ICB-UFMG, Brazil.
Pathog Glob Health. 2013 Sep;107(6):320-4. doi: 10.1179/2047773213Y.0000000107. Epub 2013 Aug 1.
The present study evaluates the prevalence of enteroparasitosis in the urban slums of Belo Horizonte, Brazil and the risk of transmitting enteroparasites to the family members of infected individuals. Stool samples were collected and examined at clinical laboratories near each slum. Individuals were identified and classified as positive for parasitosis (IP(+)), and individuals with negative stool tests were classified as negative for parasitosis (IP(-)) and enrolled as control patients. We collected samples from 594 patients, of which 20·2% and 79·8% were classified as IP(+) and IP(-), respectively. In addition, 744 family members (FIPs) effectively participated in the study by providing fecal samples. In total, 1338 participants were evaluated. Of these, 34·6% were tested positive for parasitosis. Blastocystis was the most prevalent parasite, infecting 22·4% of individuals. Among FIPs, the overall prevalence was 46·1%. Of these, 50·6% and 44·7% were classified as FIPs(+) and FIPs(-), respectively. These results showed that IP(+) did not impact the prevalence of infection within the studied communities, not constituting index cases of specific risk behaviors, suggesting that, in fact, these communities are exposed to similar oral-fecal routes of contamination.
本研究评估了巴西贝洛奥里藏特市区贫民窟的肠寄生虫病流行情况,以及感染个体将肠寄生虫传播给家庭成员的风险。在每个贫民窟附近的临床实验室收集粪便样本并进行检查。将个体鉴定为寄生虫感染阳性(IP(+)),粪便检测阴性的个体被归类为寄生虫感染阴性(IP(-))并被招募为对照患者。我们从 594 名患者中采集了样本,其中 20.2%和 79.8%分别被归类为 IP(+)和 IP(-)。此外,744 名家庭成员(FIP)有效参与了研究,提供了粪便样本。总共评估了 1338 名参与者。其中,34.6%的人寄生虫检测呈阳性。类圆线虫是最常见的寄生虫,感染了 22.4%的个体。在 FIP 中,总感染率为 46.1%。其中,50.6%和 44.7%分别被归类为 FIP(+)和 FIP(-)。这些结果表明,IP(+)并未影响研究社区内的感染流行率,也没有构成特定风险行为的索引病例,这表明实际上这些社区都面临着类似的经口-粪传播污染途径。