巴西米纳斯吉拉斯Saude West宏观地区Claudio的非市政犬和人类内脏利什曼原虫

Viviane Valadares Lamounier, Valeriana Valadares Lopes, Marcella Oliveira Gama-Melo, Rafael Gonçalves Teixeira Neto, J. R. Barbosa, Gilberto Fontes
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引用次数: 1

摘要

世界卫生组织和巴西卫生部主张评估被忽视的疾病,包括利什曼病在被认为没有这些疾病的地区的发生情况的重要性,因为尽早确定这些疾病发生的地区有利于更有效地实施预防措施。目的:确定犬内脏利什曼病(VL)的患病率、人类内脏利什曼病的频率,并确定在米纳斯吉拉斯州中西部Cláudio市流行的利什曼原虫种类。方法:采用快速免疫色谱法和免疫酶法两种免疫检测方法,以及通过使用三种测试(快速免疫色谱法、免疫酶测定法、间接免疫荧光法)对有受感染狗和/或捕获长须Lutzomyia longiparpis(婴儿利什曼原虫的昆虫媒介)的房屋的居民进行人类血清学诊断。结果:在430只接受检查的狗中,有5只在两项免疫测试中都是血清试剂,内脏利什曼病的患病率为1.2%(95%CI:0.4%-2.7%)。在血清试剂狗的骨髓、脾脏和淋巴结样本中,鉴定出无鞭毛虫形式,并通过分子诊断,发现了导致内脏利什曼病的寄生虫婴儿乳杆菌。在人类内脏利什曼病研究中,对74人进行了评估,其中没有一人被确定为血清学阳性。结论:市政当局实施犬内脏利什曼病的预防和控制策略对于防止寄生虫病在犬类人群中传播及其向人类传播至关重要,因为这些疾病在米纳斯吉拉斯州中西部迅速扩大,如果不及早诊断和治疗,可能会导致死亡。关键词:婴儿利什曼原虫。内脏利什曼病。狗流行病学。流行公共卫生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ANÁLISE DA LEISHMANIOSE VISCERAL CANINA E HUMANA NO MUNICÍPIO DE CLÁUDIO, MACRORREGIONAL DE SAÚDE OESTE DE MINAS GERAIS, BRASIL
The World Health Organization and the Ministry of Health of Brazil advocate the importance of assessing the occurrence of neglected diseases, including Leishmaniasis, in regions considered free from these diseases, because early identification of areas where these diseases occur favors a more effective implementation of preventive measures. Objective: To determine the prevalence of canine visceral leishmaniasis (VL), the frequency of human VL and to identify Leishmania species circulating in the city of Cláudio, in the Midwest of Minas Gerais. Method: A canine serological survey was carried out in the urban area of the city using two immunological tests (rapid immunochromatography, and immunoenzymatic assay), and serological diagnosis in humans by using three tests (rapid immunochromatography, immunoenzymatic assay, indirect immunofluorescence) in residents of houses in which there were infected dogs and/or where there were captured Lutzomyia longipalpis, insect vectors of Leishmania infantum. Results: Of the 430 dogs examined, five were seroreagents in both immunological tests, with visceral leishmaniasis prevalence of 1.2% (95% CI: 0.4%–2.7%). In bone marrow, spleen and lymph nodes samples from seroreagents dogs, amastigote forms were identified and, through molecular diagnosis, the presence of L. infantum, a parasite that causes visceral leishmaniasis, was found. In the human visceral leishmaniasis study, 74 individuals were evaluated, with none of them being identified with positive serology. Conclusion: The implementation of prevention and control strategies for canine visceral leishmaniasis in municipality is essential to prevent the spread of parasitosis among the canine population and its transmission to the human population, since these diseases are rapidly expanding in the Midwest of Minas Gerais, and can lead to death if not diagnosed and treated early. keywords: Leishmania infantum. Visceral leishmaniasis. Dog. Epidemiology. Prevalence. Public Health.
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