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2014年至2019年土耳其国家寄生虫学参考实验室收治的棘球蚴病预诊断患者评估

Evaluation of Echinococcosis Pre-Diagnosis Patients Admitted to the National Parasitology Reference Laboratory of Turkey from 2014-2019.

作者信息

Yücesan Banuçiçek, Babür Cahit, Kılıç Selçuk, Dikmen Asiye Uğraş

机构信息

Department of Control of Zoonotic Disease, School of Health Sciences, University of Çankırı Karatekin, Cankiri, Turkey.

Department of National Parasitology Reference Laboratory, Public Health General Directotare of Turkey, Ankara, Turkey.

出版信息

Iran J Parasitol. 2022 Apr-Jun;17(2):250-258. doi: 10.18502/ijpa.v17i2.9543.

DOI:10.18502/ijpa.v17i2.9543
PMID:36032748
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9363247/
Abstract

BACKGROUND

Echinococcosis is a common parasite with zoonotic character created by a small cestode, spp., and is an important public health problem in Turkey as well as all over the world. We aimed to investigate antibodies in serum samples of suspected Echinococcosis patients sent to the National Parasitology Reference Laboratories of the General Directorate of Public Health.

METHODS

Serum samples of 2390 patients sent to our laboratory between January 1, 2014 and May 01, 2019, evaluated by ELISA, Indirect Hemagglutination Test (IHA) and Western Blot (WB) methods are presented. Our laboratory is the national reference laboratory. All kinds of tests requested from suspected patients can be performed.

RESULTS

Overall, 1199 (50.2%) of 2390 serum samples were female and 1191 (49.8%) were male. It was observed that 178 (14.9%) of men and 210 (17.5%) of women were seropositive. There was no statistical difference between the sexes in terms of seropositivity. Of all samples, 1941 (81.2%) were negative, 388 (16.2%) were positive, and 61 (2.6%) were borderline. Results determined as borderline are considered suspicious and a recommendation is made to repeat the test after 15 days. A statistical difference was found in the distribution of seropositivity by years. While seropositivity was lowest in 2014, it was found to be highest in 2018 and 2019.

CONCLUSION

Despite all the precautions taken, it is seen that echinococcosis still continues to exist in Turkey as a zoonotic disease. Hence, CE has been involved in Turkey Zoonotic Diseases Action Plan (2019-2023) and decided to carry out studies for the protection and prevention of the disease.

摘要

背景

棘球蚴病是由小型绦虫属物种引发的一种常见的具有人畜共患特征的寄生虫病,在土耳其乃至全球都是一个重要的公共卫生问题。我们旨在调查送往公共卫生总局国家寄生虫学参考实验室的疑似棘球蚴病患者血清样本中的抗体。

方法

呈现了2014年1月1日至2019年5月1日期间送往我们实验室的2390名患者的血清样本,这些样本通过酶联免疫吸附测定(ELISA)、间接血凝试验(IHA)和蛋白质印迹法(WB)进行评估。我们的实验室是国家参考实验室。可以对疑似患者要求的各类检测进行检测。

结果

总体而言,2390份血清样本中,1199份(50.2%)为女性,1191份(49.8%)为男性。观察到男性中有178人(14.9%)血清呈阳性,女性中有210人(17.5%)血清呈阳性。血清阳性率在性别方面无统计学差异。所有样本中,1941份(81.2%)为阴性,388份(16.2%)为阳性,61份(2.6%)为临界值。判定为临界值的结果被视为可疑,并建议在15天后重复检测。血清阳性率的分布在各年份间存在统计学差异。血清阳性率在2014年最低,在2018年和2019年最高。

结论

尽管采取了所有预防措施,但可见棘球蚴病在土耳其作为一种人畜共患病仍然存在。因此,囊型包虫病已被纳入土耳其人畜共患病行动计划(2019 - 2023年),并决定开展疾病保护和预防研究。

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Echinococcus granulosus sensu lato and Echinococcus multilocularis: A review.细粒棘球绦虫(多房棘球绦虫):综述。
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International consensus on terminology to be used in the field of echinococcoses.国际包虫病领域术语共识。
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