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加拿大 2 个克里族社区 10 种人畜共患感染的血清流行率。

Seroprevalence of 10 zoonotic infections in 2 Canadian Cree communities.

机构信息

Axe Santé des Populations et Environnement du Centre de Recherche du CHUQ, Édifice Delta 2, Bureau 600, Québec, Canada G1V 2M2.

出版信息

Diagn Microbiol Infect Dis. 2011 Jun;70(2):191-9. doi: 10.1016/j.diagmicrobio.2011.01.009. Epub 2011 Mar 12.

Abstract

We evaluated the seroprevalence of 10 zoonotic agents among the general population (15 years old and over) of Eastmain and Wemindji, James Bay, Quebec, in 2007. Overall seroprevalence rates were similar between the 2 communities. Nearly half the individuals tested (n = 251; 146 women, 105 men) were seropositive (n = 115) for at least one zoonosis. The highest seroprevalence rates were for Leptospira sp. (23%), Francisella tularensis (17%), and the California serogroup viruses (JC and SSH viruses) (10%). The other zoonoses (Toxoplasma gondii, Coxiella burnetii, Echinococcus granulosus, Toxocara canis, and Trichinella sp.) had seroprevalence rates ≤5%; no exposures were identified to hantaviruses (Sin Nombre virus). Overall, seropositivity was related to age, gender, hunting, and owning a dog. There was no medical history suggestive of overt diseases. Nonetheless, physicians should consider these agents when confronted with difficult or confusing diagnoses. In particular, the bacterial zoonoses should be ruled out in individuals with high or prolonged fever.

摘要

我们评估了 2007 年魁北克省伊曼纽尔和韦门迪吉的伊东main 和 Wemindji 普通人群(15 岁及以上)中 10 种人畜共患病原体的血清流行率。这两个社区的总体血清阳性率相似。接受检测的个体中(n=251;146 名女性,105 名男性)有近一半(n=115)至少对一种人畜共患病呈血清阳性。最高的血清流行率为钩端螺旋体病(23%)、土拉弗朗西斯菌(17%)和加州血清群病毒(JC 和 SSH 病毒)(10%)。其他的人畜共患病(刚地弓形虫、贝纳柯克斯体、细粒棘球绦虫、犬弓首蛔虫和旋毛虫)的血清流行率≤5%;未发现汉坦病毒(辛诺伯病毒)的暴露情况。总体而言,血清阳性与年龄、性别、狩猎和养狗有关。没有明显疾病的病史。尽管如此,当医生遇到困难或混淆的诊断时,应该考虑到这些病原体。特别是,对于高热或长期发热的患者,应排除细菌性病原体。

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