern Poland, considered to be non-endemic, borreliosis occurs as a health risk to forestry workers.
林业工人是特别容易感染蜱传疾病的职业群体;然而,对该群体中抗伯氏疏螺旋体抗体进行持续监测,能够实现莱姆病的更快诊断和更有效治疗。采用免疫酶法(ELISA检测)对来自波兰南部六个森林监察局的1155名林业工人进行了检查。抗伯氏疏螺旋体抗体的总体水平在IgM类中为12.8%,在IgG类中为25%。野外工作者组(13.8% - IgM和25.0% - IgG)的血清阳性结果明显多于办公室工作者组(10.0% - IgM和13.7% - IgG)。在50岁以上人群组中,IgM和IgG类感染比例最高(分别为17.4%和34.8%),最低的是30岁以下工人组(IgM - 13.0%,IgG - 14.1%)。IgG类血清阳性结果水平的显著差异与工人性别有关——女性的百分比为9.8%,男性为28.1%。研究发现,在波兰南部被认为非流行的研究区域,莱姆病作为一种健康风险存在于林业工人中。