Keenan J, Sharma R, Dicker R, Rayner J, Stone D
Department of Public Health and Preventive Medicine, School of Medicine, St. George's University, Grenada, West Indies.
West Indian Med J. 2009 Mar;58(2):114-7.
To determine the seroprevalence of Leptospira and the serovars responsible for Leptospira exposure in rats in Grenada in order to assess rats as a reservoir host for human infection.
Rattus norvegicus rodents were collected from each of the six parishes on the island of Grenada. Serum from 237 rats was tested by the microscopic agglutination test (MAT) and an Immunoglobulin G (IgG) Enzyme-Linked Immunosorbent Assay (ELISA). Seroprevalence rates among parishes were compared using a chi-squared test of homogeneity.
Of the 237 serum samples tested, 64 were positive by either MAT or ELISA for an overall seroprevalence of 27%. The ELISA identified 24.5% (57/233) of the rats positive at a titer of > or = 1:160. The MAT identified 7.1% (13/183) of the rats positive at a titer of > or = 1:100. Six of the 13 MAT positive samples had antibodies to multiple serovars. The serovars identified by the MAT with the greatest frequency were from the Icterohaemorrhagiae serogroup. Two rats had antibodies for serogroup Cynopteri, the first time this serogroup has been identified in Grenada.
Our results for Leptospira exposure in rats in Grenada support R norvegicus as an important reservoir host for Leptospira, particularly those from the Icterohaemorrhagiae serogroup. Because this serogroup is the primary serogroup responsible for documented human exposure in Grenada, exposed rats represent a public health threat.
确定格林纳达大鼠中钩端螺旋体的血清流行率以及导致钩端螺旋体感染的血清型,以评估大鼠作为人类感染储存宿主的情况。
从格林纳达岛的六个教区分别采集褐家鼠。对237只大鼠的血清进行显微镜凝集试验(MAT)和免疫球蛋白G(IgG)酶联免疫吸附测定(ELISA)检测。使用卡方同质性检验比较各教区之间的血清流行率。
在检测的237份血清样本中,有64份通过MAT或ELISA检测呈阳性,总体血清流行率为27%。ELISA检测出24.5%(57/233)的大鼠滴度≥1:160时呈阳性。MAT检测出7.1%(13/183)的大鼠滴度≥1:100时呈阳性。13份MAT阳性样本中有6份对多种血清型有抗体。MAT检测出频率最高的血清型来自出血性黄疸型血清群。有两只大鼠对犬蝠血清群有抗体,这是该血清群首次在格林纳达被发现。
我们关于格林纳达大鼠钩端螺旋体感染情况的结果支持褐家鼠作为钩端螺旋体的重要储存宿主,尤其是来自出血性黄疸型血清群的钩端螺旋体。由于该血清群是格林纳达有记录的人类感染的主要血清群,受感染的大鼠构成公共卫生威胁。