台湾北部2008-2015年犬钩端螺旋体病血清流行病学调查

Chia-Hsin Hsu, I-Li Liu, Cheng-Chi Liu, Bang-Hung Liu, M. Pan, Chen-Si Lin
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引用次数: 2

摘要

钩端螺旋体病是一种重要的传染性人畜共患病,可在人和动物中引起危及生命的疾病。本研究旨在对2008年8月至2015年9月台湾大学兽医医院检测到的钩端螺旋体血清阳性病例进行显微镜凝集试验(MAT)鉴定血清型及季节的影响。本研究还比较了血清阳性和血清阴性病例的特点。在159例疑似病例中,鉴定出78例血清阳性(MAT滴度[公式:见文本])和81例血清阴性。在血清阳性病例中,最常见的致病血清型为Canicola(18.2%)、ictero出血(23.6%)和Shermani(20.0%)。在秋季(9月至11月)发现的血清阳性病例明显多于其他季节([公式:见文本])。1-5岁的狗(比值比[公式:见文本]1.7)比血清阴性的狗更有可能被确定为血清阳性的犬钩端螺旋体病病例。然而,在品种、性别和地区分布上没有观察到显著差异。血清阳性和血清阴性患者血清中肝酶、总胆红素、尿素氮、肌酐浓度均升高,但差异无统计学意义。血清阳性病例的白细胞(WBC)计数在统计学上高于血清阴性病例(公式:见文)。总之,1-5岁的狗患钩端螺旋体病的风险较高,因此必须采取更多的预防措施;此外,白细胞计数明显升高可能是犬钩端螺旋体病疑似病例的合适指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
SEROEPIDEMIOLOGIC SURVEY OF CANINE LEPTOSPIROSIS IN NORTHERN TAIWAN DURING 2008–2015
Leptospirosis is an important infectious zoonosis that may cause life-threatening illness in both humans and animals. This study aimed to identify the serovars of Leptospira using the microscopic agglutination test (MAT) and the effect of season on serum-positive cases detected in National Taiwan University Veterinary Hospital from August 2008 to September 2015. This study also compared the characteristics of serum-positive and serum-negative cases. Among 159 suspected cases, 78 serum-positive (MAT titer [Formula: see text]) and 81 serum-negative cases were identified. In serum-positive cases, the most common pathogenic serovars were Canicola (18.2%), Icterohaemorrhagiae (23.6%), and Shermani (20.0%). Significantly more serum-positive cases were identified in fall (September to November) than other seasons ([Formula: see text]). Dogs aged 1–5 years (odds ratio [Formula: see text] 1.7) were more likely to be identified as being serum-positive cases of canine leptospirosis than serum-negative cases. However, no significant difference was observed regarding breed, gender, and regional distribution. The serum concentrations of liver enzymes, total bilirubin, blood urea nitrogen, and creatinine were elevated in both serum-positive and serum-negative cases, with no significance. White blood cell (WBC) counts of serum-positive cases were statistically higher than those of serum-negative cases ([Formula: see text]). In conclusion, more precaution must be taken with dogs aged 1–5 years because of their higher risk of leptospirosis; additionally, significantly elevated WBC count may be a suitable indicator in suspected cases of canine leptospirosis.
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