{"title":"Monitoring and Mapping of Insecticide Resistance in Medically Important Mosquitoes (Diptera: Culicidae) in Iran (2000-2020): A Review.","authors":"Yaser Salim Abadi, Alireza Sanei-Dehkordi, Azim Paksa, Mohammad Amin Gorouhi, Hassan Vatandoost","doi":"10.18502/jad.v15i1.6484","DOIUrl":"10.18502/jad.v15i1.6484","url":null,"abstract":"<p><strong>Background: </strong>Mosquitos due to their role in the transmission of different pathogens to humans are considered as an important group in the phylum Arthropoda. According to the WHO and FAO guideline different groups of insecticide applied for controlling pests in both the agricultural and public health sectors.</p><p><strong>Methods: </strong>All the data published about resistant status of the mosquitoes <i>Anopheles</i>, <i>Culex</i>, <i>Aedes</i> and <i>Culiseta</i> species were searched on PubMed, Elsevier, Web of Science, Magiran and google scholar. The objectives of this study was to review the trend of resistance to insecticides during 2000-2020 in medically important mosquitoes in Iran. The criteria for resistant are followed according to WHO guideline.</p><p><strong>Results: </strong>The Results showed that there are widespread, multiple resistances in the country to different organochlorine, organophosphates, carbamate and pyrethroids insecticides in the mosquitoes.</p><p><strong>Conclusion: </strong>The effect of pesticide residues on the environment could be a cause for selection pressure on mosquitos and lead to insecticides resistance to them. Insecticides resistance is main challenge of the vector control program. Also result will provide a guideline for control of the mosquito-borne diseases in the country as well as the world.</p>","PeriodicalId":15095,"journal":{"name":"Journal of Arthropod-Borne Diseases","volume":"15 1","pages":"21-40"},"PeriodicalIF":0.9,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/eb/9a/JAD-15-21.PMC8271236.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39198130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sara Mojdegani-Fard, Sohrab Imani, Mahmoud Shojaei
{"title":"The Effect of Different Doses of Mesobuthus eupeus (Scorpionida: Buthidae) Scorpion Venom on the Production of Liver Necrosis in Nmri Mice.","authors":"Sara Mojdegani-Fard, Sohrab Imani, Mahmoud Shojaei","doi":"10.18502/jad.v15i1.6486","DOIUrl":"https://doi.org/10.18502/jad.v15i1.6486","url":null,"abstract":"<p><strong>Background: </strong>Scorpion venom has a variety of different components considerably. Some of these compounds are proteins such as Phospholipase A2 which is one of the most important. Use of scorpion venom for the treatment of any disease requires an initial study to determine the therapeutic dose or safe dose. Therefore, due to the necessity of studying scorpion venom, it is of special importance to study the effects of its dose response in animal tissues.</p><p><strong>Methods: </strong>To determine the inflammatory effects of scorpion's venom (<i>Mesobuthus eupeus</i>), 50 Nmri mice with an average weight of 24±7g were selected for investigation in two experiments. In first-round 25 of them were divided into 5 groups and were exposed to different doses of venom injection paralleling the control group. Single-injection of various doses on 25 mice was performed and results were compared.</p><p><strong>Results: </strong>There was a significant differences between the test and control groups (in most groups). Liver necrosis was one of the important symptoms in this study, the severity of which was measured and statistically analyzed.</p><p><strong>Conclusion: </strong>It was determined that 0.05ppm is a safe dose and sub-lethal doses can use for the investigation of therapeutic effects of venom on cancer, diabetes, dermatitis, and so on.</p>","PeriodicalId":15095,"journal":{"name":"Journal of Arthropod-Borne Diseases","volume":"15 1","pages":"60-68"},"PeriodicalIF":0.9,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cf/df/JAD-15-60.PMC8271234.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39197363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Majid Khanmohammadi, Reza Zolfaghari-Emameh, Mehdi Arshadi, Elham Razmjou, Poorya Karimi
{"title":"Molecular Identification and Genotyping of Babesia canis in Dogs from Meshkin Shahr County, Northwestern Iran.","authors":"Majid Khanmohammadi, Reza Zolfaghari-Emameh, Mehdi Arshadi, Elham Razmjou, Poorya Karimi","doi":"10.18502/jad.v15i1.6489","DOIUrl":"https://doi.org/10.18502/jad.v15i1.6489","url":null,"abstract":"<p><strong>Background: </strong>Canine babesiosis is one of the mainly worldwide-distributed tick-borne haemoprotozoan parasitic diseases in dogs.</p><p><strong>Methods: </strong>A total of 43 blood samples were randomly collected from naturally infected dogs in seven villages from different geographical areas of Meshkin Shahr, Ardabil Province, Iran. The presence of <i>Babesia</i> species detected with standard methods including parasitological and gene sequencing techniques targeting the 18S rRNA gene.</p><p><strong>Results: </strong>Our results revealed that four dogs 9.3% (4/43) including one female and three male dogs were infected with <i>Babesia</i>. All four <i>Babesia</i>-infected dogs were confirmed <i>B. canis</i> by the molecular-based method. Sequence alignments comparison of the <i>B. canis</i> genotypes A and B, it was revealed that all <i>B. canis</i> isolates belonged to genotype B.</p><p><strong>Conclusion: </strong>This study provides essential data for subsequently define the critical importance of the molecular studies in management and prevention of the canine babesiosis in Iran.</p>","PeriodicalId":15095,"journal":{"name":"Journal of Arthropod-Borne Diseases","volume":"15 1","pages":"97-107"},"PeriodicalIF":0.9,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/16/d6/JAD-15-97.PMC8271237.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39197366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jalil Nejati, Morteza Zaim, Hassan Vatandoost, Seyed Hassan Moosa-Kazemi, Rubén Bueno-Marí, Shahyad Azari-Hamidian, Mohammad Mehdi Sedaghat, Ahmad Ali Hanafi-Bojd, Mohammad Reza Yaghoobi-Ershadi, Hassan Okati-Aliabad, Francisco Collantes, Ary A Hoffmann
{"title":"Employing Different Traps for Collection of Mosquitoes and Detection of Dengue, Chikungunya and Zika Vector, <i>Aedes albopictus</i>, in Borderline of Iran and Pakistan.","authors":"Jalil Nejati, Morteza Zaim, Hassan Vatandoost, Seyed Hassan Moosa-Kazemi, Rubén Bueno-Marí, Shahyad Azari-Hamidian, Mohammad Mehdi Sedaghat, Ahmad Ali Hanafi-Bojd, Mohammad Reza Yaghoobi-Ershadi, Hassan Okati-Aliabad, Francisco Collantes, Ary A Hoffmann","doi":"10.18502/jad.v14i4.5275","DOIUrl":"https://doi.org/10.18502/jad.v14i4.5275","url":null,"abstract":"<p><strong>Background: </strong>Southeastern Iran has been established as an area with the potential to harbor Asian tiger mosquito populations<i>.</i> In 2013, a few numbers of <i>Aedes albopictus</i> were detected in three sampling sites of this region. This field study was aimed to evaluate the efficacy of various traps on monitoring mosquitoes and status of this dengue vector, in five urban and 15 suburban/rural areas.</p><p><strong>Methods: </strong>For this purpose, four adult mosquito traps (BG-sentinel 2, bednet, Malaise, and resting box trap) were used and their efficacy compared. In addition, large numbers of CDC ovitraps were employed, within 12 months.</p><p><strong>Results: </strong>A total of 4878 adult samples including 22 species covering five genera were collected and identified from traps. It was not revealed any collection of <i>Ae. albopictus</i>. Statistical analysis showed no significant difference in meteorological variables between the two periods, the previous report and the current study. There were significant differences in the total number of mosquitoes collected by various traps in the region across different months.</p><p><strong>Conclusion: </strong>The resulting data collected here on the efficiency of the various trap types can be useful for monitoring the densities of mosquito populations, which is an important component of a vector surveillance system. While the presence of <i>Ae. albopictus</i> was determined in this potential risk area, there is no evidence for its establishment and further monitoring needs to be carried out.</p>","PeriodicalId":15095,"journal":{"name":"Journal of Arthropod-Borne Diseases","volume":"14 4","pages":"376-390"},"PeriodicalIF":0.9,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ae/fa/JAD-14-376.PMC8053067.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38954454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hossein Maghsood, Sedigheh Nabian, Parviz Shayan, Tahmineh Jalali, Meysam Saboor Darbandi, Mohammad Mehdi Ranjbar
{"title":"Molecular Epidemiology and Phylogeny of Crimean-Congo Haemorrhagic Fever (CCHF) Virus of Ixodid Ticks in Khorasan Razavi Province of Iran.","authors":"Hossein Maghsood, Sedigheh Nabian, Parviz Shayan, Tahmineh Jalali, Meysam Saboor Darbandi, Mohammad Mehdi Ranjbar","doi":"10.18502/jad.v14i4.5277","DOIUrl":"https://doi.org/10.18502/jad.v14i4.5277","url":null,"abstract":"<p><strong>Background: </strong>Crimean-Congo hemorrhagic fever (CCHF) is a fatal disease caused by Nairovirus classified within the Bunyaviridae family. The virus is transmitted to humans through the bites of infected ticks or direct contact with viremic animals or humans. The current study aimed to detect the virus genome in ticks from Khorasan Razavi Province.</p><p><strong>Methods: </strong>One hundred hard ticks were collected randomly from 100 sheep in four different areas of the province. Collected ticks were kept alive and identified. All the ticks were analyzed for the presence of CCHF virus genome using reverse transcriptase polymerase chain reactions (RT-PCR).</p><p><strong>Results: </strong>The identified ticks were belonging to <i>Hyalomma marginatum</i> (16% female and 6% male), <i>Rhipicephalus turanicus</i> (52% female and 25% male), and <i>Dermacentor raskemensis</i> (1%). The CCHF virus genome was found in <i>Hyalomma marginatum</i> (5% male from Taibad and Sabzevar region and 1% female from Taibad). Genetic analysis of the virus genome isolated from two regions (Sabzevar and Taibad) showed 100% identity.</p><p><strong>Conclusion: </strong>This study indicated that CCHF should be regarded as a risk-borne infection in this province. Therefore, special health management is needed to control this disease.</p>","PeriodicalId":15095,"journal":{"name":"Journal of Arthropod-Borne Diseases","volume":"14 4","pages":"400-407"},"PeriodicalIF":0.9,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/94/f8/JAD-14-400.PMC8053074.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38954368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fahimeh Talebzadeh, Mohammad Ali Oshaghi, Kamran Akbarzadeh, Somayeh Panahi-Moghadam
{"title":"Molecular Species Identification of Six Forensically Important Iranian Flesh Flies (Diptera).","authors":"Fahimeh Talebzadeh, Mohammad Ali Oshaghi, Kamran Akbarzadeh, Somayeh Panahi-Moghadam","doi":"10.18502/jad.v14i4.5279","DOIUrl":"https://doi.org/10.18502/jad.v14i4.5279","url":null,"abstract":"<p><strong>Background: </strong>Flesh flies (Diptera: Sarcophagidae) are considered as myiasis agents and important evidences in forensic investigations. However, their use has been restricted because, at all larval stages and female adults, morphological species identification is difficult or very challenging. This study investigated to test utility of mitochondrial cytochrome oxidase subunit I (mt-COI) sequences for differentiation of six forensically important Iranian flesh flies namely, <i>Sarcophaga crassipalpis</i>, <i>S. flagellifera</i>, <i>S. hirtipes</i>, <i>S. aegyptica</i>, <i>S. africa</i> and <i>S. argyrostoma</i>.</p><p><strong>Methods: </strong>Male specimens were morphologically identified to species level and then the genomic DNA of the flies were extracted and subjected to polymerase chain reaction (PCR) against mt-COI gene. The PCR products were sequenced and the obtained sequences were analyzed for the species specific restriction fragment length polymorphisms (RFLPs).</p><p><strong>Results: </strong>Rate of genetic variation between species was 6-10% which was enough to find restriction enzymes (RE) that were able to produce species-specific RFLP profiles. Combinations of three REs: BsrFI, RsaI and HinfI, provided diagnostic bands for identification of the six <i>Sarcophaga</i> species.</p><p><strong>Conclusion: </strong>The results of this study showed that molecular markers such as RFLPs enhancing the use of evidence from flesh flies in forensic investigation. However, lack proper restriction sites in the COI region inhibited introduction of a single restriction enzyme for easy species identification. It is recommended to apply larger part of DNA such as combination of COI and COII genes to provide better RFLP markers for species identification of flesh flies.</p>","PeriodicalId":15095,"journal":{"name":"Journal of Arthropod-Borne Diseases","volume":"14 4","pages":"416-424"},"PeriodicalIF":0.9,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3d/61/JAD-14-416.PMC8053068.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38954370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hamideh Edalat, Mehran Mahmoudi, Mohammad Mehdi Sedaghat, Seyed Hassan Moosa-Kazemi, Sedigheh Kheirandish
{"title":"Ecology of Malaria Vectors in an Endemic Area, Southeast of Iran.","authors":"Hamideh Edalat, Mehran Mahmoudi, Mohammad Mehdi Sedaghat, Seyed Hassan Moosa-Kazemi, Sedigheh Kheirandish","doi":"10.18502/jad.v14i4.5270","DOIUrl":"https://doi.org/10.18502/jad.v14i4.5270","url":null,"abstract":"<p><strong>Background: </strong>Malaria has long been regarded as one of the most important public health issues in Iran. Although the country is now in the elimination phase, some endemic foci of malaria are still present in the southeastern areas of the country. In some endemic foci, there are no data on the malaria vectors. To fill this gap, the present study was designed to provide basic entomological data on malaria vectors in the southeastern areas of Iran.</p><p><strong>Methods: </strong>Adult and larval stages of <i>Anopheles</i> mosquitoes were collected by using different catch methods. Resistance of the main malaria vector in the study area to selected insecticides was evaluated using diagnostic doses advised by the World Health Organization in 2013-2014.</p><p><strong>Results: </strong>A total of 3288 larvae and 1055 adult <i>Anopheles</i> mosquitoes were collected, and identified as: <i>Anopheles stephensi</i> (32.1%), <i>Anopheles culicifacies</i> s.l. (23.4%), <i>Anopheles dthali</i> (23.2%), <i>Anopheles superpictus</i> s.l. (12.7%), and <i>Anopheles fluviatilis</i> s.l. (8.6%). <i>Anopheles stephensi</i> was the most predominant mosquito species collected indoors at the study area, with two peaks of activity in May and November. This species was found to be resistant to DDT 4%, tolerant to malathion 5% and susceptible to other tested insecticides.</p><p><strong>Conclusion: </strong>All the five malaria vectors endemic to the south of Iran were collected and identified in the study area. Our findings on the ecology and resting/feeding habitats of these malaria vectors provide information useful for planning vector control program in this malarious area.</p>","PeriodicalId":15095,"journal":{"name":"Journal of Arthropod-Borne Diseases","volume":"14 4","pages":"325-343"},"PeriodicalIF":0.9,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f3/c1/JAD-14-325.PMC8053069.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38954450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dichlorvos Resistance in the House Fly Populations, <i>Musca domestica</i>, of Iranian Cattle Farms.","authors":"Ebrahim Ahmadi, Jahangir Khajehali","doi":"10.18502/jad.v14i4.5271","DOIUrl":"https://doi.org/10.18502/jad.v14i4.5271","url":null,"abstract":"<p><strong>Background: </strong>Insecticide resistance is one of the most important problems associated with the control of <i>Musca domestica</i>, due to the potential of the rapid development of resistance to different chemical insecticides. The present study was carried out to evaluate dichlorvos resistance in the house fly populations collected from central regions of Iran, Isfahan Province and Chaharmahal and Bakhtiari Province, during 2017 to 2019.</p><p><strong>Methods: </strong>Bioassays were carried out using a standard topical application method as well as a fumigation method. The Koohrang population (susceptible) with the lowest LD<sub>50</sub> values to dichlorvos was chosen to calculate the resistance ratios (RR). Altered sensitivity of acetylcholinesterase (AChE), a target enzyme for dichlorvos, was investigated.</p><p><strong>Results: </strong>According to the results, very high levels of dichlorvos resistance were observed in the Mobarake population (RR= 80.25-fold by topical application and 33-fold by fumigation bioassay), and Isfahan population (RR= 107.30-fold by topical application and 43-fold by fumigation bioassay) compared to the Koohrang population. Acetylcholinesterase of the Koohrang population was the most sensitive to inhibition by dichlorvos based on the determination of median inhibitory concentration (IC<sub>50</sub>), but AChE of Mobarake and Isfahan populations were 741.93- and 343.94- fold less sensitive to inhibition.</p><p><strong>Conclusion: </strong>The insensitivity of AChE was possibly involved in dichlorvos resistance in the house fly populations.</p>","PeriodicalId":15095,"journal":{"name":"Journal of Arthropod-Borne Diseases","volume":"14 4","pages":"344-352"},"PeriodicalIF":0.9,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9f/16/JAD-14-344.PMC8053071.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38954451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yavar Rassi, Hamed Asadollahi, Mohammad Reza Abai, Mohammad Hassan Kayedi, Hassan Vatandoost
{"title":"Efficiency of Two Capture Methods Providing Live Sand Flies and Assessment the Susceptibility Status of <i>Phlebotomus papatasi</i> (Diptera: Psychodidae) in the Foci of Cutaneous Leishmaniasis, Lorestan Province, Western Iran.","authors":"Yavar Rassi, Hamed Asadollahi, Mohammad Reza Abai, Mohammad Hassan Kayedi, Hassan Vatandoost","doi":"10.18502/jad.v14i4.5278","DOIUrl":"https://doi.org/10.18502/jad.v14i4.5278","url":null,"abstract":"<p><strong>Background: </strong>The aims of this study were to evaluate the efficiency of two capture methods for providing live sandflies used for determining the susceptibility level of <i>Phlebotomus papatasi</i>, the main vector of zoonotic cutaneous leishmaniasis in Lorestan Province, west of Iran.</p><p><strong>Methods: </strong>The sand flies were collected from indoor and outdoor by hand-catch and baited traps during the peak of seasonal activity. The susceptibility level of sand flies was assessed using insecticide-impregnated papers against DDT 4%, bendiocarb 0.1%, permethrin 0.75%, deltamethrin 0.05%, and cyfluthrin 0.15%.</p><p><strong>Results: </strong>A total of 2486 live sandflies were caught from both indoor and outdoor places. Totally 849 sand flies were caught from outdoors with a sex ratio(SR) 0.1 versus 1637 sand flies collected from indoor using the hand-catch method with SR= 0.6. The dominant species of sand flies was <i>Ph. papatasi</i> in the study area. Mortality rates of outdoor-collected sand flies were exposed to DDT 4%, deltamethrin 0.05%, permethrin 0.75%, and bendiocarb 0.1%, and mortality rate ranged from 92.0-97.9% and for indoor-collected sand flies were 87.7-96.8%. Both outdoor and indoor collected sand flies were susceptible to cyfluthrin 0.15% that caused 100% mortality.</p><p><strong>Conclusion: </strong>Based on the findings, the most appropriate method for collecting the live female <i>Ph. papatasi</i> is the baited traps due to providing enough females is necessary for conducting the susceptibility tests. The finding indicated that <i>Ph. papatasi</i> was resistant to DDT, under 'verification required' status to deltamethrin, permethrin, bendiocarb, and susceptible to cyfluthrin.</p>","PeriodicalId":15095,"journal":{"name":"Journal of Arthropod-Borne Diseases","volume":"14 4","pages":"408-415"},"PeriodicalIF":0.9,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/67/79/JAD-14-408.PMC8053076.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38954369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Treatment Failure in Cutaneous Leishmaniasis Patients Referred to the School of Public Health, Tehran University of Medical Sciences during 2008-2017.","authors":"Zahra Kakooei, Homa Hajjaran, Behnaz Akhoundi, Sorour Charehdar, Samira Elikaee, Zahra Shafeghat, Hamid Hassanpour, Mohammad Taghi Satvat, Elham Kazemi-Rad, Mehdi Mohebali","doi":"10.18502/jad.v14i4.5274","DOIUrl":"10.18502/jad.v14i4.5274","url":null,"abstract":"<p><strong>Background: </strong>Cutaneous leishmaniasis (CL) is a vector borne disease predominantly found in tropical and subtropical countries, including Iran. For more than 6 decades, pentavalent antimonials have been used successfully worldwide for the treatment of leishmaniasis, but over the past few years, clinical resistance to these medications has increased. In this study, we evaluated CL patients who did not show any desirable responses to the anti-leishmanial treatment within a 10-year period (2008 to 2017).</p><p><strong>Methods: </strong>All patients from different parts of Iran suspected of having cutaneous leishmaniasis, who were referred to the laboratory of leishmaniosis in Tehran University of Medical Sciences from 2008-2017 were parasitological examined.</p><p><strong>Results: </strong>During this period, a total of 1480 suspected CL patients were referred to the laboratory of leishmaniosis. Samples from 655 patients (70.8%) suspected of having CL were positive microscopically. The failure rate in patients treated with anti-leishmaniasis medications for a minimum of three complete treatment periods was 1.83% (12 cases). There was no association between the number and size of skin lesions and patient characteristics. Also, the route of drug administration had no significant effect on the number and size of lesions.</p><p><strong>Conclusion: </strong>In the present study, treatment failure was found in some confirmed CL patients treated with meglumine antimoniate. Over the past few years, it seems that had been increased in resistance to these medications. So, a review of the correct implementation of the treatment protocol and/or a combination therapy may be helpful in preventing an increase in the rate of treatment failure.</p>","PeriodicalId":15095,"journal":{"name":"Journal of Arthropod-Borne Diseases","volume":"14 4","pages":"363-375"},"PeriodicalIF":0.6,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6e/c5/JAD-14-363.PMC8053072.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38954453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}