Hoyos Carlos L, Cajal Silvana P, Juarez Marisa, Marco Jorge D, Alberti D'Amato Anahí M, Cayo Melina, Torrejón Irma, Cimino Rubén O, Diosque Patricio, Krolewiecki Alejandro J, Nasser Julio R, Gil José F
Instituto de Investigaciones en Enfermedades Tropicales, Sede Regional Orán, Universidad Nacional de Salta, 4530 Salta, Argentina.
Instituto de Investigaciones en Enfermedades Tropicales, Sede Regional Orán, Universidad Nacional de Salta, 4530 Salta, Argentina; Instituto de Patología Experimental (IPE-CONICET), Facultad de Ciencias de la Salud, Universidad Nacional de Salta, 4400 Salta, Argentina.
Biomed Res Int. 2016;2016:6456031. doi: 10.1155/2016/6456031. Epub 2016 Sep 29.
. Endemic areas of tegumentary leishmaniasis (TL) in Salta, Argentina, present some overlap zones with the geographical distribution of Chagas disease, with mixed infection cases being often detected. . The purpose of this study was to determine the magnitude of sp. infection and potential associated risk factors, the serologic prevalence of and the presence of - sp. mixed infection in a region of the northwest of Argentina. . Cross-sectional studies were conducted to detect TL prevalence and seroprevalence. A case-control study was conducted to examine leishmaniasis risk factors. . Prevalence of TL was 0.17%, seroprevalence of infection was 9.73%, and mixed infection proportion-within the leishmaniasic patients group-was 16.67%. The risk factors associated with TL transmission were sex, age, exposure to bites at work, staying outdoors more than 10 hours/day, bathing in the river, and living with people who had lesions or were infected during the study. . The endemic pattern of TL seems to involve exposure of patients to vectors in wild as well as peridomestic environment. Cases of infection are apparently due to migration. Therefore, a careful epidemiological surveillance is necessary due to the contraindication of antimonial administration to chagasic patients.
在阿根廷萨尔塔,皮肤利什曼病(TL)的流行地区与恰加斯病的地理分布存在一些重叠区域,经常检测到混合感染病例。本研究的目的是确定在阿根廷西北部一个地区锥虫属感染的程度和潜在相关危险因素、锥虫属的血清学患病率以及锥虫属与其他物种的混合感染情况。进行横断面研究以检测TL患病率和血清学患病率。开展病例对照研究以检查利什曼病的危险因素。TL患病率为0.17%,锥虫属感染的血清学患病率为9.73%,在利什曼病患者组中的混合感染比例为16.67%。与TL传播相关的危险因素包括性别、年龄、工作时暴露于叮咬、每天在户外停留超过10小时、在河中洗澡以及在研究期间与有病变或感染的人生活在一起。TL的流行模式似乎涉及患者在野外以及居家周围环境中暴露于媒介。锥虫属感染病例显然是由于迁移所致。因此,由于对恰加斯病患者使用锑剂有禁忌,所以进行仔细的流行病学监测是必要的。
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