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大学生弓形虫病血清流行病学分析。

Seroepidemiological analysis of toxoplasmosis in college students.

机构信息

Institute of Tropical Medicine of São Paulo, University of São Paulo (USP), São Paulo, São Paulo State Brazil.

Department of Biological Sciences, (UNESP), Assis, São Paulo State Brazil.

出版信息

J Venom Anim Toxins Incl Trop Dis. 2015 Jan 5;21(1):1. doi: 10.1186/1678-9199-21-1. eCollection 2015.

Abstract

BACKGROUND

Toxoplasmosis is a zoonosis caused by an obligate intracellular parasite, Toxoplasma gondii, which affects warm-blooded animals including humans. Its prevalence rates usually vary in different regions of the planet.

METHODS

In this study, an analysis of the seroprevalence of toxoplasmosis among Brazilian students was proposed by means of IgG specific antibodies detection. The presence of anti-Toxoplasma gondii antibodies by indirect fluorescent antibody test (IFAT) was also evaluated in order to compare it with enzyme-linked immunosorbent assay (ELISA) and to assess the use of 2,2'-azinobis(3-ethylbenzothiazoline-6-sulfonic acid) and o-phenylenediamine dihydrochloride chromogens.

RESULTS

The IFAT method showed a seroprevalence of 22.3%. These results were similar to those obtained by ELISA (24.1%). The seroprevalence was directly estimated from the IgG avidity, which showed that in a sample of 112 students, three of them had acute infection, an incidence of 1.6% in the studied population.

CONCLUSION

In this study, the use of different chromogenic substrates in immunoenzymatic ELISA assays did not display different sensitivity in the detection of T. gondii-reagent serum. The extrapolation of results to this population must be carefully considered, since the investigation was conducted on a reduced sample. However, it allows us to emphasize the importance of careful and well prepared studies to identify risk factors for toxoplasmosis, to adopt preventive measures and to offer guidance to at-risk populations about the disease.

摘要

背景

弓形虫病是一种由专性细胞内寄生虫弓形虫引起的人畜共患病,影响包括人类在内的温血动物。其流行率在地球上的不同地区通常有所不同。

方法

在这项研究中,通过检测 IgG 特异性抗体,提出了一种分析巴西学生弓形虫病血清流行率的方法。还通过间接荧光抗体试验(IFAT)评估了抗弓形虫抗体的存在,以便与酶联免疫吸附试验(ELISA)进行比较,并评估使用 2,2'-偶氮双(3-乙基苯并噻唑啉-6-磺酸)和邻苯二胺二盐酸盐显色剂的效果。

结果

IFAT 方法显示血清流行率为 22.3%。这些结果与 ELISA 获得的结果相似(24.1%)。通过 IgG 亲和力直接估计血清流行率,结果表明在 112 名学生样本中,有 3 人患有急性感染,在研究人群中的发病率为 1.6%。

结论

在这项研究中,在免疫酶联吸附试验(ELISA)测定中使用不同的显色底物并没有显示出对试剂血清检测 T. gondii 的不同敏感性。必须仔细考虑将结果外推到该人群,因为该研究是在一个较小的样本上进行的。然而,它使我们能够强调认真和精心准备的研究的重要性,以确定弓形虫病的危险因素,采取预防措施,并为高危人群提供有关该疾病的指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d25/4293106/9ead22d1c778/40409_2014_76_Fig1_HTML.jpg

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