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巴西一个亚马逊市镇的城市犬利什曼病:2023年旱季患病率、分布及白蛉种类的横断面研究

Urban canine leishmaniasis in an Amazonian municipality: a cross-sectional study of prevalence, distribution and phlebotomine fauna during the dry season, Brazil, 2023.

作者信息

Tapajós Adriana Sousa, Oliveira Luciana Pinto, Amaral Andréa Helena Martins, Catete Clístenes Pamplona, Santos Walter Souza, Garcez Lourdes Maria

机构信息

Secretaria de Estado de Saúde Pública do Pará, Diretoria de Endemias, Belém, PA, Brazil.

Instituto Evandro Chagas, Laboratório de Epidemiologia das Leishmanioses, Ananindeua, PA, Brazil.

出版信息

Epidemiol Serv Saude. 2025 Jun 13;34:e20240130. doi: 10.1590/S2237-96222025v34e20240130.en. eCollection 2025.

Abstract

OBJECTIVE

To describe the prevalence and distribution of canine leishmaniasis and the phlebotomine fauna across the five urban neighborhoods of the Cachoeira do Piriá Amazonian municipality, Pará state, Brazil, during the dry season.

METHODS

Dogs were sampled for five hours in each neighborhood, with blood and conjunctival swab specimens (from June 13 to 15, 2023). Samples were tested using polymerase chain reaction targeting the heat shock protein 70-234 gene. Risk areas (kernel) and phlebotomine fauna were investigated (from 1 to 7/10/2023).

RESULTS

A total of 93/864 (11%) animals were included. The prevalence of canine leishmaniasis was 65% (60/93). Positivity rates varied among neighborhoods (p-value 0.001), with major clusters in the Northwest and Southeast urban areas, encompassing three neighborhoods. Lutzomyia antunesi (2) and Lutzomyia evandroi (11) were found in four neighborhoods.

CONCLUSION

High prevalence of canine leishmaniasis and a potential phlebotomine vector (Lutzomyia antunesi) were identified during the Amazonian summer in the urban area of Cachoeira do Piriá, where three neighborhoods were prioritized for surveillance.

摘要

目的

描述巴西帕拉州卡舒埃拉杜皮里亚亚马逊市五个城市社区旱季期间犬利什曼病的患病率和分布情况以及白蛉种类。

方法

在每个社区对犬进行5小时采样,采集血液和结膜拭子样本(2023年6月13日至15日)。使用针对热休克蛋白70 - 234基因的聚合酶链反应对样本进行检测。调查风险区域(核密度估计)和白蛉种类(2023年10月1日至7日)。

结果

共纳入93/864只(11%)动物。犬利什曼病的患病率为65%(60/93)。各社区的阳性率有所不同(p值0.001),主要聚集在西北和东南城市地区,涵盖三个社区。在四个社区发现了安图内斯罗蛉(2只)和埃万德罗罗蛉(11只)。

结论

在卡舒埃拉杜皮里亚市区的亚马逊夏季期间,发现犬利什曼病患病率较高,且存在一种潜在的白蛉传播媒介(安图内斯罗蛉),其中三个社区被列为优先监测对象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89c0/12176442/56de1da31b90/2237-9622-ress-34-e20240130-f1-en.jpg

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