Fallah Omrani Vahid, Rouhani Soheila, Kazemi Bahram, Seyyedtabaei Seyyed Javad, Kheirandish Farnaz, Rezapour Maysam
Dept. of Parasitology and Mycology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Students Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Iran J Public Health. 2017 Aug;46(8):1132-1138.
Cystic echinococcosis (CE) is a zoonotic disease with global prevalence, which causes considerable health problems and economic losses throughout the world. The aim of this study was to assess the seroepidemiology of CE in Doroud City, Lorestan Province, Iran, considered a neglected endemic location.
An ELISA was performed using recombinant AgB from Apr to Jul 2015 in Lorestan Province, Western Iran. The commercial Hydatidosis IgG ELISA kit (Vircell SL, Granada, Spain) was used to confirm the obtained results.
In the present study, out of 927 collected sera, 25 samples (2.6%) were found as seropositive for IgG antibodies. The prevalence of IgG antibodies against was significantly higher in rural areas (3.24%) than in urban area (1.20%) (<0.001). Moreover, there was no significant relationship between age, occupation, sex, and literacy with seropositivity (>0.05). Moreover, there was no statistically significant difference between the prevalence of CE in males (13/349, 3.72%) and females (12/553, 2.12%). With regard to occupation, farmers and ranchmen had the highest rate of infection (5.5%). There was a significant association between eating unwashed vegetables and seropositivity (<0.001). Seropositive cases in rural areas were more than in urban areas.
Since all the seropositive cases used unwashed local vegetables, the contamination may occur through the consumption of such vegetables.
囊型包虫病(CE)是一种全球性流行的人畜共患病,在全球范围内造成了相当严重的健康问题和经济损失。本研究的目的是评估伊朗洛雷斯坦省多鲁德市的囊型包虫病血清流行病学情况,该市被视为一个被忽视的地方性流行地区。
2015年4月至7月在伊朗西部的洛雷斯坦省使用重组AgB进行酶联免疫吸附测定(ELISA)。使用商业化的包虫病IgG ELISA试剂盒(Vircell SL,西班牙格拉纳达)来确认所得结果。
在本研究中,在收集的927份血清中,发现25份样本(2.6%)的IgG抗体呈血清阳性。农村地区抗[具体抗原未提及]的IgG抗体患病率(3.24%)显著高于城市地区(1.20%)(<0.001)。此外,年龄、职业、性别和识字率与血清阳性之间无显著关系(>0.05)。而且,男性(13/349,3.72%)和女性(12/553,2.12%)的囊型包虫病患病率在统计学上无显著差异。关于职业,农民和牧民的感染率最高(5.5%)。食用未清洗蔬菜与血清阳性之间存在显著关联(<0.001)。农村地区的血清阳性病例多于城市地区。
由于所有血清阳性病例都食用了未清洗的当地蔬菜,污染可能是通过食用此类蔬菜发生的。