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巴西皮奥伊州坎皮纳斯市农村社区的查加斯病血清流行率。

Seroprevalence of Chagas disease in rural communities at Campinas do Piauí city, Brazil.

机构信息

Departamento de Parasitologia e Microbiologia, Centro de Ciências da Saúde, Universidade Federal do Piauí, Teresina/PI, Brazil.

Núcleo de Entomologia do Piauí, Universidade Federal do Piauí, Teresina, Brazil.

出版信息

Trop Med Int Health. 2021 Mar;26(3):281-289. doi: 10.1111/tmi.13516. Epub 2020 Nov 27.

Abstract

OBJECTIVES

This manuscript aimed to evaluate the seroprevalence of Chagas's disease in the population of rural communities at Campinas do Piauí city, State of Piauí, Brazil.

METHODS

The techniques of the indirect immunofluorescence reaction and enzyme-linked immunosorbent assay were used to detect reagent samples for Chagas disease and estimate its prevalence in the rural population. Blood samples were collected on filter paper through digital and venipuncture. Blood samples with reactive or indeterminate results were re-evaluated and subjected to the test by ELISA.

RESULTS

In total, 763 blood samples were analysed from 161 residences of 18 rural communities, collected in residents aged between 2 and 92 years. In the indirect immunofluorescence reaction technique, 44 (5.8%) of the results were positive, being 40 (5.2%) confirmed by the enzyme-linked immunosorbent assay. Among the communities surveyed, we observed reactive cases in 15 of them, these cases being distributed, according to the age group, as follows: 1 case from 0 to 10 years; 13 cases from 11 to 60 years old; and 30 cases over 61 years.

CONCLUSION

The results indicate that Chagas's disease remains with active transmission in the Campinas do Piaui city according to the occurrence of a case in a resident under 10 years of age. The region is endemic for Chagas's disease, as observed by the high prevalence of positive cases.

摘要

目的

本研究旨在评估巴西皮奥伊州坎皮纳斯·多·皮奥伊市农村社区人群中查加斯病的血清流行率。

方法

采用间接免疫荧光反应和酶联免疫吸附试验技术检测查加斯病试剂样本,并估计农村人群中的患病率。通过数字和静脉穿刺在滤纸上采集血样。对反应性或不确定结果的血样进行重新评估,并通过 ELISA 进行检测。

结果

共分析了来自 18 个农村社区的 161 户居民的 763 份血样,采集的居民年龄在 2 至 92 岁之间。在间接免疫荧光反应技术中,有 44 份(5.8%)结果为阳性,其中 40 份(5.2%)通过酶联免疫吸附试验得到确认。在所调查的社区中,我们观察到 15 个社区存在反应性病例,这些病例按年龄组分布如下:0 至 10 岁 1 例;11 至 60 岁 13 例;61 岁以上 30 例。

结论

这些结果表明,根据 10 岁以下居民发生病例的情况,查加斯病在坎皮纳斯·多·皮奥伊市仍在进行性传播。该地区为查加斯病的流行区,阳性病例的高发生率表明了这一点。

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