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巴西南部一个主要城市中,来自随机选取家庭的狗主人及其宠物狗体内抗利什曼原虫属抗体的空间和同步血清流行病学研究

Spatial and simultaneous seroepidemiology of anti-Leishmania spp. antibodies in dog owners and their dogs from randomly selected households in a major city of southern Brazil.

作者信息

Benitez Aline do Nascimento, Martins Felippe Danyel Cardoso, Mareze Marcelle, Nino Beatriz de Souza Lima, Caldart Eloiza Teles, Ferreira Fernanda Pinto, Mitsuka-Breganó Regina, Freire Roberta Lemos, Galhardo Juliana Arena, Martins Camila Marinelli, Biondo Alexander Welker, Navarro Italmar Teodorico

机构信息

Laboratory of Zoonoses and Public Health, Londrina State University, Londrina, PR, 86057-970, Brazil.

Department of Preventive Veterinary Medicine, Londrina State University, Londrina, PR, 86057-970, Brazil.

出版信息

Prev Vet Med. 2018 Jun 1;154:47-53. doi: 10.1016/j.prevetmed.2018.02.011. Epub 2018 Feb 23.

Abstract

Although leishmaniasis has been described as a classic example of a zoonosis requiring a comprehensive approach for control, to date, no study has been conducted on the spatial distribution of simultaneous Leishmania spp. seroprevalence in dog owners and dogs from randomly selected households in urban settings. Accordingly, the present study aimed to simultaneously identify the seroprevalence, spatial distribution and associated factors of infection with Leishmania spp. in dog owners and their dogs in the city of Londrina, a county seat in southern Brazil with a population of half a million people and ranked 18th in population and 145th in the human development index (HDI) out of 5570 Brazilian cities. Overall, 564 households were surveyed and included 597 homeowners and their 729 dogs. Anti-Leishmania spp. antibodies were detected by ELISA in 9/597 (1.50%) dog owners and in 32/729 (4.38%) dogs, with significantly higher prevalence (p = 0.0042) in dogs. Spatial analysis revealed associations between seropositive dogs and households located up to 500 m from the local railway. No clusters were found for either owner or dog case distributions. In summary, the seroepidemiological and spatial results collectively show a lack of association of the factors for infection, and the results demonstrated higher exposure for dogs than their owners. However, railway areas may provide favorable conditions for the maintenance of infected phlebotomines, thereby causing infection in nearby domiciled dogs. In such an urban scenario, local sanitary barriers should be focused on the terrestrial routes of people and surrounding areas, particularly railways, via continuous vector surveillance and identification of phlebotomines infected by Leishmania spp.

摘要

尽管利什曼病被描述为一种需要综合控制方法的人畜共患病的经典例子,但迄今为止,尚未对城市环境中随机选择的家庭的狗主人和狗同时感染利什曼原虫属的血清流行率的空间分布进行研究。因此,本研究旨在同时确定巴西南部拥有50万人口、在巴西5570个城市中人口排名第18位、人类发展指数(HDI)排名第145位的隆德里纳市狗主人及其狗感染利什曼原虫属的血清流行率、空间分布及相关感染因素。总体而言,共调查了564户家庭,包括597名户主及其729只狗。通过ELISA检测发现,597名狗主人中有9人(1.50%)、729只狗中有32只(4.38%)检测出抗利什曼原虫属抗体,狗的血清流行率显著更高(p = 0.0042)。空间分析显示,血清阳性的狗与距离当地铁路500米以内的家庭之间存在关联。在主人或狗的病例分布中均未发现聚集现象。总之,血清流行病学和空间分析结果共同表明感染因素之间缺乏关联,结果显示狗比其主人接触感染的风险更高。然而,铁路区域可能为感染的白蛉生存提供有利条件,从而导致附近家养的狗感染。在这样的城市环境中,当地的卫生屏障应通过持续的媒介监测和识别感染利什曼原虫属的白蛉,重点关注人和周边地区(特别是铁路)的陆地传播途径。

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