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坦桑尼亚东北部坦噶区居民中弓形虫感染的血清流行率。

Seroprevalence of Toxoplasma gondii infection amongst residents of Tanga district in north-east Tanzania.

作者信息

Swai E S, Schoonman L

机构信息

Veterinary Investigation Centre, P.O. Box 1068, Arusha, Tanzania.

出版信息

Tanzan J Health Res. 2009 Oct;11(4):205-9. doi: 10.4314/thrb.v11i4.50178.

Abstract

Toxoplasmosis is a zoonotic disease, recognized as a serious public health problem worldwide. Toxoplasma gondii infection has become a major public health concern in recent years due to the ravaging HIV/AIDS pandemic. A serological survey was carried out in Tanga district of north-eastern Tanzania to assess T. gondii infection rates among occupationally-exposed groups including abattoir workers, livestock keepers, animal health workers and other groups. The survey was undertaken in November 2005 using modified Eiken latex agglutination test (LAT). Antibodies to T. gondii were detected in 91 (46%) of the 199 individuals studied. T. gondii seroprevalence was slightly higher amongst males (46.2%) than females (43.3%) although the difference was not significant (P > 0.05). Individuals, < or =20 and > or =60 years old had the highest prevalence of 60% and 61.5%, respectively. The lowest prevalence of (35.7%) was observed amongst the 50-60 years age group. The seroprevalence of toxoplasma antibodies was significantly higher amongst individuals who keep livestock (52.2%) and abattoir workers (46.3%). These results suggest exposure to T. gondii infection is present among residents of Tanga district in Tanzania and strengthen further on previous findings that consumption of raw or undercooked meat and keeping pets especially cats presents more of the risk factors than occupational groups. It also emphasizes on the necessity to create awareness of this disease, and advocate protection of risky groups from exposure to infected meat and contaminated environment.

摘要

弓形虫病是一种人畜共患病,被公认为全球严重的公共卫生问题。由于肆虐的艾滋病疫情,近年来弓形虫感染已成为一个主要的公共卫生问题。在坦桑尼亚东北部的坦噶区进行了一项血清学调查,以评估包括屠宰场工人、牲畜饲养员、动物卫生工作者和其他群体在内的职业暴露人群中的弓形虫感染率。该调查于2005年11月采用改良的艾肯乳胶凝集试验(LAT)进行。在所研究的199名个体中,有91名(46%)检测到弓形虫抗体。弓形虫血清阳性率在男性(46.2%)中略高于女性(43.3%),尽管差异不显著(P>0.05)。年龄≤20岁和≥60岁的个体患病率最高,分别为60%和61.5%。在50 - 60岁年龄组中观察到最低患病率(35.7%)。在饲养牲畜的个体(52.2%)和屠宰场工人(46.3%)中,弓形虫抗体的血清阳性率显著更高。这些结果表明,坦桑尼亚坦噶区居民中存在弓形虫感染暴露情况,并进一步强化了先前的研究结果,即食用生肉或未煮熟的肉以及饲养宠物尤其是猫比职业群体带来更多的风险因素。这也强调了提高对这种疾病的认识以及倡导保护高危群体免受感染肉类和污染环境影响的必要性。

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