孟加拉国类鼻疽伯克霍尔德菌的血清流行病学监测。
Seroepidemiological surveillance of Burkholderia pseudomallei in Bangladesh.
机构信息
Mahidol-Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, 3/F, 60th Anniversary Chalermprakiat Bldg, 420/6 Rajvithi Road, Rajathevi, Bangkok 10400, Thailand.
出版信息
Trans R Soc Trop Med Hyg. 2012 Sep;106(9):576-8. doi: 10.1016/j.trstmh.2012.06.003. Epub 2012 Jul 15.
Abstract
Melioidosis (Burkholderia pseudomallei infection) has yet to be demonstrated systematically in Bangladesh. A prospective, cross-sectional serological survey was conducted in 2010 at six Bangladeshi hospitals. Age, gender, occupation and residential address were recorded. Of 1244 patients, 359 (28.9%) were positive for B. pseudomallei by indirect haemagglutination assay. Farmers had an increased risk of seropositivity (risk ratio=1.4, 95% CI 1.0-1.8; p=0.03). There was no clear geographic clustering of seropositives. Melioidosis should be considered as a possible cause of febrile illness in Bangladesh. Further studies are needed to establish the incidence of clinical disease and distribution of environmental risk.
摘要
在孟加拉国，类鼻疽（伯克霍尔德氏菌感染）尚未得到系统证实。2010 年在孟加拉国的六家医院进行了一项前瞻性、横断面血清学调查。记录了年龄、性别、职业和居住地址。在 1244 名患者中，359 名（28.9%）通过间接血凝试验呈布氏杆菌假单胞菌阳性。农民的血清阳性率有增加的风险（风险比=1.4，95%可信区间 1.0-1.8；p=0.03）。血清阳性者没有明显的地理聚集性。在孟加拉国，类鼻疽应被视为发热性疾病的一个可能原因。需要进一步研究以确定临床疾病的发病率和环境风险的分布。
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