Hobson D, Morgan-Capner P
Department of Medical Microbiology, University of Liverpool.
Epidemiol Infect. 1988 Oct;101(2):397-404. doi: 10.1017/s0950268800054340.
Because of recent reports of abortion in farmers' wives following infection with ovine strains of Chlamydia psittaci during pregnancy, the distribution of chlamydial antibodies was studied in rural populations in north-west England, where endemic chlamydial infection with abortion is common in sheep. Immunoperoxidase assays with C. trachomatis and ovine C. psittaci showed no significant differences in either the frequency or titres of antibodies between sheep farmers and other types of farmer or non-farming adults living in the same areas. The frequency and titres of antibodies in farmers' wives were no greater than in farmers, and were unrelated to their previous obstetric history or type of farming. Overall, 62/255 (24%) of this rural population had antibody detected by C. trachomatis antigen and only 30/255 (13%) detected by C. psittaci antigen. The possible significance of these findings is discussed. This survey does not suggest that the risk of infection with C. psittaci is especially high in people working with sheep, but the complications following infection during pregnancy deserve the specific instructions that have been given to pregnant women to avoid exposure, especially during lambing, in farming and veterinary work.
由于近期有报道称,农民的妻子在孕期感染鹦鹉热衣原体的羊毒株后出现流产,因此对英格兰西北部农村人群的衣原体抗体分布情况进行了研究,该地区羊中衣原体感染伴流产呈地方性流行。用沙眼衣原体和羊鹦鹉热衣原体进行免疫过氧化物酶检测显示,养羊农民与其他类型的农民或居住在同一地区的非务农成年人之间,抗体频率或滴度均无显著差异。农民妻子的抗体频率和滴度并不高于农民,且与她们既往的产科病史或养殖类型无关。总体而言,该农村人群中255人中有62人(24%)通过沙眼衣原体抗原检测到抗体,只有30人(13%)通过鹦鹉热衣原体抗原检测到抗体。文中讨论了这些发现的可能意义。这项调查并不表明从事养羊工作的人感染鹦鹉热衣原体的风险特别高,但孕期感染后的并发症值得给予孕妇特定的指导,以避免接触,尤其是在养殖和兽医工作中的产羔期间。