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巴西圣保罗州沃图波朗加的幼虫移行症:危险藏于何处?

Larva migrans in Votuporanga, São Paulo, Brazil: Where does the danger hide?

作者信息

Silva Giane Serafim da, Ferreira Frederico Cardoso, Romera Daiane Mompean, Soares Vando Edésio, Bonuti Marcos Roberto

机构信息

Laboratório de Parasitologia Animal de Votuporanga, Instituto Biológico, Agência Paulista de Tecnologia dos Agronegócios-APTA, Secretaria de Agricultura e Abastecimento, Votuporanga, SP, Brasil.

Santa Casa de Misericórdia de São José do Rio Preto, São José do Rio Preto, SP, Brasil.

出版信息

Rev Bras Parasitol Vet. 2020 Sep 28;29(3):e004920. doi: 10.1590/S1984-29612020075. eCollection 2020.

DOI:10.1590/S1984-29612020075
PMID:33027423
Abstract

Soil samples collected near municipal schools (public/EMEI and private/EPEI schools), clubs (CLB), public squares (PS) and residential condominiums (CND) and samples of animal faeces from the Zoonosis Control Centre (CCZ) of the municipality of Votuporanga/SP were analysed using the Baermann method for the detection of zoonotic helminth larvae. The prevalence rates of the nematode genera identified were determined, and the results were compared using Fisher's exact and chi-square frequency tests. Information about cases of larvae migrans in the population were collected from the Family Health Units and the private health plans. All sites were positive for Ancylostoma spp. and, with the exception of EPEIs and dog faeces, for Strongyloides spp. The prevalence of Ancylostoma spp. was 87.5% for CND samples, 74.29% for EMIEs, 63.64% for CLB, 61.76% for PS and 64.29% for dog's and 42.86% for cats at CCZ. The prevalence of Strongyloides spp. ranged from 14.29% (cats/CCZ) to 41.18% (PS). Cases of cutaneous larva migrans were reported during interviews. Thus, from the public health perspective, the risk of individuals that frequent recreational areas in the municipality, especially children, to be infected by helminth larvae is noteworthy, indicating the need to develop policies aimed at controlling this important zoonosis.

摘要

对在市立学校(公立/峨嵋学校和私立/埃佩伊学校)、俱乐部(CLB)、公共广场(PS)和住宅小区(CND)附近采集的土壤样本,以及来自沃图波朗加市/圣保罗州人畜共患病控制中心(CCZ)的动物粪便样本,采用贝尔曼法进行分析,以检测人畜共患蠕虫幼虫。确定所鉴定线虫属的患病率,并使用费舍尔精确检验和卡方频率检验对结果进行比较。从家庭健康单位和私人健康计划收集有关人群中幼虫移行症病例的信息。所有地点的样本中均检测到钩口线虫属呈阳性,除了埃佩伊学校和狗粪便样本外,类圆线虫属也呈阳性。钩口线虫属的患病率在住宅小区样本中为87.5%,在峨嵋学校为74.29%,在俱乐部为63.64%,在公共广场为61.76%,在控制中心狗粪便样本中为64.29%,猫粪便样本中为42.86%。类圆线虫属的患病率从14.29%(猫/控制中心)到41.18%(公共广场)不等。在访谈中报告了皮肤幼虫移行症病例。因此,从公共卫生角度来看,该市经常光顾娱乐场所的个人,尤其是儿童,感染蠕虫幼虫的风险值得关注,这表明需要制定旨在控制这种重要人畜共患病的政策。

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