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囊尾蚴病的流行病学,重点是在印度克什米尔人群中的流行率和传播:一项前瞻性研究。

Epidemiology of Taenia saginata taeniasis with emphasis on its prevalence and transmission in a Kashmiri population in India: A prospective study.

机构信息

Department of Animal Sciences, Central University of Kashmir, Science Campus, Ganderbal 191 201, J&K, India.

Department of Medicine, J&K Health Services, Srinagar 190 001, J&K, India.

出版信息

Int J Infect Dis. 2020 Sep;98:401-405. doi: 10.1016/j.ijid.2020.06.088. Epub 2020 Jun 30.

DOI:10.1016/j.ijid.2020.06.088
PMID:32619763
Abstract

BACKGROUND

Taeniasis, caused by two major Taenia species, T. solium and T. saginata, is a worldwide foodborne zoonotic disease. T. solium is found in people who habitually eat raw or undercooked pork, while T. saginata is found in people who habitually eat raw or undercooked beef. Cattle rearing and beef consumption is an important socio-cultural feature in the Kashmir valley, India. This study's objectives were to evaluate the prevalence of foodborne taeniasis in Kashmir and explore the various risk factors for its transmission.

METHODS AND MATERIALS

A detailed survey of the population in selected rural and semi-urban sites of Kashmir valley was carried out based on previous information. A total of 12,404 subjects (males=6364; females=6040) ranging from one to 85 years of age (mean age: 28.96±17.68) were included in this study. The parasite diagnosis was made through stool analysis (egg morphology) and anatomical characteristics of gravid proglottids obtained from infected cases. The data obtained were compiled for the parameters studied and statistically analyzed.

RESULTS

The observations as estimated coprologically and based on gravid proglottids' anatomy revealed the presence of T. saginata infection. The prevalence was 2.74% with males significantly (p<0.01) more infected (3.40%) than females (2.05%). Similarly, the age group of >60 years showed greater prevalence (7.21% among males and 2.68% among females) at a significance value of p<0.05. Rural populatios were slightly more infected (2.84%) than semi-urban populations (2.36%) with a statistically significant difference (p<0.01).

CONCLUSION

Our findings indicate that the Kashmiri population who consume raw or undercooked beef, harbor T. saginata infection; its prevalence was influenced by food eating habits, age, sex, and living conditions.

摘要

背景

带绦虫病是由两种主要的带绦虫引起的,即猪带绦虫和牛带绦虫,是一种全球性的食源性人畜共患疾病。猪带绦虫存在于习惯性食用生的或未煮熟的猪肉的人群中,而牛带绦虫则存在于习惯性食用生的或未煮熟的牛肉的人群中。在印度克什米尔山谷,牛的养殖和牛肉消费是一个重要的社会文化特征。本研究的目的是评估克什米尔地区食源性带绦虫病的流行情况,并探讨其传播的各种危险因素。

方法和材料

根据以往的信息,在克什米尔山谷的选定农村和半城市地区进行了详细的人群调查。共有 12404 名年龄在 1 至 85 岁之间的个体(男性 6364 人;女性 6040 人)(平均年龄:28.96±17.68 岁)纳入本研究。寄生虫诊断是通过粪便分析(卵形态)和从感染病例中获得的孕节的解剖特征来进行的。获得的数据被编译为研究参数,并进行了统计学分析。

结果

通过粪便学估计和基于孕节的解剖学观察,发现存在牛带绦虫感染。感染率为 2.74%,男性(3.40%)显著高于女性(2.05%)(p<0.01)。同样,年龄>60 岁的人群的感染率更高(男性为 7.21%,女性为 2.68%),具有统计学意义(p<0.05)。农村人口的感染率(2.84%)略高于半城市人口(2.36%),差异具有统计学意义(p<0.01)。

结论

我们的研究结果表明,食用生的或未煮熟的牛肉的克什米尔人群携带牛带绦虫感染;其流行率受到饮食习惯、年龄、性别和生活条件的影响。

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