巴西皮奥伊州内脏利什曼病和皮肤利什曼病共存地区的特征。

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
ACS Applied Bio Materials Pub Date : 2024-02-05 eCollection Date: 2024-01-01 DOI:10.1590/0074-02760230181
Silvia Alcântara Vasconcelos, Raimundo Leoberto Torres de Sousa, Enéas Costa Junior, João Paulo Diniz E Souza, Diane Cavalcante, Antônio Carlos Lima da Silva, Ivete Lopes de Mendonça, Jacenir Mallet, Clarissa Romero Teixeira, Guilherme Loureiro Werneck, Thais Araújo-Pereira, Daniela Pita-Pereira, Constança Britto, Maurício Luiz Vilela, Regis Gomes
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引用次数: 0

摘要

背景:过去几十年来,巴西内脏和皮肤利什曼病的传播地域不断扩大,两种临床形式同时出现在同一地区:本研究描述了利什曼病流行地区的临床、空间和时间分布特征,并进行了昆虫学监测和自然感染分析:为了描述皮奥伊州阿尔托斯的利什曼病传播风险,我们描述了临床和社会人口变量以及美洲内脏利什曼病(AVL)和美洲皮肤利什曼病(ACL)病例的时空分布,并确定了潜在的噬血虫媒介:城市地区集中了近 54% 的 ACL 病例和 86.8% 的 AVL 病例。阿尔托斯的 AVL 和 ACL 病例的时间和空间分布显示,风险地区的数量有所减少,但仍存在永久性的疾病传播病灶,尤其是在城市地区。共捕获了 3 808 个血吸虫标本,其中最常见的物种是长尾蝇(Lutzomyia longipalpis)(98.45%)。在被评估为自然感染的 35 个雌性标本中,有一个长唇蝇标本的婴儿利什曼原虫和巴西利什曼原虫 DNA 检测呈阳性:主要结论:我们的研究结果表明,阿尔托斯市存在ACL和AVL的风险区域,并强调了昆虫学监测的重要性,以进一步了解Lu. longipalpis在ACL传播中可能扮演的角色。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Characterisation of an area of coexistent visceral and cutaneous leishmaniasis transmission in the State of Piauí, Brazil.

Background: In Brazil, transmission of visceral and cutaneous leishmaniasis has expanded geographically over the last decades, with both clinical forms occurring simultaneously in the same area.

Objectives: This study characterised the clinical, spatial, and temporal distribution, and performed entomological surveillance and natural infection analysis of a leishmaniasis-endemic area.

Methods: In order to characterise the risk of leishmaniasis transmission in Altos, Piauí, we described the clinical and socio-demographic variables and the spatial and temporal distribution of cases of American visceral leishmaniasis (AVL) and American cutaneous leishmaniasis (ACL) cases and identified potential phlebotomine vectors.

Findings: The urban area concentrated almost 54% of ACL and 86.8% of AVL cases. The temporal and spatial distribution of AVL and ACL cases in Altos show a reduction in the number of risk areas, but the presence of permanent disease transmission foci is observed especially in the urban area. 3,808 phlebotomine specimens were captured, with Lutzomyia longipalpis as the most frequent species (98.45%). Of the 35 females assessed for natural infection, one specimen of Lu. longipalpis tested positive for the presence of Leishmania infantum and Leishmania braziliensis DNA.

Main conclusion: Our results indicate the presence of risk areas for ACL and AVL in the municipality of Altos and highlight the importance of entomological surveillance to further understand a possible role of Lu. longipalpis in ACL transmission.

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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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