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[萨卡特卡斯州旋毛虫病的流行病学概况]

[The epidemiological profile of trichinosis in the state of Zacatecas].

作者信息

Cabral-Soto J, Villicaña-Fuentes H, Fragoso-Uribe R, Contreras A

机构信息

Servicios Coordinados de Salud Pública en el Estado de Zacatecas, SCSPEZ.

出版信息

Salud Publica Mex. 1990 Sep-Oct;32(5):575-82.

PMID:2089632
Abstract

A compilation of data from the cases which have occurred in Zacatecas during the period between 1976 and 1987 has been made. It describes the endemia and locates the problem in time, person and space. Because of their impact, magnitude and consequences the more important data of the outbreaks is presented. The first case of trichinosis diagnosed in Zacatecas was in 1975; since then there have been other outbreaks; four in 1978, with the highest mortality of 33 per cent which occurred in Laguna del Carretero a community of Villanueva. During the period between 1979-1988 there have been 17 more, among these a death occurred in Valparaiso and, in Pozo de Gamboa there was an abortion in a 20-year-old female patient. This infection has higher frequency in urban areas. The most affected group age is 15-44 years; in this group there have been 51 percent of the cases occurring in females in a proportion of 1:1.8. Seven of the 36 countries in the state of Zacatecas, such as Zacatecas, Villanueva, Valparaiso, Panuco, Jerez, Jalpa and Guadalupe, have reported cases; the countries are listed by frequency. The transmission in most of the cases was caused by ingestion of raw pork products, in a fen undercooked pork meat. The diagnosis was confirmed in sixty cases by the conservation of the parasite in muscle biopsy and oronyosistis which represent a 38 percent of the reported total cases. Six cases was confirmed by histologic sections and immunoelectrophoresis test.

摘要

已对1976年至1987年期间在萨卡特卡斯发生的病例数据进行了汇编。它描述了地方病情况,并在时间、人员和空间上确定了问题所在。由于其影响、规模和后果,列出了疫情中更重要的数据。萨卡特卡斯诊断出的第一例旋毛虫病病例是在1975年;从那时起又发生了其他疫情;1978年有4起,其中死亡率最高达到33%,发生在新维拉纽瓦社区的卡雷特罗湖。1979年至1988年期间又有17起,其中在瓦尔帕莱索有1人死亡,在波佐德甘博亚有一名20岁女性患者流产。这种感染在城市地区发病率较高。受影响最大的年龄组是15至44岁;在这个年龄组中,51%的病例发生在女性身上,男女比例为1:1.8。萨卡特卡斯州36个市镇中的7个,如萨卡特卡斯、新维拉纽瓦、瓦尔帕莱索、帕努科、赫雷斯、哈尔帕和瓜达卢佩,报告了病例;这些市镇按发病频率列出。大多数病例的传播是由于食用了生猪肉制品,即未煮熟的猪肉。通过肌肉活检中寄生虫的保存和肌炎确诊了60例病例,占报告病例总数的38%。6例通过组织学切片和免疫电泳试验确诊。

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