Toso M Alberto, Vial U Felipe, Galanti Norbel
Programa de Biología Celular y Molecular, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de ChileSantiago, Chile.
Rev Med Chil. 2011 Feb;139(2):258-66. Epub 2011 Jul 11.
The traditional transmission pathways of Chagas' disease are vectorial, transfusional, transplacental and organ transplantation. However, oral transmission is gaining importance. The first evidence of oral transmission was reported in Brazil in 1965. Nowadays the oral route is the transmission mode in 50% of cases in the Amazon river zone. Oral infection is produced by the ingestion of infected triatomine bugs or their feces, undercooked meat from infested host animals and food contaminated with urine or anal secretion of infected marsupials. Therefore travelers to those zones should be advised about care to be taken with ingested food. In Chile, this new mode of transmission should be considered in public health policies.
恰加斯病的传统传播途径为病媒传播、输血传播、胎盘传播和器官移植传播。然而,经口传播正变得越来越重要。1965年在巴西报道了经口传播的首个证据。如今,在亚马逊河地区,经口途径是50%病例的传播方式。经口感染是由于摄入受感染的锥蝽或其粪便、来自受感染宿主动物的未煮熟肉类以及被受感染有袋动物的尿液或肛门分泌物污染的食物所致。因此,应建议前往这些地区的旅行者注意所摄入食物的安全。在智利,公共卫生政策应考虑这种新的传播方式。