Morikawa Vivien Midori, Bier Daniele, Pellizzaro Maysa, Ullmann Leila Sabrina, Paploski Igor Adolfo Dexheimer, Kikuti Mariana, Langoni Hélio, Biondo Alexander Welker, Molento Marcelo Beltrão
Departamento de Medicina Veterinária, Universidade Federal do Paraná, Curitiba, PR, Brazil.
Departamento de Microbiologia e Imunologia, Instituto de Biociências de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brazil.
Rev Soc Bras Med Trop. 2015 Jan-Feb;48(1):50-5. doi: 10.1590/0037-8682-0213-2014.
Leptospirosis is a zoonosis that affects both humans and animals. Dogs may serve as sentinels and indicators of environmental contamination as well as potential carriers for Leptospira. This study aimed to evaluate the seroprevalence and seroincidence of leptospirosis infection in dogs in an urban low-income community in southern Brazil where human leptospirosis is endemic.
A prospective cohort study was designed that consisted of sampling at recruitment and four consecutive trimestral follow-up sampling trials. All households in the area were visited, and those that owned dogs were invited to participate in the study. The seroprevalence (MAT titers ≥100) of Leptospira infection in dogs was calculated for each visit, the seroincidence (seroconversion or four-fold increase in serogroup-specific MAT titer) density rate was calculated for each follow-up, and a global seroincidence density rate was calculated for the overall period.
A total of 378 dogs and 902.7 dog-trimesters were recruited and followed, respectively. The seroprevalence of infection ranged from 9.3% (95% CI; 6.7 - 12.6) to 19% (14.1 - 25.2), the seroincidence density rate of infection ranged from 6% (3.3 - 10.6) to 15.3% (10.8 - 21.2), and the global seroincidence density rate of infection was 11% (9.1 - 13.2) per dog-trimester. Canicola and Icterohaemorraghiae were the most frequent incident serogroups observed in all follow-ups.
Follow-ups with mean trimester intervals were incapable of detecting any increase in seroprevalence due to seroincident cases of canine leptospirosis, suggesting that antibody titers may fall within three months. Further studies on incident infections, disease burden or risk factors for incident Leptospira cases should take into account the detectable lifespan of the antibody.
钩端螺旋体病是一种人畜共患病,可感染人类和动物。狗可作为环境污染的哨兵和指标,以及钩端螺旋体的潜在携带者。本研究旨在评估巴西南部一个城市低收入社区中狗感染钩端螺旋体病的血清阳性率和血清发病率,该社区人类钩端螺旋体病呈地方性流行。
设计了一项前瞻性队列研究,包括在招募时采样以及连续四个季度的随访采样试验。走访了该地区的所有家庭,邀请养狗家庭参与研究。每次走访时计算狗感染钩端螺旋体的血清阳性率(显微镜凝集试验滴度≥100),每次随访时计算血清发病率(血清转化或血清群特异性显微镜凝集试验滴度增加四倍)密度率,并计算整个时期的总体血清发病率密度率。
分别招募并随访了378只狗和902.7个狗季度。感染的血清阳性率在9.3%(95%置信区间;6.7 - 12.6)至19%(14.1 - 25.2)之间,感染的血清发病率密度率在6%(3.3 - 10.6)至15.3%(10.8 - 21.2)之间,每狗季度的总体血清发病率密度率为11%(9.1 - 13.2)。犬型和黄疸出血型是在所有随访中观察到的最常见的发病血清群。
平均每三个月进行一次的随访无法检测到犬钩端螺旋体病血清发病病例导致的血清阳性率增加,这表明抗体滴度可能在三个月内下降。关于发病感染、疾病负担或钩端螺旋体病发病病例的危险因素的进一步研究应考虑抗体的可检测寿命。