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感染婴儿的高频率表明莫桑比克马普托存在潜在的人传人现象。

High Frequency of Infecting Infants Points to A Potential Anthroponotic Transmission in Maputo, Mozambique.

作者信息

Cossa-Moiane Idalécia, Cossa Hermínio, Bauhofer Adilson Fernando Loforte, Chilaúle Jorfélia, Guimarães Esperança Lourenço, Bero Diocreciano Matias, Cassocera Marta, Bambo Miguel, Anapakala Elda, Chissaque Assucênio, Sambo Júlia, Langa Jerónimo Souzinho, Manhique-Coutinho Lena Vânia, Fantinatti Maria, Lopes-Oliveira Luis António, Da-Cruz Alda Maria, de Deus Nilsa

机构信息

Instituto Nacional de Saúde (INS), EN1, Bairro da Vila-Parcela n° 3943, Distrito de Marracuene, Maputo 264, Mozambique.

Institute of Tropical Medicine, 2000 Antwerp, Belgium.

出版信息

Pathogens. 2021 Mar 4;10(3):293. doi: 10.3390/pathogens10030293.

Abstract

is one of the most important causes of diarrhea in children less than 2 years of age. In this study, we report the frequency, risk factors and species of detected by molecular diagnostic methods in children admitted to two public hospitals in Maputo City, Mozambique. We studied 319 patients under the age of five years who were admitted due to diarrhea between April 2015 and February 2016. Single stool samples were examined for the presence of spp. oocysts, microscopically by using a Modified Ziehl-Neelsen (mZN) staining method and by using Polymerase Chain Reaction and Restriction Fragment Length Polymorphism (PCR-RFLP) technique using 18S ribosomal RNA gene as a target. Overall, 57.7% (184/319) were males, the median age (Interquartile range, IQR) was 11.0 (7-15) months. spp. oocysts were detected in 11.0% (35/319) by microscopy and in 35.4% (68/192) using PCR-RFLP. The most affected age group were children older than two years, [adjusted odds ratio (aOR): 5.861; 95% confidence interval (CI): 1.532-22.417; -value < 0.05]. Children with illiterate caregivers had higher risk of infection (aOR: 1.688; 95% CI: 1.001-2.845; -value < 0.05). An anthroponotic species was found in 93.0% (27/29) of samples. Our findings demonstrated that cryptosporidiosis in children with diarrhea might be caused by anthroponomic transmission.

摘要

是2岁以下儿童腹泻的最重要原因之一。在本研究中,我们报告了在莫桑比克马普托市两家公立医院住院儿童中通过分子诊断方法检测到的[病原体名称]的频率、危险因素和种类。我们研究了2015年4月至2016年2月期间因腹泻入院的319名5岁以下患者。对单个粪便样本进行检测,通过改良齐尔-尼尔森(mZN)染色法在显微镜下检查是否存在[病原体名称]卵囊,并使用以18S核糖体RNA基因为靶标的聚合酶链反应和限制性片段长度多态性(PCR-RFLP)技术进行检测。总体而言,57.7%(184/319)为男性,中位年龄(四分位间距,IQR)为11.0(7 - 15)个月。通过显微镜检测到11.0%(35/319)的样本存在[病原体名称]卵囊,使用PCR-RFLP检测到35.4%(68/192)的样本存在该卵囊。受影响最严重的年龄组是两岁以上的儿童,[调整优势比(aOR):5.861;95%置信区间(CI):1.532 - 22.417;P值<0.05]。照顾者为文盲的儿童感染风险更高(aOR:1.688;95% CI:1.001 - 2.845;P值<0.05)。在93.0%(27/29)的样本中发现了一种人兽共患种类的[病原体名称]。我们的研究结果表明,腹泻儿童的隐孢子虫病可能是由人传人传播引起的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e81d/8002024/b1535b4484d2/pathogens-10-00293-g001.jpg

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