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在伊朗消除疟疾计划下,对伊朗沙赫尔地区进行的一项横断面研究中未发现无症状疟疾感染情况。

Absence of Asymptomatic Malaria Infection in a Cross-sectional Study in Iranshahr District, Iran under Elimination Programmes.

作者信息

Pirahmadi Sakineh, Zakeri Sedigheh, Raeisi Ahmad

机构信息

Malaria and Vector Research Group (MVRG), Biotechnology Research Center (BRC), Pasteur Institute of Iran, Tehran, Iran.

National Programme Manager for Malaria Control, Ministry of Health and Medical Education, Tehran, Iran.

出版信息

Iran J Parasitol. 2017 Jan-Mar;12(1):90-100.

Abstract

BACKGROUND

Asymptomatic malaria infection provides a reservoir of parasites, causing the persistence of malaria transmission. It accounts an important challenge for successful management of the control, elimination, and eradication programmes in any malaria-endemic region. This investigation was designed to assess the presence and the prevalence of asymptomatic carriers in Iranshahr district of Sistan and Baluchistan Province (2013-2014), with a considerable population movement, during the malaria elimination phase in Iran.

METHODS

Finger-prick blood samples were collected from symptomless (n=250) and febrile (n=50) individuals residing in Iranshahr district, easthern Iran (Hoodian, Mand, Chah-e Giji, Jolgehashem, Esfand, Dalgan and Chahshour) during Jan 2013 to Dec 2014, and infections were detected using light microscopic and highly sensitive nested-PCR techniques.

RESULTS

Thick and thin Giemsa-stained blood smears were negative for parasites. In addition, based on nested-PCR analysis, no , and parasites were detected among the studied individuals.

CONCLUSION

Investigation the absence of asymptomatic carriers in Iranshahr district was illustrated and achieving malaria elimination in this area is feasible in a near future.

摘要

背景

无症状疟疾感染为寄生虫提供了储存宿主,导致疟疾传播持续存在。这对任何疟疾流行地区成功开展控制、消除和根除计划构成了重大挑战。本调查旨在评估在伊朗消除疟疾阶段,锡斯坦-俾路支斯坦省伊兰沙赫尔地区(2013 - 2014年)无症状携带者的存在情况和流行率,该地区人口流动频繁。

方法

2013年1月至2014年12月期间,从居住在伊朗东部伊兰沙赫尔地区(胡迪安、曼德、查赫-吉吉、乔尔格哈舍姆、埃斯凡德、达尔甘和查赫舒尔)的无症状个体(n = 250)和发热个体(n = 50)中采集指尖血样,采用光学显微镜和高度敏感的巢式PCR技术检测感染情况。

结果

吉姆萨染色的厚血膜和薄血膜均未发现寄生虫。此外,基于巢式PCR分析,在所研究个体中未检测到疟原虫、间日疟原虫和卵形疟原虫。

结论

本研究表明伊兰沙赫尔地区不存在无症状携带者,该地区在不久的将来实现疟疾消除是可行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c91c/5522703/e9f6b54473bb/IJPA-12-90-g001.jpg

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