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伊朗西北部大不里士市屠夫中弓形虫病和包虫病的血清流行率及相关危险因素:一项病例对照研究

Seroprevalence and risk factors associated with toxoplasmosis and hydatidosis among the butchers of Tabriz city, the northwest of Iran: a case control study.

作者信息

Amiri Zahra, Khademvatan Shahram, Kazemi Tohid, Yousefi Elham

机构信息

Cellular and Molecular Research Center, Cellular and Molecular Medicine Institute, Department of Medical Parasitology and Mycology, Urmia University of Medical Sciences, Urmia, Iran.

Department of Immunology, School of Medicine Immunology Research Center, Stem Cells and Regenerative Medicine Institute, Tabriz University of Medical Sciences, East Azerbaijan, Iran.

出版信息

J Occup Med Toxicol. 2024 Jul 22;19(1):29. doi: 10.1186/s12995-024-00427-4.

Abstract

INTRODUCTION

Occupation plays an important role in the spread of infectious diseases in humans. Toxoplasmosis and hydatidosis are world-wide diseases with different routes of transmission. This study aimed to investigate the prevalence of toxoplasmosis and hydatidosis and risk factors associated with these diseases among the butchers of Tabriz City, the northwest of Iran.

METHODS

In this case-control study conducted in Tabriz city in 2023, 250 serum samples were collected from butchers (n = 125) and outpatients referred to Imam Reza Hospital (n = 125) and. The ELISA test was used to identify IgG and IgM antibodies against toxoplasmosis and IgG antibodies against hydatidosis. The results were analyzed by statistics tests using SPSS v. 16 software. Risk factors' association was tested using Chi square or logistic regression analysis.

RESULTS

The results indicated that 66/125 (52.8%) cases and 40/125 controls (32%) were positive for toxoplasmosis IgG antibody. Also, 5/125 (4%) and 1/125 (0.8%) were positive for toxoplasmosis IgM antibody in the case and control groups, respectively. In addition, 10/125 people (8%) were positive for anti-hydatidosis IgG antibody in the case group, while no positive cases were found in the control group. The main risk factors for toxoplasmosis were age (OR: 1.014), education level (OR: 0.638), and work experience(OR: 1.695), these factors for hydatidosis included age and education level (OR: 1.765 and 0.271) respectivily.

CONCLUSIONS

Our results suggest the high prevalence of toxoplasmosis and in butchers of Tabriz, which required special attention and basic measures. Moreover, the prevalence of hydatidosis IgG antibodies also requires more attention to be focused on breaking the transmission and reducing the infection.

摘要

引言

职业在人类传染病传播中起着重要作用。弓形虫病和包虫病是具有不同传播途径的全球性疾病。本研究旨在调查伊朗西北部大不里士市屠夫中弓形虫病和包虫病的患病率以及与这些疾病相关的危险因素。

方法

在2023年于大不里士市进行的这项病例对照研究中,从屠夫(n = 125)和转诊至伊玛目礼萨医院的门诊患者(n = 125)中收集了250份血清样本。采用酶联免疫吸附测定(ELISA)试验来鉴定抗弓形虫病的IgG和IgM抗体以及抗包虫病的IgG抗体。使用SPSS v. 16软件通过统计学检验对结果进行分析。使用卡方检验或逻辑回归分析来检验危险因素的关联性。

结果

结果表明,125例病例中有66例(52.8%)弓形虫病IgG抗体呈阳性,125例对照中有40例(32%)呈阳性。此外,病例组中5/125(4%)的弓形虫病IgM抗体呈阳性,对照组中1/125(0.8%)呈阳性。另外,病例组中有10/125人(8%)抗包虫病IgG抗体呈阳性,而对照组中未发现阳性病例。弓形虫病的主要危险因素为年龄(比值比:1.014)、教育水平(比值比:0.638)和工作经验(比值比:1.695),包虫病的这些因素分别为年龄和教育水平(比值比:1.765和0.271)。

结论

我们的结果表明大不里士市屠夫中弓形虫病患病率较高,这需要特别关注并采取基本措施。此外,包虫病IgG抗体的患病率也需要更多关注,以集中精力阻断传播并减少感染。

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