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在一个地方病流行地区,大量无症状犬只作为钩端螺旋体携带者,这表明存在严重的公共卫生问题。

High number of asymptomatic dogs as leptospiral carriers in an endemic area indicates a serious public health concern.

作者信息

Sant'anna R, Vieira A S, Grapiglia J, Lilenbaum W

机构信息

Laboratory of Veterinary Bacteriology,Biomedical Institute of the Fluminense Federal University located at Rua Professor Hernani Mello,101 Niterói,Rio de Janeiro,Brazil.

出版信息

Epidemiol Infect. 2017 Jul;145(9):1852-1854. doi: 10.1017/S0950268817000632. Epub 2017 Apr 3.

DOI:10.1017/S0950268817000632
PMID:28367783
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9203335/
Abstract

Asymptomatic dogs can be potential hosts of leptospirosis. However, the extension of this phenomenon in endemic areas has not yet been clearly defined. This study is aimed at evaluating the role of asymptomatic dogs as carriers of Leptospira in an endemic area of Brazil. A total of 131 male dogs without apparent leptospirosis symptoms were included in the study based on clinical and hematologic exams. Serum and urine samples were collected for microscopic agglutination tests (MAT) and polymerase chain reactions (PCR) targeted the LipL32 gene, respectively. Forty-two dogs (32·1%) presented seroreactivity (titres ⩾100). The serogroup Icterohaemorrhagiae was predominant, representing 92·7% of the seropositive samples. Overall, leptospiral DNA was detected on 26 urine samples (19·8%). PCR positivity was more common (28·6%) on seropositive dogs than on seronegative (15·7%) ones. Nevertheless, MAT was not correlated to PCR (P > 0·05). Age was not associated with seroreactivity, but dogs older than 5 years of age had 4·07 more chances (odds ratio) of being carriers (PCR positive) than younger ones. Although the fact of knowing that asymptomatic dogs can act as leptospiral carriers is not new, the extension of this fact is impressive in an endemic region, and its role and impact on public health cannot be neglected.

摘要

无症状犬可能是钩端螺旋体病的潜在宿主。然而,这一现象在流行地区的范围尚未明确界定。本研究旨在评估无症状犬在巴西一个流行地区作为钩端螺旋体携带者的作用。基于临床和血液学检查,共有131只无明显钩端螺旋体病症状的雄性犬被纳入研究。分别采集血清和尿液样本进行显微镜凝集试验(MAT)和针对LipL32基因的聚合酶链反应(PCR)。42只犬(32.1%)呈现血清反应阳性(滴度⩾100)。出血性黄疸血清群占主导,占血清阳性样本的92.7%。总体而言,在26份尿液样本(19.8%)中检测到钩端螺旋体DNA。血清阳性犬的PCR阳性率(28.6%)比血清阴性犬(15.7%)更常见。然而,MAT与PCR无相关性(P>0.05)。年龄与血清反应性无关,但5岁以上的犬成为携带者(PCR阳性)的几率比年轻犬高4.07倍(优势比)。尽管无症状犬可作为钩端螺旋体携带者这一事实并不新鲜,但在一个流行地区这一情况的范围令人印象深刻,其对公共卫生的作用和影响不可忽视。

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