Conti Díaz I A
Departamento de Parasitología, Instituto de Higiene, Montevideo, Uruguay.
Mycopathologia. 1989 Nov;108(2):113-6. doi: 10.1007/BF00436061.
Applying the concept of 'epidemiological chain', it is successively analyzed: the etiologic agent, Sporothrix schenckii and its natural reservoirs (sources of infection); the different ways that infecting particles may reach man (mechanisms of infection); the susceptible population and the population at risk; the incidence and distribution by sex and age in countries of Latin America; the prevalence of the disease according to clinical cases in dermatological clinics and the variation of incidence rates in some countries with time; the influence of the environment mainly climatic conditions on the geographic distribution of the disease. Finally, according to Mackinnon's hypothesis, the climate could have a determining role on the predominance of a certain clinical form on another in different countries.
应用“流行病学链”的概念,依次分析了:病原体申克孢子丝菌及其天然宿主(感染源);感染颗粒可能传播给人类的不同途径(感染机制);易感人群和高危人群;拉丁美洲各国按性别和年龄划分的发病率及分布情况;根据皮肤科诊所临床病例统计的疾病患病率以及一些国家发病率随时间的变化情况;环境(主要是气候条件)对疾病地理分布的影响。最后,根据麦金农的假说,气候可能在不同国家某种临床形式相对于另一种临床形式的优势方面起决定性作用。