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古巴中部地区儿童中的患病率:分子特征及相关危险因素。

Prevalence of among children from a central region of Cuba: molecular characterization and associated risk factors.

作者信息

Puebla Luis Jerez, Núñez Fidel A, García Alexey Brito, Rivero Lázara Rojas, Millán Irais Atencio, Prado Raúl Cordoví

机构信息

Department of Parasitology, Tropical Medicine Institute "Pedro Kourí", Autopista Novia del Mediodía Km 6½ e/Autopista Nacional y Carretera Central, Habana, Cuba.

Provincial Centre of Hygiene, Epidemiology and Microbiology of Sancti Spíritus, Sancti Spíritus, Cuba.

出版信息

J Parasit Dis. 2017 Jun;41(2):405-413. doi: 10.1007/s12639-016-0816-z. Epub 2016 Jul 15.

Abstract

is one of the most frequent intestinal parasitic infections in children worldwide. To date, eight main assemblages of have been described, but only A and B genetic groups are known to infect humans. A cross-sectional study was conducted to determine the prevalence and risk factors of infection in 417 preschool children from the Fomento municipality in the central region of Cuba between January and June 2013. The overall prevalence of infection was 10.79 %. Assemblage identification was carried out by the amplification of a fragment of the triose phosphate isomerase () gene. DNA from 36 of 45 (80 %) samples was successfully amplified by PCR-. Assemblage B and mixed assemblages A + B represented 52.78 and 36.11 % respectively, of genotyped samples. Assemblage A accounts for only 11.11 %. Children who were cared for at home were associated with diarrhea caused by assemblage B. No associations were found between other clinical variables with infecting assemblage of . Univariate analysis identified the use of unsafe water resources (OR 2.9; CI 1.2-6.8) and-even more interestingly-keeping dogs indoor (OR 2.5; CI 1.2-5.4) were significant risk factors associated with infection among children. Multivariate analysis using introduction test logistic regression ratified the association of these two risk factors: kept dogs indoor (OR 2.8, CI 1.1-5.3), and untreated water (OR 1.4, CI 1.4-4.9) with infection. This information may be useful for an effective prevention and control programme of giardiasis in this population.

摘要

是全球儿童中最常见的肠道寄生虫感染之一。迄今为止,已描述了 的八个主要组合,但已知仅A和B基因群会感染人类。2013年1月至6月,在古巴中部地区Fomento市对417名学龄前儿童进行了一项横断面研究,以确定 感染的患病率和危险因素。 感染的总体患病率为10.79%。通过磷酸丙糖异构酶()基因片段的扩增进行组合鉴定。45个样本中的36个(80%)的DNA通过PCR-成功扩增。组合B和混合组合A + B分别占基因分型样本的52.78%和36.11%。组合A仅占11.11%。在家中接受照料的儿童与组合B引起的腹泻有关。未发现其他临床变量与 的感染组合之间存在关联。单因素分析确定,使用不安全的水资源(OR 2.9;CI 1.2 - 6.8)以及更有趣的是在室内养狗(OR 2.5;CI 1.2 - 5.4)是儿童 感染的重要危险因素。使用引入检验逻辑回归的多因素分析证实了这两个危险因素与 感染之间的关联:在室内养狗(OR 2.8,CI 1.1 - 5.3)和未经处理的水(OR 1.4,CI 1.4 - 4.9)。这些信息可能有助于制定针对该人群的贾第虫病有效预防和控制计划。

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本文引用的文献

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Impact of periodic selective mebendazole treatment on soil-transmitted helminth infections in Cuban schoolchildren.
Trop Med Int Health. 2014 Jun;19(6):706-718. doi: 10.1111/tmi.12290. Epub 2014 Mar 24.
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