Pôle de recherche et de veille sur les maladies infectieuses émergentes, Institut Louis Malardé, Tahiti, PO Box 30, 98713 Tahiti, Polynésie française.
BMC Infect Dis. 2014 May 12;14:255. doi: 10.1186/1471-2334-14-255.
In the Pacific islands countries and territories, very little is known about the incidence of infectious diseases due to zoonotic pathogens. To our knowledge, human infections due to Rickettsia spp., Coxiella burnetii, Ehrlichia spp. and Bartonella spp. have never been reported in French Polynesia; and infections due to C. burnetti have been reported worldwide except in New Zealand. To evaluate the prevalence of this disease, we conducted a serosurvey among French Polynesian blood donors.
The presence of immunoglobulin G antibodies against R. felis, R. typhi, R. conorii, C. burnetii, B. henselae, B. quintana, and E. chaffeensis was evaluated by indirect immunofluorescence assay in sera from 472 French Polynesian blood donors collected from 2011 to 2013. In addition, 178 ticks and 36 cat fleas collected in French Polynesia were also collected and tested by polymerase chain reaction to detect Rickettsia spp., B. henselae and Ehrlichia spp.
None of the blood donors had antibodies at a significant level against Rickettsia spp., Coxiella burnetii, Ehrlichia spp. and Bartonella spp. All tested ticks and cat fleas were PCR-negative for Rickettsia spp., B. henselae, and Ehrlichia spp.
We cannot conclude that these pathogens are absent in French Polynesia but, if present, their prevalence is probably very low. C. burnetii has been reported worldwide except in New Zealand. It may also be absent from French Polynesia.
在太平洋岛国,由于人畜共患病病原体引起的传染病发病率知之甚少。据我们所知,法属波利尼西亚从未报告过立克次体、考克斯氏体、埃立克体和巴尔通体属引起的人类感染;除新西兰外,考克斯氏体感染已在全球范围内报告过。为了评估这种疾病的流行情况,我们对法属波利尼西亚的献血者进行了血清学调查。
采用间接免疫荧光法检测了 2011 年至 2013 年间采集的 472 份法属波利尼西亚献血者血清中抗猫抓病病原体、伤寒立克次体、恙虫病东方体、考克斯氏体、亨氏巴尔通体、五日热巴通体和查菲埃立克体 IgG 抗体的存在情况。此外,还收集了法属波利尼西亚采集的 178 只蜱和 36 只猫栉首蚤,并通过聚合酶链反应进行检测,以检测立克次体属、亨氏巴尔通体和埃立克体属。
没有献血者对立克次体、考克斯氏体、埃立克体和巴尔通体属有显著水平的抗体。所有检测的蜱和猫栉首蚤均为立克次体属、亨氏巴尔通体和埃立克体属 PCR 阴性。
我们不能得出这些病原体在法属波利尼西亚不存在的结论,但如果存在,其流行率可能非常低。除新西兰外,考克斯氏体已在全球范围内报告过。它也可能不存在于法属波利尼西亚。