Programa de Pós-Graduação em Ciência Animal, Faculdade de Medicina Veterinária, Universidade Estadual Paulista, Araçatuba, SP, Brasil.
Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Universidade de Campinas, Campinas, SP, Brasil.
Rev Soc Bras Med Trop. 2020;53:e20190525. doi: 10.1590/0037-8682-0525-2019. Epub 2020 May 18.
Canine visceral leishmaniasis (CVL) is a public health problem, and its prevalence is associated with the coexistence of vectors and reservoirs. CVL is a protozoonosis caused by Leishmania infantum that is endemic in the southeast region of Brazil. Thus, vector and canine reservoir control strategies are needed to reduce its burden. This study aimed to verify the CVL seroprevalence and epidemiology in a municipality in Southeast Brazil to initiate disease control strategies.
A total of 833 dogs were subjected to Dual Path Platform (DPP) testing and enzyme-linked immunosorbent assays. For seropositive dogs, epidemiological aspects were investigated using a questionnaire and a global position system. The data were submitted to simple logistic regression, kernel estimation, and Bernoulli spatial scan statistical analysis.
The overall CVL-confirmed seroprevalence was 16.08%. The 28.93% in the DPP screening test was associated with dogs maintained in backyards with trees, shade, animal and/or bird feces, and contact with other dogs and cats, with sick dogs showing the highest chances of infection (odds ratio, 2.6; 95% confidence interval, 2.38-1.98), especially in residences with elderly people. A spatial analysis identified two hotspot regions and detected two clusters in the study area.
Our results demonstrated that residences with elderly people and the presence of trees, shade, feces, and pet dogs and cats increased an individual's risk of developing CVL. The major regions where preventive strategies for leishmaniasis were to be initiated in the endemic area were identified in two clusters.
犬内脏利什曼病(CVL)是一个公共卫生问题,其流行与媒介和储存宿主的共存有关。CVL 是一种由利什曼原虫引起的原生动物病,在巴西东南部地区流行。因此,需要采取媒介和犬类储存宿主的控制策略来降低其负担。本研究旨在调查巴西东南部一个城市的 CVL 血清流行率和流行病学,以启动疾病控制策略。
共有 833 只狗接受了双路径平台(DPP)检测和酶联免疫吸附试验。对于血清阳性的狗,使用问卷和全球定位系统调查了流行病学方面的问题。将数据提交给简单逻辑回归、核估计和伯努利空间扫描统计分析。
总的 CVL 确诊血清流行率为 16.08%。DPP 筛查试验中的 28.93%与在有树木、阴凉、动物和/或鸟类粪便的后院中饲养的狗以及与其他狗和猫接触的狗有关,有患病狗的狗感染的可能性最高(优势比,2.6;95%置信区间,2.38-1.98),尤其是在有老年人居住的住所。空间分析确定了两个热点区域,并在研究区域检测到两个集群。
我们的结果表明,有老年人居住的住所、树木、阴凉、粪便、宠物狗和猫的存在增加了个体患 CVL 的风险。在两个集群中确定了利什曼病预防策略要在流行地区启动的主要区域。