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伊朗吉兰省高危人群中布鲁氏菌病的血清阳性率

Seroprevalence of Brucellosis among high risk individuals in Guilan, Iran.

作者信息

Nikokar Iraj, Hosseinpour Mojtaba, Asmar Medhi, Pirmohbatei Shirin, Hakeimei Faheqheh, Razavei Mohmed Taqhei

机构信息

Assistant Professor, Microbiology and Immunology of Infectious Disease Laboratory, School of Para Medicine, Guilan University of Medical Sciences, Langeroud, Iran.

出版信息

J Res Med Sci. 2011 Oct;16(10):1366-71.

Abstract

BACKGROUND

Brucellosis is a major public health problem in developing countries and has remained endemic in Iran. The aim of this study was to investigate the Seroprevalence of Brucellosis among high risk individuals in Guilan, Iran.

METHODS

In a cross-sectional study, 478 blood samples from people living in rural areas (n = 292) and 186 slaughterhouse workers were screened by slide agglutination and microplate agglutination tests. Seropositive specimens were analyzed with Elisa for IgG and IgM antibody.

RESULTS

Seroprevalence of brucellosis among slaughterhouse workers and the people living in rural areas were 9.8% (n = 18) and 5.5% (n = 16), respectively (p = 0.04). A significant association was observed between the seropositivity and type of abattoir (p = 0.04) and contact with animals (p = 0.02) among slaughterhouse workers as well as consumption of unpasteurized milk products (p = 0.02) in people living in rural areas. IgG antibodies titer was higher than IgM in seropositive cases of the slaughterhouse workers and the people living in rural areas.

CONCLUSIONS

Seroprevalence of brucellosis in slaughterhouse workers was higher than people living in rural areas. Consumption of raw products and direct contact with domestic animals were found to be significant risk factor for brucellosis. High titer of IgG antibody among the two study groups indicated that most seropositive subjects were in chronic phase of brucellosis.

摘要

背景

布鲁氏菌病是发展中国家的一个主要公共卫生问题,在伊朗仍然流行。本研究的目的是调查伊朗吉兰省高危人群中布鲁氏菌病的血清阳性率。

方法

在一项横断面研究中,通过玻片凝集试验和微量板凝集试验对来自农村地区的292人和186名屠宰场工人的478份血样进行了筛查。对血清阳性标本进行酶联免疫吸附测定(ELISA)以检测IgG和IgM抗体。

结果

屠宰场工人和农村地区居民中布鲁氏菌病的血清阳性率分别为9.8%(n = 18)和5.5%(n = 16)(p = 0.04)。在屠宰场工人中,血清阳性与屠宰场类型(p = 0.04)以及与动物接触(p = 0.02)之间存在显著关联;在农村地区居民中,血清阳性与食用未巴氏消毒的奶制品(p = 0.02)之间存在显著关联。在屠宰场工人和农村地区居民的血清阳性病例中,IgG抗体滴度高于IgM。

结论

屠宰场工人中布鲁氏菌病的血清阳性率高于农村地区居民。发现食用生鲜产品和直接接触家畜是布鲁氏菌病的重要危险因素。两个研究组中IgG抗体的高滴度表明,大多数血清阳性受试者处于布鲁氏菌病的慢性期。

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