Mendicino Diego, Colussi Carlina, Stafuza Mariana, Manattini Silvia, Montemaggiore Sandra, Nepote Marcelo
Universidad Nacional del Litoral.
Rev Fac Cien Med Univ Nac Cordoba. 2019 Feb 27;76(1):47-51. doi: 10.31053/1853.0605.v76.n1.21946.
Chagas´Disease (CD) is endemic en Chaco Región. It is unknown the seroprevalence in population older than 14 years old from rural Chaco areas of Santa Fe Province. This study aimed to determine the seroprevalence of and socio-environmental factors associated with CD in inhabitants >14 years old of rural Chaco areas of Santa Fe, Argentina.
A cross-sectional study was conducted between 2010 and 2015, in people over 14 years old, in the rural districts of the Chaco region, in the North of Santa Fe Province, Argentina. Blood serology for Trypanosoma cruzi antibodies based on two serological tests, and a third in case of discordance, were analized. Semi-structured survey was administered. Association between CD and socio-environmental variables were analyzed using prevalence ratios with 95% confidence intervals.
A total of 749 individual were analyzed, with an average of 29.5 years. The seroprevalence was 24.70% (26.69% in women and 20.26% in men). Socio-environmental variables showed association with Trypanosoma cruzi seropositive. The seroprevalence was 7.83 times higher in the children of mothers who had not reached secondary education.
Chaco region of Santa Fe is endemic for CD, as well as other provinces of the Region. The low level of education is the more important conditioning for this endemic disease.
恰加斯病(CD)在查科地区呈地方流行。圣菲省查科农村地区14岁以上人群的血清阳性率尚不清楚。本研究旨在确定阿根廷圣菲省查科农村地区14岁以上居民中恰加斯病的血清阳性率及其相关的社会环境因素。
2010年至2015年期间,对阿根廷圣菲省北部查科地区农村的14岁以上人群进行了一项横断面研究。基于两种血清学检测对克氏锥虫抗体进行血液血清学分析,若结果不一致则进行第三次检测。进行了半结构化调查。使用95%置信区间的患病率比分析恰加斯病与社会环境变量之间的关联。
共分析了749人,平均年龄29.5岁。血清阳性率为24.70%(女性为26.69%,男性为20.26%)。社会环境变量显示与克氏锥虫血清阳性有关。未接受过中等教育的母亲的子女的血清阳性率高7.83倍。
圣菲省的查科地区与该地区的其他省份一样,是恰加斯病的地方流行区。低教育水平是这种地方病的最重要影响因素。