[卡斯特利翁省的利什曼病：人类病例、病媒及犬类储存宿主的流行病学研究]

[Leishmaniasis in Castellón: an epidemiological study of human cases, the vector and the canine reservoir].

作者信息

Arnedo Pena A, Bellido Blasco J B, González Morán F, Arias Sánchez A, Calvo Más C, Safont Adsuara L, Fabra Peirat E, Criado Juarez J, Pons Roig P

机构信息

Sección de Epidemiología, Dirección Territorial de Sanidad y Consumo, Castellón.

出版信息

Rev Sanid Hig Publica (Madr). 1994 Jul-Aug;68(4):481-91.

PMID:7747069

Abstract

BACKGROUND

Incidence of human leishmaniasis in Castellón is among the highest in Spain. In order to know epidemiologic situation of leishmaniasis, human incidence, Phlebotomus' presence and canine reservoir were studied.

METHODS

The study was carried out during 1989-1990, and included review of different registers of cases and glucantime use, Phlebotomus catching, and leishmaniasis serology (immunofluorescent test, IFT) of dogs from municipal kennel and rabies vaccine programme.

RESULTS

Hospitals' underreporting visceral leishmaniasis was noted. Glucantime's distribution permitted identification of some no reported cases. 2267 sandflies were caught, which 196 were vectors: P. perniciosus (182), P. sergenti (6), P. papatasi (4) and P. ariasi (4). Dog's prevalence of leishmaniasis (IFT > or = 1/80) was 5.1% (CI 95%: 1.1-9.1) in dogs fron the municipal kennel, and 0% in dogs from the vaccine programme.

CONCLUSIONS

Human leishmaniasis is hypoendemic in Castellón, with a low-middle rank in canine leishmaniasis. Entomologic results agree with other spanish studies. However, P. sergenti and P. ariasi were not described in Catellón until now. Leishmaniasis surveillance should be maintained.

摘要

背景

卡斯特利翁的人类利什曼病发病率在西班牙位居前列。为了解利什曼病的流行病学情况，对人类发病率、白蛉的存在情况和犬类宿主进行了研究。

方法

该研究于1989 - 1990年开展，包括查阅不同的病例登记和葡糖胺使用记录、捕捉白蛉，以及对市立犬舍和狂犬病疫苗接种项目中的犬只进行利什曼病血清学检测（免疫荧光试验，IFT）。

结果

注意到医院对内脏利什曼病的报告不足。葡糖胺的分发情况有助于识别一些未报告的病例。共捕获2267只白蛉，其中196只为传播媒介：有害白蛉（182只）、塞氏白蛉（6只）、巴氏白蛉（4只）和阿氏白蛉（4只）。市立犬舍犬只的利什曼病患病率（IFT≥1/80）为5.1%（95%置信区间：1.1 - 9.1），狂犬病疫苗接种项目中的犬只为0%。