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伊朗北部学童弓蛔虫病血清阳性率

Seroprevalence of toxocariasis in schoolchildren in Northern Iran.

作者信息

Sharif M, Daryani A, Barzegar G, Nasrolahei M, Khalilian A

机构信息

Department of Parasitology and Mycology, Sari Medical School, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

Pak J Biol Sci. 2010 Feb 15;13(4):180-4. doi: 10.3923/pjbs.2010.180.184.

Abstract

This cross-sectional study was carried out on 1210 randomly selected schoolchildren, attending sixteen primary and secondary schools, during the period between November 2005 and June 2006. Parents who accepted to include their children were requested to be present at sampling time and to fill in a simple questionnaire with personal and epidemiological data. Three milliliter of venous blood were taken by vein puncture under sterile conditions from each subject for detection and titration of antibodies to T. canis and eosinophil counts. Total IgG anti-Toxocara antibodies was evaluated by T. canis IgG ELISA kit. According to the manufacture recommendations, an index positivity >11 U was considered positive. Of the 1210 serum specimens tested, an overall seroprevalence for Toxocara antibodies of 25% was obtained. There was no association between positive seroprevalence and age (p = 0.34). Boys and girls differed significantly with regard to Toxocra titre (p = 0.003). Eosinophilia in peripheral blood (> or = 5%) was detected in 24.5% (297/1210) of the population studied, 97/297 (32.8%) of whom were seropositive for toxocariasis. The findings of this study confirmed that infection with Toxocara is quite high and widespread in children in Northern Iran. Therefore, health promotion efforts must be directed at increasing the awareness of the population about the potential zoonotic hazards associated with the disease and how to minimize them.

摘要

这项横断面研究于2005年11月至2006年6月期间,对随机选取的1210名就读于16所中小学的学童开展。同意将其子女纳入研究的家长需在采样时到场,并填写一份包含个人和流行病学数据的简单问卷。在无菌条件下,通过静脉穿刺从每名受试者采集3毫升静脉血,用于检测和滴定犬弓首线虫抗体及嗜酸性粒细胞计数。采用犬弓首线虫IgG ELISA试剂盒评估总IgG抗犬弓首线虫抗体。根据制造商的建议,指数阳性>11 U被视为阳性。在检测的1210份血清标本中,犬弓首线虫抗体的总体血清阳性率为25%。血清阳性率与年龄之间无关联(p = 0.34)。男孩和女孩在犬弓首线虫滴度方面存在显著差异(p = 0.003)。在所研究的人群中,24.5%(297/1210)的外周血嗜酸性粒细胞增多(≥5%),其中97/297(32.8%)的人犬弓首线虫病血清学呈阳性。本研究结果证实,伊朗北部儿童中犬弓首线虫感染率相当高且广泛存在。因此,健康促进工作必须致力于提高民众对与该疾病相关的潜在人畜共患病危害以及如何将其降至最低的认识。

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