School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
PLoS Negl Trop Dis. 2013 Jun 20;7(6):e2270. doi: 10.1371/journal.pntd.0002270. Print 2013.
Leptospira interrogans is a bacterial zoonosis with a worldwide distribution for which rats (Rattus spp.) are the primary reservoir in urban settings. In order to assess, monitor, and mitigate the risk to humans, it is important to understand the ecology of this pathogen in rats. The objective of this study was to characterize the ecology of L. interrogans in Norway rats (Rattus norvegicus) in an impoverished inner-city neighborhood of Vancouver, Canada.
METHODOLOGY/PRINCIPAL FINDINGS: Trapping was performed in 43 city blocks, and one location within the adjacent port, over a 12 month period. Kidney samples were tested for the presence of L. interrogans using PCR and sequencing. A multivariable model was built to predict L. interrogans infection status in individual rats using season and morphometric data (e.g., weight, sex, maturity, condition, etc.) as independent variables. Spatial analysis was undertaken to identify clusters of high and low L. interrogans prevalence. The prevalence of L. interrogans varied remarkably among blocks (0-66.7%), and spatial clusters of both high and low L. interrogans prevalence were identified. In the final cluster-controlled model, characteristics associated with L. interrogans-infection in rats included weight (OR = 1.14, 95% CI = 1.07-1.20), increased internal fat (OR = 2.12, 95% CI = 1.06-4.25), and number of bite wounds (OR = 1.20, 95% CI = 0.96-1.49).
CONCLUSIONS/SIGNIFICANCE: Because L. interrogans prevalence varied with weight, body fat, and bite wounds, this study suggests that social structure and interactions among rats may influence transmission. The prevalence and distribution of L. interrogans in rats was also highly variable even over a short geographic distance. These factors should be considered in future risk management efforts.
钩端螺旋体(Leptospira interrogans)是一种具有全球分布的细菌性人畜共患病,其主要储存宿主是鼠类(Rattus spp.),尤其在城市环境中。为了评估、监测和减轻对人类的风险,了解该病原体在鼠类中的生态至关重要。本研究旨在描述加拿大温哥华一个贫困的市中心社区内挪威鼠(Rattus norvegicus)中钩端螺旋体的生态学特征。
方法/主要发现:在 12 个月的时间里,在 43 个城市街区和毗邻港口的一个地点进行了诱捕。使用 PCR 和测序检测肾脏样本中是否存在钩端螺旋体。使用季节和形态测量数据(如体重、性别、成熟度、状况等)作为独立变量,构建了一个多变量模型来预测个体大鼠的钩端螺旋体感染状况。进行了空间分析以确定高和低钩端螺旋体流行率的聚类。钩端螺旋体的流行率在街区之间差异显著(0-66.7%),并确定了高和低钩端螺旋体流行率的空间聚类。在最终的聚类控制模型中,与大鼠钩端螺旋体感染相关的特征包括体重(OR=1.14,95%CI=1.07-1.20)、体内脂肪增加(OR=2.12,95%CI=1.06-4.25)和咬伤数量(OR=1.20,95%CI=0.96-1.49)。
结论/意义:由于钩端螺旋体的流行率与体重、体脂肪和咬伤数量有关,因此本研究表明,大鼠的社会结构和相互作用可能会影响传播。即使在短距离内,钩端螺旋体在大鼠中的流行率和分布也具有高度的可变性。这些因素应在未来的风险管理工作中加以考虑。