Mat Seroprevalence Infers Low Rates of Toxoplasma gondii in Domestic Pigs from Yucatan, Mexico.

A. Cubas-Atienzar, G. Hide, J. Smith
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引用次数: 4

Abstract

Toxoplasma gondii is a zoonotic parasite of worldwide distribution. The consumption of infected pork meat has been suggested to be an important source for human infection in the tropical area of Yucatan, Mexico. We performed a cross-sectional study of 12 farms across the state to investigate the seroprevalence of Toxoplasma gondii infection in domestic pigs. In total, 632 samples were obtained from 2 different environmental zones (tropical deciduous low forest and tropical sub-deciduous medium forest) and 2 abattoirs. The modified agglutination test (MAT) was used to assess the seroprevalence of T. gondii in pigs and to evaluate 2 globally used serological tests, the Dye test (DT) and ID Screen® ELISA multi-species, and a commercial ELISA kit (Human Toxo IgG, Human-diagnostics), which is widely used locally in this geographical area. The overall prevalence obtained with the MAT (cut-off ≥1:25) among the 632 pigs was 1.4% (95% CI, 0.6-2.7%). The seroprevalence obtained for the different age groups was 0.6%, 0.7%, 1.8%, and 6.8% among 2-3, 3-4, 4-5, and ≥5-mo-old pigs. This increase in the seroprevalence was statistically significant for the 2 older groups (odds ratio [OR] 3.9-7.1, P < 0.05) in comparison with younger groups. DT at >4 IU dilution had a perfect agreement and 100% of sensitivity and specificity when compared with the MAT. Although ID Screen® had only a fair agreement (κ = 0.389) with the MAT, the McNemar test showed that the results of these tests were comparable (P = 0.29). The Human Toxo ELISA showed no agreement with MAT, ID Screen®, and DT (κ = 0.000-0.023, McNemar P < 0.05). This ELISA was lacking in specificity, accuracy, and precision; hence, we do not recommend its use for T. gondii diagnosis in pig serum.
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墨西哥尤卡坦地区家猪中弓形虫的血清阳性率较低。
刚地弓形虫是一种分布在世界各地的人畜共患寄生虫。食用受感染的猪肉已被认为是墨西哥尤卡坦热带地区人类感染的重要来源。我们对全州12个农场进行了横断面研究,以调查家猪中弓形虫感染的血清流行率。在2个不同的环境带(热带落叶低林和热带次落叶中林)和2个屠宰场共采集了632个样本。采用改良的凝集试验(MAT)评估猪中弓形虫的血清阳性率,并对2种全球通用的血清学检测方法进行评价,即Dye试验(DT)和ID Screen®ELISA多种检测方法,以及当地广泛使用的商用ELISA试剂盒(Human Toxo IgG, Human-diagnostics)。在632头猪中,MAT(截止值≥1:25)得到的总患病率为1.4% (95% CI, 0.6-2.7%)。2 ~ 3、3 ~ 4、4 ~ 5和≥5 ~ 5月龄猪血清阳性率分别为0.6%、0.7%、1.8%和6.8%。与年轻组相比,2个老年组血清阳性率升高具有统计学意义(比值比[OR] 3.9 ~ 7.1, P < 0.05)。与MAT相比,稀释度为bbbb4 IU的DT具有完全的一致性和100%的敏感性和特异性。虽然ID Screen®与MAT只有一个公平的一致性(κ = 0.389),但McNemar试验显示这些试验的结果具有可比性(P = 0.29)。人弓形虫ELISA检测结果与MAT、ID Screen®、DT均不一致(κ = 0.000 ~ 0.023, McNemar P < 0.05)。该ELISA缺乏特异性、准确性和精密度;因此,我们不建议将其用于猪血清中弓形虫的诊断。
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