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墨西哥杜兰戈市从事接触水、污水和土壤工作的工人弓形虫感染血清流行病学研究。

Seroepidemiology of infection with Toxoplasma gondii in workers occupationally exposed to water, sewage, and soil in Durango, Mexico.

作者信息

Alvarado-Esquivel C, Liesenfeld O, Márquez-Conde J A, Estrada-Martínez S, Dubey J P

机构信息

Faculty of Medicine, Juárez University of Durango State, Avenida Universidad S/N esquina Fanny Anitua, 34000 Durango, Dgo, Mexico.

出版信息

J Parasitol. 2010 Oct;96(5):847-50. doi: 10.1645/GE-2453.1. Epub 2010 Jun 17.

Abstract

Water, sewage, and soil are potential sources of infection for Toxoplasma gondii. Therefore, we sought to determine the prevalence of T. gondii infection and associated characteristics in 61 plumbers, 203 construction workers, and 168 gardeners in Durango City, Mexico. Participants were tested for T. gondii IgG and IgM antibodies with the use of enzyme-linked immunoassays. In addition, sociodemographic, clinical, and behavioral characteristics from each participant were obtained. IgG T. gondii antibodies were found in 4 (6.6%) plumbers, 17 (8.4%) construction workers, and 10 (6.0%) gardeners; T. gondii IgM antibodies were found in 3 (1.5%) construction workers and 4 (2.4%) gardeners, but in none of the plumbers. In the total population, the prevalence of T. gondii infection was significantly higher in workers living in suburban areas, without education, workers that consumed chorizo, and those who suffered from any disease (P < 0.05). In gardeners, prevalence of infection was significantly higher in those with blood transfusion, and memory impairment (P < 0.05). Multivariate analysis showed that T. gondii infection was positively associated with consumption of unwashed fruits (adjusted odds ratio [OR]  =  2.41; 95% confidence interval [CI]: 1.13-5.13), and with raising animals (adjusted OR  =  2.53; 95% CI: 1.00-6.37). This is the first report of contributing factors for T. gondii infection in workers occupationally exposed to water, sewage, and soil in a Mexican city, and results will contribute to the design of optimal preventive measures.

摘要

水、污水和土壤是刚地弓形虫的潜在感染源。因此,我们试图确定墨西哥杜兰戈市61名水管工、203名建筑工人和168名园艺工人中刚地弓形虫感染的患病率及相关特征。采用酶联免疫吸附测定法对参与者进行刚地弓形虫IgG和IgM抗体检测。此外,还获取了每位参与者的社会人口统计学、临床和行为特征。在4名(6.6%)水管工、17名(8.4%)建筑工人和10名(6.0%)园艺工人中发现了刚地弓形虫IgG抗体;在3名(1.5%)建筑工人和4名(2.4%)园艺工人中发现了刚地弓形虫IgM抗体,但在水管工中未发现。在总人口中,居住在郊区、未受过教育、食用过西班牙辣肠以及患有任何疾病的工人中刚地弓形虫感染的患病率显著更高(P<0.05)。在园艺工人中,有输血史和记忆障碍的人感染率显著更高(P<0.05)。多变量分析显示,刚地弓形虫感染与食用未清洗的水果呈正相关(调整后的优势比[OR]=2.41;95%置信区间[CI]:1.13 - 5.13),与饲养动物呈正相关(调整后的OR=2.53;95%CI:1.00 - 6.37)。这是关于墨西哥一个城市中职业接触水、污水和土壤的工人刚地弓形虫感染影响因素的首份报告,研究结果将有助于制定最佳预防措施。

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