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[江苏省常州市特殊人群感染情况及相关因素分析]

[Analyais of infection and related factors among special population in Changzhou City, Jiangsu Province].

作者信息

Yan-Li Guo, Yong-Gen Zou, Da-Cheng Xu, Wen-Wei Xu, Yi-Qing Xie, Yang Dai, Ming-Xue Shen

机构信息

Changzhou Center for Disease Control and Prevention, Jiangsu Province, Changzhou 213022, China.

Jintan District Center for Disease Control and Prevention, Changzhou City, China.

出版信息

Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2016 Nov 18;28(6):669-673. doi: 10.16250/j.32.1374.2016172.

Abstract

OBJECTIVE

To understand the prevalence of infection and related factors among special population in Changzhou City, so as to provide the evidence for formulating toxoplasmosis prevention measures.

METHODS

The venous blood was collected from participants in Changzhou City for detecting IgG and IgM antibodies against by ELISA; and an epidemiological questionnaire investigation was also conducted.

RESULTS

Among the total 400 respondents detected, the prevalence of infection was 15.0% and the positive rates of IgG and IgM were 15.0% and 0.8%, respectively. The infection rates of pregnant women, HIV/AIDS patients, patients with neoplasia, and livestock and poultry breeding and processing workers were 11.0%, 11.0%, 24.0% and 14.0%, respectively. As the age increased, the infection rate of showed an upward trend, with the highest infection rate (21.6%) among the group of respondents aged above 50 years. The infection rates of groups with different education levels were statistically different ( = 11.443, < 0.05), and there was a trend that the infection rate decreased with the increase of education level. The prevalence of infection in pregnant women was not significantly associated with the number of pregnancies and gestational age. The infection rate of in the live-stock and poultry breeding and processing workers increased with the length of their working years.

CONCLUSIONS

The prevalence of infection among the special population in Changzhou City is high. Therefore, it is necessary to enhance the health education on the knowledge and information of prevention and control of toxoplasmosis, and to improve the awareness of personal protection, the hygiene practices and diet habits. In addition, more attention should be paid to monitoring in the special population.

摘要

目的

了解常州市特殊人群弓形虫感染状况及相关因素,为制定弓形虫病预防措施提供依据。

方法

采集常州市研究对象静脉血,采用酶联免疫吸附试验(ELISA)检测抗弓形虫IgG和IgM抗体;同时进行流行病学问卷调查。

结果

共检测400名研究对象,弓形虫感染率为15.0%,IgG和IgM抗体阳性率分别为15.0%和0.8%。孕妇、艾滋病病毒/艾滋病(HIV/AIDS)患者、肿瘤患者、畜禽养殖及加工人员的弓形虫感染率分别为11.0%、11.0%、24.0%和14.0%。随着年龄增长,弓形虫感染率呈上升趋势,50岁以上组感染率最高(21.6%)。不同文化程度组感染率差异有统计学意义(χ² = 11.443,P < 0.05),且有随着文化程度升高感染率下降的趋势。孕妇弓形虫感染率与妊娠次数和孕周无明显关联。畜禽养殖及加工人员弓形虫感染率随工作年限延长而升高。

结论

常州市特殊人群弓形虫感染率较高。因此,有必要加强弓形虫病防治知识健康教育,提高个人防护意识、卫生习惯和饮食习惯。此外,应加强对特殊人群的弓形虫监测。

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