Deng Jing, Yang Xu-hui, Wang Heng
Hangzhou Center for Disease Control and Prevention, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2010 Jun;31(6):647-9.
To understand the situation of eperythrozoon (EPE) infection in the population from Hangzhou.
According to the situation in Hangzhou, a questionnaire was designed to investigate the study population. Venous blood specimens from the studied objects were collected before an Improved Wright-Giemsa Fast Dyeing method was used. Microscopic examination was applied to test their condition of infection. SPSS 13.0 software was applied for statistical analysis.
Totally, 580 persons were under investigation in this study, including 111 with jobs ('occupational') and another 118 served as internal controls of them. The rest 351 were considered as external controls. Finally, 54 people were detected as having EPE infection with a total positive rate as 9.31%. The infection rates were 20.72% (23/111), 7.12% (25/351) and 5.08% (6/118) among the 'occupational' population, external controls and the internal controls, respectively. The difference among these three rates was statistically significant (χ² = 21.60, P < 0.05). There was also significant difference found in the infection rate between people who washed their hands promptly after being exposed to animal coat, raw meat or animal excrements and those who did not wash their hands in time. The infection rate of the population who washed hands with soap or other cleaning products was lower than that of those who washed hands with only water (χ² = 6.76, P < 0.05). We found that residential area, pet feeding, exposure to animal coat/raw meat/animal excrement, trauma were not risk factors of EPE infection. People with higher education degree had lower risk to EPE infection than those with low education. The infection rate was not different between the populations with different eating habits. The Improved Wright-Giemsa Fast Dyeing method used in this study was good in detecting the positive rates and easy to handle.
The risk factors to EPE infection were livestock contacting, washing their hands not promptly or washing hands without soap or other cleaning products after contacting.
了解杭州市人群中附红细胞体(EPE)感染情况。
根据杭州市实际情况设计调查问卷对研究人群进行调查。采集研究对象静脉血标本,采用改良瑞氏-姬姆萨快速染色法,镜检检测其感染状况。应用SPSS 13.0软件进行统计分析。
本研究共调查580人,其中职业人群111人,职业人群内部对照118人,其余351人为外部对照。最终检测出54人感染附红细胞体,总阳性率为9.31%。职业人群、外部对照和内部对照的感染率分别为20.72%(23/111)、7.12%(25/351)和5.08%(6/118)。这三个感染率之间的差异有统计学意义(χ² = 21.60,P < 0.05)。接触动物皮毛、生肉或动物排泄物后及时洗手的人群与未及时洗手的人群感染率也有显著差异。使用肥皂或其他清洁用品洗手的人群感染率低于仅用水洗手的人群(χ² = 6.76,P < 0.05)。我们发现居住地区、饲养宠物、接触动物皮毛/生肉/动物排泄物、外伤不是附红细胞体感染的危险因素。文化程度较高的人群感染附红细胞体的风险低于文化程度低的人群。不同饮食习惯人群的感染率无差异。本研究采用的改良瑞氏-姬姆萨快速染色法检测阳性率效果好且操作简便。
附红细胞体感染的危险因素为接触家畜、接触后未及时洗手或未使用肥皂或其他清洁用品洗手。