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精神病患者中弓形虫暴露与自杀未遂之间不存在关联。

Lack of Association between Toxocara Exposure and Suicide Attempts in Psychiatric Patients.

作者信息

Alvarado-Esquivel Cosme, Hernández-Tinoco Jesús, Sánchez-Anguiano Luis Francisco

机构信息

Biomedical Research Laboratory, Faculty of Medicine and Nutrition, Juárez University of Durango State, 34000 Durango, DGO, Mexico.

Institute for Scientific Research "Dr. Roberto Rivera Damm", Juárez University of Durango State, 34000 Durango, DGO, Mexico.

出版信息

J Parasitol Res. 2015;2015:608604. doi: 10.1155/2015/608604. Epub 2015 Sep 21.

Abstract

Infection with Toxocara may affect the central nervous system. A high seroprevalence of Toxocara infection has been reported in psychiatric patients. To the best of our knowledge, there is no previous report about an association of Toxocara infection with suicide attempts. Therefore, we sought to determine whether Toxocara exposure is associated with suicide attempts in psychiatric patients. We studied 282 psychiatric outpatients (156 with suicide attempts and 126 without suicide attempts). Sera of patients were analyzed for the presence of anti-Toxocara IgG antibodies by using a commercially available enzyme immunoassay. One of the 156 (0.6%) suicide attempters and 1 (0.8%) of the 126 controls were positive for anti-Toxocara IgG antibodies (OR = 0.80; 95% CI: 0.04-13.02; P = 1.00). Toxocara seropositivity was significantly higher (P = 0.01) in male patients with consumption of raw dried goat meat than male patients without this consumption. Results suggest that Toxocara exposure is not associated with suicide attempts in psychiatric outpatients in Durango City, Mexico. However, further studies with larger samples sizes to confirm our results should be conducted. Too few patients were seropositive to assess further associations of Toxocara exposure with sociodemographic, clinical, and behavioral characteristics of the psychiatric patients.

摘要

弓首蛔虫感染可能会影响中枢神经系统。有报道称,精神科患者中弓首蛔虫感染的血清阳性率较高。据我们所知,此前尚无关于弓首蛔虫感染与自杀未遂之间关联的报道。因此,我们试图确定精神科患者中接触弓首蛔虫是否与自杀未遂有关。我们研究了282名精神科门诊患者(156名有自杀未遂经历,126名无自杀未遂经历)。通过使用市售酶免疫测定法分析患者血清中抗弓首蛔虫IgG抗体的存在情况。156名自杀未遂者中有1名(0.6%)抗弓首蛔虫IgG抗体呈阳性,126名对照者中有1名(0.8%)呈阳性(比值比=0.80;95%置信区间:0.04 - 13.02;P=1.00)。食用生干羊肉的男性患者中弓首蛔虫血清阳性率显著高于未食用的男性患者(P=0.01)。结果表明,在墨西哥杜兰戈市的精神科门诊患者中,接触弓首蛔虫与自杀未遂无关。然而,应进行更大样本量的进一步研究以证实我们的结果。血清呈阳性的患者太少,无法评估弓首蛔虫接触与精神科患者社会人口学、临床和行为特征之间的进一步关联。

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