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梅西大学兽医专业学生中钩端螺旋体病的血清阳性率及危险因素暴露情况

Seroprevalence and exposure to risk factors for leptospirosis among veterinary students at Massey University.

作者信息

Fang F, Benschop J, Wilson Pr, Collins-Emerson Jm, Heuer C, Prattley D

机构信息

a Institute of Veterinary, Animal and Biomedical Sciences , Massey University , Private Bag 11222, Palmerston North 4442 , New Zealand.

出版信息

N Z Vet J. 2014 May;62(3):130-5. doi: 10.1080/00480169.2013.862161. Epub 2013 Dec 19.

Abstract

AIMS

To determine the seroprevalence and quantify putative risk factors for exposure to leptospirosis both within and outside the veterinary curriculum among undergraduate veterinary students at Massey University, New Zealand.

METHODS

A cross-sectional study was conducted from September 2010 to November 2011. In total, 302 students were blood sampled, with serum tested by microscopic agglutination test (MAT) for antibodies to Leptospira borgpetersenii serovars Hardjobovis, Leptospira interrogans Pomona and Leptospira borgpetersenii Ballum. Information on demographic characteristics, potential exposure within and outside the veterinary curriculum in the previous 18 months, and previous leptospirosis-like clinical history were recorded using an online questionnaire.

RESULTS

All students were MAT negative for each serovar, using a cut-point of ≥1:48. Potential exposure to animal urine within and outside the veterinary curriculum was reported by 259/302 (85.8%) and 150/302 (49.7%) of the students, respectively. The median number of potential exposures to animal urine by each student within the veterinary curriculum in the previous 18 months was 63 (min 1, max 155). The other potential exposures among respondents included home slaughter (63/302; 20.9%), hunting (43/302; 14.2%) and outdoor activities involving exposure to fresh water (241/302; 79.8%).

CONCLUSIONS

This study demonstrated that these veterinary students were at low risk of contracting leptospirosis, despite frequent exposure to potential sources of infection. The findings in this study contribute to a broader understanding of the occupational risk of leptospirosis. Data describe the level of animal exposure in veterinary students, which can support other zoonotic disease studies in this group.

摘要

目的

确定新西兰梅西大学本科兽医专业学生在兽医课程内外感染钩端螺旋体病的血清阳性率,并量化假定的暴露风险因素。

方法

于2010年9月至2011年11月开展了一项横断面研究。总共采集了302名学生的血液样本,其血清通过显微镜凝集试验(MAT)检测针对波摩那钩端螺旋体、哈焦毕斯钩端螺旋体和巴伦姆钩端螺旋体的抗体。使用在线问卷记录人口统计学特征、过去18个月内在兽医课程内外的潜在暴露情况以及既往类似钩端螺旋体病的临床病史。

结果

所有学生针对每种血清型的MAT检测结果均为阴性,截断值设定为≥1:48。分别有259/302(85.8%)和150/302(49.7%)的学生报告在兽医课程内外有潜在接触动物尿液的情况。在过去18个月内,每位学生在兽医课程中潜在接触动物尿液的中位数为63次(最小值1次,最大值155次)。受访者中的其他潜在暴露包括家庭屠宰(63/302;20.9%)、狩猎(43/302;14.2%)以及涉及接触淡水的户外活动(241/302;79.8%)。

结论

本研究表明,尽管这些兽医专业学生频繁接触潜在感染源,但感染钩端螺旋体病的风险较低。本研究结果有助于更广泛地了解钩端螺旋体病的职业风险。数据描述了兽医专业学生接触动物的程度,可为该群体中其他人畜共患病研究提供支持。

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