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伊朗西南部一般人群中弓蛔虫病的血清流行率和潜在危险因素:对“同一健康”方法的启示。

Seroprevalence and Potential Risk Factors of Toxocariasis among General Population in Southwest Iran: Implications on the One Health Approach.

机构信息

Research Center for Environmental Contaminants (RCEC), Abadan University of Medical Sciences, Abadan, Iran.

Department of Basic Medical Sciences, Faculty of Medicine, Abadan University of Medical Sciences, Abadan, Iran.

出版信息

J Immunol Res. 2024 Feb 13;2024:4246781. doi: 10.1155/2024/4246781. eCollection 2024.

Abstract

Toxocariasis is one of the most common zoonotic diseases distributed worldwide. This study aimed to estimate the seroprevalence of anti- immunoglobulin G (IgG) antibodies and the associated risk factors among general populations living in urban and rural areas of Abadan and Khorramshahr cities in Khuzestan Province, Southwest Iran. This cross-sectional study was conducted between March and September 2022. There were 363 participants (190 females and 173 males) aged from <20 to ≥60 years old. Anti- IgG antibodies in serum samples were measured using a commercially available enzyme-linked immunosorbent assay (ELISA). A structured questionnaire was employed to collect information regarding sociodemographic status and probable risk factors associated with toxocariasis. It was found that the seroprevalence rate in males (15.0%, 95% CI = 10.47-21.11) was higher than in females (10.5%, 95% CI = 6.92-15.70). Moreover, we observed that the seroprevalence was higher in participants at younger ages compared to other age ranges (COR = 2.55, 95% CI = 0.92-7.12,  =0.073). The findings of the univariate analysis revealed that residency in rural areas (  < 0.001), using unpurified water (  < 0.001), contact with dog ( =0.002), contact with soil (  < 0.001), consumption of improperly washed vegetables (  < 0.001), and history of drinking untreated water (  < 0.001) were risk factors associated with toxocariasis. Further comprehensive studies with a focus on humans and animals should be designed in different areas of the Province. The data represented by the current study are useful to health policymakers to consider precise surveillance and effective prevention measures to control this zoonotic infection among general populations.

摘要

旋毛虫病是一种分布广泛的最常见的人畜共患病。本研究旨在评估伊朗西南部胡齐斯坦省阿巴丹和霍拉姆沙赫尔市城乡居民的血清抗免疫球蛋白 G(IgG)抗体的流行率及其相关的危险因素。这是一项横断面研究,于 2022 年 3 月至 9 月进行。共有 363 名参与者(190 名女性和 173 名男性),年龄在<20 至≥60 岁之间。使用商业酶联免疫吸附试验(ELISA)测量血清样本中的抗 IgG 抗体。采用结构化问卷收集有关社会人口统计学状况和与旋毛虫病相关的可能危险因素的信息。结果发现,男性的血清阳性率(15.0%,95%CI=10.47-21.11)高于女性(10.5%,95%CI=6.92-15.70)。此外,我们观察到年龄较小的参与者的血清阳性率高于其他年龄组(COR=2.55,95%CI=0.92-7.12,P=0.073)。单因素分析的结果表明,居住在农村地区(P<0.001)、使用未净化水(P<0.001)、接触狗(P=0.002)、接触土壤(P<0.001)、食用未清洗干净的蔬菜(P<0.001)和饮用未经处理的水的历史(P<0.001)是与旋毛虫病相关的危险因素。应在该省不同地区设计针对人类和动物的进一步综合研究。本研究提供的数据可帮助卫生政策制定者考虑进行精确的监测和实施有效的预防措施,以控制该人畜共患病在普通人群中的传播。

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