Serra-Freire Nicolau Maués
Laboratory of Ixodides, National Reference for Rickettsia Vectors, LIRN-IOC/Fiocruz, Av. Brazil 4365, CEP 21040-900, Manguinhos-RJ, Brazil.
Rev Bras Parasitol Vet. 2010 Jul-Sep;19(3):141-7. doi: 10.1590/s1984-29612010000300003.
Assuming the existence of tick parasitism in humans in the State of Pará, an aggregate observational study was developed along a transversal line in three cities of the State, during two years. Interviews and examinations of 2,160 townspeople and tourists were carried out, without discrimination of ethnic, sex, age, or social status, and classified for effects analyzed for four bands of age, six types of activities in the society, and two sexes. Larvae, nymphs, and adults of ticks had been identified with cases of parasitism involving six species, of the genus Amblyomma, the genus Ixodes, Rhipicephalus sanguineus, Anocentor nitens, and Ornithodorus talaje (the first case registered in Pará), infecting human beings. Adults and agricultural workers were most frequently attacked, followed by students. A. cajennense and R. sanguineus are the species most frequent in the parasitism affecting humans, and A. cajennense is the dominant species. The statistical prevalence was largest in Cachoeira do Arari, Ilha do Marajó. In Santarém the greatest average intensity of parasitism was for R. sanguineus, and in the other locations it wasfor A. cajennense. Agricultural workers faced the greatest risk from parasitism, and to place in practice elementary measures of prevention would reduce by 25% the number of cases.
假设在帕拉州存在人类蜱寄生现象,在两年时间里,沿着该州三个城市的一条横向线路开展了一项综合观察研究。对2160名城镇居民和游客进行了访谈和检查,不区分种族、性别、年龄或社会地位,并按四个年龄组、社会中的六种活动类型和两种性别对结果进行分类分析。已鉴定出蜱的幼虫、若虫和成虫的寄生病例涉及六种蜱,分别属于钝缘蜱属、硬蜱属、血红扇头蜱、微小扇头蜱和塔氏钝缘蜱(帕拉州登记的首例病例),这些蜱感染人类。成年人和农业工人受攻击最为频繁,其次是学生。卡耶嫩斯钝缘蜱和血红扇头蜱是影响人类寄生现象中最常见的蜱种,卡耶嫩斯钝缘蜱是优势种。统计患病率在阿拉里瀑布和马拉若岛最高。在圣塔伦,血红扇头蜱的平均寄生强度最大,在其他地点则是卡耶嫩斯钝缘蜱。农业工人面临的寄生风险最大,实施基本预防措施可使病例数减少25%。