Mamuchishvili N, Kuchuloria T, Mchedlishvili I, Imnadze P, Mirzashvili D
National Center for Disease Control and Public Health; Tbilisi State Medical University, Department of Public Health; I. Javakhisvili Tbilisi State University, Department of Public Health, Georgia.
Georgian Med News. 2015 Jul-Aug(244-245):106-10.
Investigation of leptospirosis was initiated in 1950s, when the first cases in humans were detected in Gudauta rayon. Serology test confirmed the diagnose. High level of antibodies to serogroup Pomona was revealed in all cases. Later on the infection encountered as sporadic cases, the exception was 1986, when a large outbreak was reported in Sukhumi. At present leptospirosis is widely spread in the country, especially in Ajara region, where indicators of morbidity recently reached 11.4 per 100 thousand population. It is likely that warm humid climate creates exceptionally favorite conditions for spreading of Leptospira. In order to determine the true magnitude of the infection in the country a seroprevalence study was carried out in 50-60-ies of the past century in humans, agricultural animals and rodents. It was found that serotgroups Pomona, Icteroheamorrhagiae and Grippothypos prevailed in humans, Serogroup L. Pomona - dominated in animals, while in rodents the dominated serotgrouo was L. Icteroheamorrhagiae. Similar study, conducted by us in 1990-2005 showed that L.Pomona and L. Icteroheamorrhagiae prevailed in humans and rodents while L. Icteroheamorrhagiae was the only serogroup isolated in gray rats, trapped in Tbilisi. Infectivity of rodants composed 70%. Currently lesptosirosis is caused by a new serogroups of Leptospira - L. Sejroe, namely by serotypes Wolfii and Hardjo, L. Australis (serotype Bratislava) and L. Autumnalis along with the previously occurring serogroups L. Icteroheamorrhagiae, L. Bataviae, L. Hebdomadis. In our opinion the recent increase in leptospirosis in the country is attributable to the improvements in diagnostics of the infection as well as to the emergence of new serogroups of Leptospira, which in turn is a result of intensive migration processes in the country.
钩端螺旋体病的调查始于20世纪50年代,当时在古达乌塔区发现了首例人类病例。血清学检测确诊了该病。所有病例中均发现针对波摩那群的高水平抗体。后来,该病以散发病例形式出现,1986年是个例外,当时在苏呼米报告了一次大规模疫情。目前,钩端螺旋体病在该国广泛传播,尤其是在阿扎尔地区,该地区最近的发病率达到每10万人11.4例。温暖潮湿的气候很可能为钩端螺旋体的传播创造了极为有利的条件。为了确定该国感染的实际规模,在过去世纪的50至60年代对人类、家畜和啮齿动物进行了血清流行率研究。结果发现,在人类中波摩那群、黄疸出血群和犬群占主导,在动物中波摩那群占主导,而在啮齿动物中黄疸出血群占主导。我们在1990年至2005年进行的类似研究表明,波摩那群和黄疸出血群在人类和啮齿动物中占主导,而黄疸出血群是在第比利斯捕获的灰鼠中分离出的唯一血清群。啮齿动物的感染率为70%。目前,钩端螺旋体病由钩端螺旋体的新血清群—— sejroe群引起,即沃尔夫血清型和哈德乔血清型、澳大利亚群(布拉迪斯拉发血清型)和秋季群,以及先前出现的血清群黄疸出血群、巴达维亚群、七日热群。我们认为,该国最近钩端螺旋体病病例增加归因于感染诊断的改善以及钩端螺旋体新血清群的出现,而这又是该国密集移民过程的结果。