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巴西巴伊亚州巴雷拉斯市利什曼病城市化的临床、流行病学及传播循环方面

Clinical, epidemiological and transmission cycle aspects of leishmaniasis urbanization in Barreiras, Bahia, Brazil.

作者信息

Lacerda Alexandre Faria Alvares, Oliveria Denise Santana, Salomão Juliane Vilela Fereira, Oliveira Luiz Gustavo Rodrigues, Monte-Alegre Adriano, Santos José Yure Gomes Dos, Souza Carolina Carvalho de, Magalhães-Junior Jairo Torres, Araújo-Santos E Théo

机构信息

Núcleo de Estudos de Agentes Infecciosos e Vetores (NAIVE), Centro das Ciências Biológicas e da Saúde, Universidade Federal do Oeste da Bahia (UFOB), Barreiras, Bahia, Brasil.

Centro das Ciências Biológicas e da Saúde, Universidade Federal do Oeste da Bahia (UFOB), Barreiras, BA, Brasil.

出版信息

Spat Spatiotemporal Epidemiol. 2021 Feb;36:100395. doi: 10.1016/j.sste.2020.100395. Epub 2020 Dec 11.

DOI:10.1016/j.sste.2020.100395
PMID:33509434
Abstract

Leishmaniasis remains one of the world's leading infectious diseases and a public health problem for Bahia and Brazil. We made a retrospective cohort study of leishmaniasis cases reported between 2007 and 2016 in the Barreiras city, an important agribusiness city whose urbanization process was recent. Leishmaniasis presented epidemiological data with similar characteristics of the disease in other regions of the Brazil, that is, with the highest prevalence of visceral leishmaniasis found in children, while cutaneous leishmaniais was found in adults. The disease presented an urban configuration with wide distribution in the Barreiras city. We found the vectors of the different clinical forms of the disease occurring in the urban area of Barreiras city, particularly the sand fly of the Lutzmyia longipalpis, Evandromyia sallesi and Nyssomyia intermedia species. More studies will be necessary to indentify whether these species are really incriminated in the urban transmission of the parasites in the urban areas. This study indicates the places of the spatio-temporal greatest occurrence and transmission of the disease in the urban zones of Barreiras city.

摘要

利什曼病仍然是世界主要传染病之一,也是巴伊亚州和巴西的一个公共卫生问题。我们对2007年至2016年期间在巴雷里拉斯市报告的利什曼病病例进行了一项回顾性队列研究,该市是一个重要的农业综合企业城市,其城市化进程较新。利什曼病呈现出与巴西其他地区该疾病相似特征的流行病学数据,即内脏利什曼病在儿童中患病率最高,而皮肤利什曼病在成人中发现。该疾病在巴雷里拉斯市呈现出广泛分布的城市格局。我们在巴雷里拉斯市市区发现了该疾病不同临床形式的传播媒介,特别是长须卢氏白蛉、萨氏伊蚊和中间新蚤。需要进行更多研究来确定这些物种是否真的与市区寄生虫的城市传播有关。这项研究指出了巴雷里拉斯市市区该疾病时空发生率和传播率最高的地点。

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