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2012年伊朗西北部阿尔达比勒省梅什金沙尔区人体片形吸虫病血清阳性率

Seroprevalence of human fascioliasis in meshkin-shahr district, ardabil province, northwestern iran in 2012.

作者信息

Asadian Samieh, Mohebali Mehdi, Moudi MahmodMAH, Kia EshratBeigom, Heidari Zahra, Asgari Majid, Aryaeipour Mojgan, Radi SepidehMO, Rokni Mohammad Bagher

机构信息

Dept. of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Dept. of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran ; Center for Research of Endemic Parasites of Iran (CREPI), Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Iran J Parasitol. 2013 Oct;8(4):516-21.

Abstract

BACKGROUND

The aim of this study was to conduct a seroprevalence survey in Meshkin-Shahr, Ardabil Province, north western Iran to detect the rate of human fascioliasis in the city and nearby villages. Literature shows that no such study has been conducted so far.

METHODS

Overall, 458 serum samples were collected by randomized cluster sampling method from 153 males and 305 females referred to different health centers of the region after recalling by staff in those centers in 2012. All cases filled out a questionnaire and an informed consent. Sera were analyzed using indirect-ELISA test. Ten μg /ml antigens (Liver Fluke Homogenate), serum dilutions of 1:500 and conjugate anti-human coombs with 1:10000 dilutions were utilized to perform the test. Data analysis was conducted using SPSS software ver. 18.

RESULTS

Nine cases (1.96%) were positive for fascioliasis by ELISA test. The seroprevalence of fascioliasis among females was 1.63% and 2.6% in males. There was no significant difference as regards age groups, sex, job, residency, literacy and consuming row vegetable. According to job, unemployment subjects had the highest rate of infection as 5.9%. The seroprevalence of infection was 1.52% in illiterate people. As for residency, urban life showed no significant difference with rural life (2.4% vs 1.42). Age group of 40-49 yr old, with 3.3% seropositivity had the highest rate.

CONCLUSION

Obtained seroprevalence of fascioliasis shows immediate attention of health authorities to the diseases in the area. The adjacent of Ardabil Province to endemic areas of fasciolosis accentuates this attention.

摘要

背景

本研究旨在对伊朗西北部阿尔达比勒省梅什金沙赫尔市进行血清流行率调查,以检测该市及周边村庄人体片形吸虫病的发病率。文献表明,迄今为止尚未进行过此类研究。

方法

2012年,该地区各健康中心的工作人员通过电话回访,采用随机整群抽样方法,从前往该地区不同健康中心就诊的153名男性和305名女性中总共采集了458份血清样本。所有病例均填写了问卷并签署了知情同意书。采用间接酶联免疫吸附测定(ELISA)试验对血清进行分析。使用10μg/ml抗原(肝片吸虫匀浆)、1:500的血清稀释度和1:10000稀释度的抗人库姆斯结合物进行检测。使用SPSS 18.0软件进行数据分析。

结果

ELISA试验显示,9例(1.96%)片形吸虫病呈阳性。片形吸虫病在女性中的血清流行率为1.63%,在男性中为2.6%。在年龄组、性别、职业、居住情况、文化程度和食用生蔬菜方面,差异均无统计学意义。按职业划分,失业者的感染率最高,为5.9%。文盲人群的感染血清流行率为1.52%。就居住情况而言,城市生活与农村生活之间差异无统计学意义(2.4%对1.42%)。年龄在40 - 49岁组的血清阳性率最高,为3.3%。

结论

所获得的片形吸虫病血清流行率表明,卫生当局应立即关注该地区的这种疾病。阿尔达比勒省与片形吸虫病流行地区相邻,这更凸显了这种关注的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05cb/4266114/ddfa5f4ae51e/IJPA-8-516f1.jpg

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