Basker Parasuraman, Kannan Pichai, Kolandaswamy Karumana Gounder
Zonal Entomological Team, Department of Public Health and Preventive Medicine, Cuddalore, Tamil Nadu, India.
Directors of Public Health and Preventive Medicine, Government of Tamil Nadu, Chennai, India.
Osong Public Health Res Perspect. 2014 Feb;5(1):54-67. doi: 10.1016/j.phrp.2014.01.003. Epub 2014 Jan 31.
To know the prevalence of leptospirosis cases reported in private clinics among fever cases in Villupuram District, Tamil Nadu, India to know its real magnitude of the problem and to diagnose Leptospirosis among fever cases from differential diagnosis.
1502 Blood serum samples collected from three urban towns namely Kallakurichi (Latitude: 11° 73' N; Longitude: 78° 97' E), Villupuram (Latitude: 11° 75' N; Longitude: 79° 92' E) and Thindivanam (Latitude: 12° 25' N; Longitude: 79° 65' E) in fifteen clinics based on case definition of leptospirosis delineated by the National Vector Borne Disease Control Programme (NVBDCP), Government of India. Samples were tested in the laboratory of the Zonal Entomological Team (ZET), Cuddalore with Macroscopic Slide Agglutination Test (MSAT) and Ig-M ELISA.
There were 65 positive cases detected from 1502 blood serum samples in both MSAT and Ig-M ELISA. It could be known that there was 4% cases contributed from private clinics among fever cases. From this study, further it was known that all age groups of people affected irrespective of sexes based on their living condition associated with the environment prevailed of the disease.
From this study, it was quantified that 4% of cases reported in private clinics among fever cases and its findings ascertained both the importance of differential diagnosis as well as reports that should be included to the Government for knowing its real magnitude for planning.
了解印度泰米尔纳德邦维鲁布尔姆区私人诊所报告的钩端螺旋体病病例在发热病例中的流行情况,以了解该问题的实际严重程度,并通过鉴别诊断在发热病例中诊断钩端螺旋体病。
根据印度政府国家媒介传播疾病控制计划(NVBDCP)划定的钩端螺旋体病病例定义,从卡勒库里奇(纬度:北纬11°73′;经度:东经78°97′)、维鲁布尔姆(纬度:北纬11°75′;经度:东经79°92′)和廷迪瓦南(纬度:北纬12°25′;经度:东经79°65′)这三个城镇的15家诊所收集了1502份血清样本。样本在古德洛尔分区昆虫学团队(ZET)实验室用宏观玻片凝集试验(MSAT)和Ig-M酶联免疫吸附测定(ELISA)进行检测。
在1502份血清样本中,MSAT和Ig-M ELISA检测均发现65例阳性病例。可知发热病例中有4%的病例来自私人诊所。从这项研究中还进一步了解到,所有年龄段的人,无论性别,根据其与疾病流行环境相关的生活条件均受到影响。
通过这项研究,量化了私人诊所报告的发热病例中有4%的病例,并确定了鉴别诊断的重要性以及应向政府报告以了解其实际严重程度以便进行规划的报告。