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职业性暴露于动物源性克里米亚-刚果出血热感染的血清学调查

Serological Investigation of Occupational Exposure to Zoonotic Crimean-Congo Hemorrhagic Fever Infection.

作者信息

Aydin Hakan, Uyanik Muhammet Hamidullah, Karamese Murat, Sozdutmaz Ibrahim, Timurkan Mehmet Ozkan, Gulen Abdulkadir, Ozmen Erkan, Aktas Osman

机构信息

Department of Virology, Ataturk University School of Veterinary Medicine, Erzurum, Turkey.

Department of Microbiology, Ataturk University School of Medicine, Erzurum, Turkey.

出版信息

Eurasian J Med. 2020 Jun;52(2):132-135. doi: 10.5152/eurasianjmed.2020.19176. Epub 2019 May 20.

Abstract

OBJECTIVE

Crimean-Congo hemorrhagic fever (CCHF) is an acute and highly fatal disease. In this study, our aim was to compare and evaluate the prevalence of CCHF virus (CCHFV) antibody among occupational high-risk groups by using the enzyme-linked immunosorbent assay and draw attention to the occupational groups that are at high risk for CCHF infection in an endemic region for this zoonotic infection in Erzurum, Turkey.

MATERIALS AND METHODS

The antibody levels against CCHFV were surveyed among slaughterhouse workers, animal breeders, and veterinarians. The study population was composed of 72 participants having direct contact with animals and 19 blood donors who were not in direct contact with animals.

RESULTS

The overall rate of CCHF immunoglobulin G positivity in risk groups was found to be 6.94% (5/72). CCHFV antibodies were found in 4 (12.5%) individuals of the animal breeder group. This ratio was considered significantly higher compared with the healthy control group. CCHFV antibodies were found in only one person (4.0%) who was an abattoir worker. In the veterinarian group, all people were found negative.

CONCLUSION

In our study, the variables showing important associations with the prevalence of anti-CCHFV antibodies were livestock breeding, rural areas, and age. It was concluded that our region is endemic with regard to CCHF infection and persons who had direct contact with animals are at high risk. Thus, these participants must take necessary measures to protect themselves from CCHF and should be trained by health authorities.

摘要

目的

克里米亚-刚果出血热(CCHF)是一种急性且致死率很高的疾病。在本研究中,我们的目的是通过酶联免疫吸附测定法比较和评估职业高危人群中CCHF病毒(CCHFV)抗体的流行情况,并提请关注土耳其埃尔祖鲁姆这个该人畜共患感染的流行地区中CCHF感染高危的职业群体。

材料与方法

对屠宰场工人、动物饲养员和兽医进行了针对CCHFV的抗体水平调查。研究人群由72名与动物有直接接触的参与者和19名与动物无直接接触的献血者组成。

结果

发现高危组中CCHF免疫球蛋白G阳性的总体率为6.94%(5/72)。动物饲养员组中有4人(12.5%)检测到CCHFV抗体。与健康对照组相比,该比例被认为显著更高。屠宰场工人中只有1人(4.0%)检测到CCHFV抗体。兽医组所有人检测均为阴性。

结论

在我们的研究中,与抗CCHFV抗体流行率显示出重要关联的变量是家畜饲养、农村地区和年龄。得出的结论是,我们所在地区存在CCHF感染的地方性流行,与动物有直接接触的人处于高风险中。因此,这些参与者必须采取必要措施保护自己免受CCHF感染,并且应由卫生当局对其进行培训。

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Prevalence of crimean-congo hemorrhagic Fever among high risk human groups.高危人群中克里米亚-刚果出血热的患病率。
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