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Molecular characterization of tick-borne piroplasms in captive megaherbivores in Thailand. 泰国圈养大型食草动物中蜱传梨质体的分子特征。
IF 2 3区 医学 Q2 PARASITOLOGY Pub Date : 2026-01-03 DOI: 10.1007/s00436-025-08618-6
C Mongkolphan, S Buamas, S Tangsudjai

Theileria and Babesia are emerging threats to wildlife health but remain underreported in captive large herbivores. This study aimed to investigate the presence and genetic identity of Theileria and Babesia in large captive herbivores in Thailand using PCR targeting the 18 S rRNA gene. Blood samples were collected from 31 individuals representing five herbivore species: Malayan tapirs (Tapirus indicus), white rhinoceroses (Ceratotherium simum), pygmy hippopotamuses (Choeropsis liberiensis), bantengs (Bos javanicus), and gaurs (Bos gaurus) across five zoological parks in central Thailand. A total of 16 positive samples were identified, including one coinfection, resulting in an overall infection rate of 51.6% (16/31; 95% CI: 33.1-69.9). Theileria equi-like was detected in 37.5% (3/8; 95% CI: 8.5-75.5) of Malayan tapirs. Theileria bicornis was detected in 75% (9/12; 95% CI: 42.8-94.5) of white rhinoceroses. In gaur, the infection rate was 33.3% (4/12; 95% CI: 9.9-65.1), comprising one Babesia ovata infection, two Theileria orientalis, and one coinfection. This study provided the first molecular confirmation of Babesia ovata infection in gaurs. No infections were detected in pygmy hippopotamuses or bantengs. These results provide novel baseline data on tick-borne pathogens in captive environments, highlighting potential risks to susceptible wildlife, both non-domestic and domestic species, and underscoring implications for conservation. Our findings emphasize the need for continued surveillance, integrated vector management, and targeted control strategies in zoological settings to mitigate pathogen transmission and protect animal health.

他们的勒氏菌和巴贝斯虫是野生动物健康的新威胁,但在圈养的大型食草动物中仍未得到充分报道。本研究旨在利用PCR靶向18s rRNA基因,研究泰国大型圈养食草动物中泰氏菌和巴贝斯虫的存在及其遗传特性。研究人员从泰国中部5个动物园的5种食草动物——马来貘(Tapirus indicus)、白犀牛(Ceratotherium simum)、侏儒河马(Choeropsis liberiensis)、斑羚(Bos javanicus)和野牛(Bos gaurus)——的31个个体中采集了血液样本。共检出16例阳性样本,其中合并感染1例,总感染率为51.6% (16/31;95% CI: 33.1-69.9)。在37.5% (3/8;95% CI: 8.5 ~ 75.5)的马来貘中检出马样菌。75% (9/12; 95% CI: 42.8 ~ 94.5)的白犀牛检出双角镰刀菌。高尔市感染率为33.3% (4/12;95% CI: 9.9 ~ 65.1),其中卵巴贝斯虫感染1例,东方伊氏杆菌感染2例,合并感染1例。本研究首次从分子上证实了猴卵巴贝斯虫感染。在俾格米河马或班滕中未发现感染。这些结果提供了圈养环境中蜱传病原体的新基线数据,突出了对易感野生动物(包括非家养和家养物种)的潜在风险,并强调了保护的意义。我们的研究结果强调需要在动物环境中持续监测、综合媒介管理和有针对性的控制策略,以减轻病原体传播和保护动物健康。
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引用次数: 0
Aesthetic medicine treatments in reducing the effects of chronic demodicosis. 美容医学治疗在减少慢性蠕虫病的影响。
IF 2 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-12-30 DOI: 10.1007/s00436-025-08621-x
Renata Przydatek-Tyrajska, Katarzyna Bartosik, Patrycja Tokarzewska, Aleksandra Sędzikowska

Humans mites Demodex folliculorum are found in the hair follicles and in pilosebaceous units, while D. brevis favours areas with high levels of sebaceous glands. Demodex mites present in excessive numbers can lead to demodicosis. The aim of the study was to investigate the incidence of Demodex mites infestation in patients and determine the effectiveness of selected aesthetic procedures in alleviating the consequences of chronic inflammation caused by the infestation. The study group consisted of 100 patients (81 women, 19 men), and Demodex infestation was noted in 44%. The patients infested with Demodex required anti-parasite therapy and post treatment observation. The most frequently-performed aesthetic treatments that improved skin condition and improved appearance were medical peelings, mesotherapy and botulinum toxin. In cases where Demodex spp. infestation has impaired the condition of the skin, supplementing antiparasitic treatments with Aesthetic Medicine can help achieve skin recovery, long-lasting aesthetic benefits and improve patient satisfaction.

人的毛囊蠕形螨存在于毛囊和毛囊皮脂腺单位中,而短毛蠕形螨则存在于皮脂腺水平较高的区域。蠕形螨数量过多可导致蠕形螨病。该研究的目的是调查患者蠕形螨感染的发生率,并确定选定的美容手术在减轻由感染引起的慢性炎症后果方面的有效性。研究组包括100例患者(81例女性,19例男性),其中44%的患者被蠕形螨感染。感染蠕形螨的患者需进行抗虫治疗和治疗后观察。最常用的改善皮肤状况和改善外观的美容治疗是医学剥皮,美索疗法和肉毒杆菌毒素。在蠕形螨感染损害皮肤状况的情况下,补充抗寄生虫治疗和美容医学可以帮助实现皮肤恢复,持久的美容效果和提高患者满意度。
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引用次数: 0
Morphological and molecular identification of cardiopulmonary nematodes in the European wildcat (Felis silvestris) and nine other carnivores in Spain. 欧洲野猫(Felis silvestris)和西班牙其他九种食肉动物心肺线虫的形态学和分子鉴定。
IF 2 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-12-26 DOI: 10.1007/s00436-025-08612-y
Javier Millán, Javier Marco, Ruth Rodríguez-Pastor, Fermín Urra, Juan Antonio Castillo, Diego Villanúa, María Paz Peris

Cardiopulmonary nematodes (CPN) are among the most pathogenic helminths, with wild carnivores serving as hosts for a variety of species. Knowledge of their presence in the Iberian Peninsula is limited, and for certain hosts, such as the European wildcat (Felis silvestris), no data are currently available. Lung and heart samples from 112 road-killed individuals belonging to 10 different species, primarily wildcats (n = 33), collected in Navarra (northern Spain) were collected. Morphological identification of nematodes was done and confirmed, when possible, by sequencing fragments of the cytochrome c oxidase subunit I (cox1) and the internal transcribed spacer 2 (ITS2) genes. Fifteen wildcats (45%) were found to be parasitized, with the following species identified: Troglostrongylus brevior (30%), Angiostrongylus chabaudi (15%), and Oslerus rostratus (3%). Other CPN-positive hosts included the Eurasian badger (Meles meles) (3/15), with Angiostrongylus daskalovi and Crenosoma melesi; the pine marten (Martes martes) (3/13) and the stone marten (Martes foina) (5/11), both parasitized by Eucoleus aerophilus and Crenosoma petrowi; and the European polecat (Mustela putorius) (4/8), with Crenosoma melesi. This study reports the first identification of A. chabaudi in the Iberian Peninsula and confirms previous, though rare, records of other CPN species. Additionally, several novel genetic sequences are provided for poorly characterized taxa. Conducting parasitological surveys in free-roaming domestic cats in areas where wildcats are present, to assess the potential for cross-species transmission of these parasites, is highly recommended.

心肺线虫(CPN)是最具致病性的蠕虫之一,野生食肉动物是各种物种的宿主。对它们在伊比利亚半岛存在的了解是有限的,对于某些宿主,如欧洲野猫(Felis silvestris),目前没有数据可用。本文收集了西班牙北部纳瓦拉(Navarra)地区被公路撞死的10种动物112只的肺和心脏样本,主要是野猫(n = 33)。在可能的情况下,通过细胞色素c氧化酶亚基I (cox1)和内部转录间隔2 (ITS2)基因片段的测序进行线虫的形态学鉴定。被寄生野猫15只(45%),其中短穴居线虫(30%)、chabaudi管圆线虫(15%)、rostratus(3%) 3种。其他cpn阳性宿主包括欧亚獾(Meles Meles)(3/15),携带daskalovi管圆线虫和Crenosoma melesi;松貂(Martes Martes)(3/13)和石貂(Martes foina)(5/11),均寄生于嗜气桉和石蜡瘤;欧洲鼬(Mustela putorius)(4/8)与Crenosoma melesi。本研究报告了在伊比利亚半岛首次发现的A. chabaudi,并证实了以前其他CPN物种的记录,尽管罕见。此外,一些新的基因序列提供了较差的特征分类群。强烈建议在有野猫的地区对自由漫游的家猫进行寄生虫学调查,以评估这些寄生虫跨物种传播的可能性。
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引用次数: 0
Spatio-temporal infection and diversity indices of gastrointestinal helminths in Xenopus species from Lake Victoria Basin, Kenya. 肯尼亚维多利亚湖流域非洲爪蟾胃肠道蠕虫的时空感染及多样性指数
IF 2 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-12-23 DOI: 10.1007/s00436-025-08609-7
Kiki M A Ochieng, Nehemiah M Rindoria, George N Morara, Wilmien J Luus-Powell, Willem J Smit

Xenopus frogs (Pipidae) are aquatic anurans widely distributed across Africa, where they play important ecological, biomedical, and cultural roles. However, populations are increasingly threatened by a range of stressors, including habitat degradation, climate change, and parasitic infections. This study investigated spatio-temporal infection and diversity indices of gastrointestinal helminths in Xenopus borealis and X. victorianus from the Lake Victoria Basin, Kenya. A total of 480 individuals (240 per species) were collected between June 2024 and January 2025 from selected streams and ponds using baited traps and seine nets. Spatio-temporal variations in environmental conditions were recorded using a YSI multiparameter meter. Standard parasitological techniques were employed for the recovery, fixation, and identification of parasites. Three helminth genera were recorded: the intestinal cestode Cephalochlamys sp., and two nematodes, Contracaecum sp. (intestinal) and Paracamallanus sp. (stomach). Prevalence ranged from 23% to 90%, and mean intensity from 1.0 to 8.3, depending on parasite taxon and host species. Nematodes were the most prevalent and diverse group across all localities. Diversity metrics, including Shannon-Wiener, Margalef richness, Berger-Parker dominance, and Simpson's index, showed variation between hosts and sampling sites. Analysis of variance (ANOVA) revealed no significant spatial differences in infection indices (p > 0.05), but temporal differences were significant (p < 0.05) for Contracaecum infections in X. borealis and Paracamallanus in X. victorianus. These findings provide the first baseline data on helminth fauna from Xenopus species in Kenya and support the need for molecular analyses to clarify taxonomy and better understand host-parasite-environment interactions.

爪蟾是一种广泛分布于非洲的水生无尾动物,在非洲具有重要的生态、生物医学和文化作用。然而,种群正日益受到一系列压力因素的威胁,包括栖息地退化、气候变化和寄生虫感染。研究了肯尼亚维多利亚湖流域北方爪蟾(Xenopus borealis)和维多利亚爪蟾(X. victorianus)胃肠道蠕虫的时空感染及多样性指数。在2024年6月至2025年1月期间,在选定的溪流和池塘中使用诱饵陷阱和围网共收集了480只(每个物种240只)。使用YSI多参数计记录环境条件的时空变化。采用标准寄生虫学技术对寄生虫进行回收、固定和鉴定。记录到3种蠕虫属:肠内绦虫(Cephalochlamys sp.)和2种线虫(Contracaecum sp.)(肠内)和Paracamallanus sp.(胃内)。根据寄生虫分类群和寄主种类的不同,流行率为23% ~ 90%,平均强度为1.0 ~ 8.3。线虫是所有地区最普遍和最多样化的类群。多样性指标,包括Shannon-Wiener、Margalef丰富度、Berger-Parker优势度和Simpson指数,显示了宿主和采样地点之间的差异。方差分析(ANOVA)显示,感染指数的空间差异无统计学意义(p < 0.05),但时间差异有统计学意义(p < 0.05)
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引用次数: 0
Dynamics of Dibothriocephalus spp. infection in fish from the Shardara Reservoir (Republic of Kazakhstan) and fish decontamination by freezing method. 哈萨克斯坦Shardara水库鱼类双胸虫感染动态及冷冻除污。
IF 2 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-12-23 DOI: 10.1007/s00436-025-08615-9
Yerbol Baltabay, Bolat Yessimov, Gani Issayev, Ilyas Ikramov, Abylaikhan Azimbay, Dana Seksenova

The study aimed to investigate the infestation of commercial fish species in the Shardara Dam with Dibothriocephalus spp. plerocercoids, the localization of plerocercoids within fish bodies, and the effect of freezing treatment on plerocercoid mobility. The study was conducted from 2021 to 2024 in the area of the Shardara Dam, located on the Syr Darya River in the Turkistan Region, Kazakhstan. A total of 993 fish specimens were examined for the presence of Dibothriocephalus spp. plerocercoids. The fish belonged to four species: common perch (Perca fluviatilis L.), wels catfish (Silurus glanis L.), pikeperch (Sander lucioperca L.), and northern pike (Esox lucius L.). An experiment on fish decontamination was performed using freezing temperatures of - 8 °C, - 10 °C, - 12 °C, and - 14 °C. Fish specimens weighing up to 2.5 kg were used. The condition of the plerocercoids was assessed after 24, 48, 72, and 96 h. In this study, the northern pike demonstrated the highest infestation rates. The extensity of infestation in the northern pike, the extensity ranged from 45% to 57.1%, with an average of 50.4%, depending on the year and sampling location. A high intensity of Dibothriocephalus spp. plerocercoid invasion was observed in the muscle tissue and edible internal organs. Freezing fish at - 12 °C for at least 96 h or at - 14 °C for at least 48 h effectively inactivates Dibothriocephalus spp. larvae. The study identified a persistent focus of dibothriocephalosis in the area of the Shardara Dam. In accordance with the legislation of the Republic of Kazakhstan, fish caught in the reservoir must undergo mandatory decontamination.

本研究旨在调查沙达拉大坝商业鱼类对双胸头鲸(Dibothriocephalus spp. plerocercoids)的侵染情况、plerocercoids在鱼体内的定位以及冷冻处理对其流动性的影响。该研究于2021年至2024年在位于哈萨克斯坦突厥斯坦地区锡尔河上的沙尔达拉大坝地区进行。共对993份鱼类标本进行了检测,发现双双头鲸属(dibothricephalus spp. plerocercoids)。鱼类分属4种:鲈鱼(pera fluviatilis L.)、鲶鱼(Silurus glanis L.)、梭鱼(Sander lucioperca L.)和梭鱼(Esox lucius L.)。在- 8°C、- 10°C、- 12°C和- 14°C的冷冻温度下进行了鱼类净化实验。使用的鱼标本重达2.5公斤。在24、48、72和96 h后分别对不同种类的梭子鱼的侵染情况进行了评价,结果表明,梭子鱼侵染率最高。不同年份、不同采样地点的北梭子鱼侵染程度在45% ~ 57.1%之间,平均为50.4%。在肌肉组织和可食用内脏中观察到高强度的双角头绦虫入侵。在- 12°C下冷冻至少96小时或在- 14°C下冷冻至少48小时可有效灭活双胸头蝇幼虫。该研究确定了沙达拉大坝地区双肺头病的持续焦点。根据哈萨克斯坦共和国的立法,在水库捕获的鱼必须进行强制性的净化。
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引用次数: 0
Serological and molecular detection of Toxoplasma gondii in naturally infected red foxes (Vulpes vulpes) from Victoria, Australia. 澳大利亚维多利亚州赤狐自然感染刚地弓形虫的血清学和分子检测。
IF 2 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-12-16 DOI: 10.1007/s00436-025-08606-w
Leonardo Brustenga, K L D Tharaka D Liyanage, Panayiotis Loukopoulos, Megan Fisher, Jessica Haining, Charles G Gauci, Livia Lucentini, Alessandro D Uboldi, Christopher J Tonkin, Giulia Morganti, Giulia Rigamonti, Fabrizio Passamonti, Fabrizia Veronesi, Abdul Jabbar, Jasmin Hufschmid

Toxoplasma gondii is a zoonotic parasite with a global distribution that can infect a wide range of warm-blooded hosts. This study investigated, for the first time, the seroprevalence and genetic variability of T. gondii in red foxes (Vulpes vulpes) from Victoria, Australia. Animals from both regional Victoria and the metropolitan Melbourne area were sourced from trappers and shooters involved in pest control. Sera were screened for anti-T. gondii IgG antibodies using a modified agglutination test, and tissue samples were tested using a qPCR assay targeting the 529 bp repeated element. qPCR positive samples were genotyped using a five-marker (L358, 5'SAG2, 3'SAG2, c22-8, GRA6) polymerase chain reaction-restriction fragment length polymorphism protocol. Anti-T. gondii antibodies were detected in 38.9% (30/77) of foxes, and parasite DNA was identified in 23.4% (18/77) of animals. Genotyping revealed a predominance of T. gondii clonal Type II whereas two isolates showed new alleles attributable to Type II-like genotypes. These findings suggest that Australian red foxes are frequently exposed to T. gondii and may play an important role as epidemiological sentinels to assess the circulation of T. gondii in the Australian environment, with implications for both wildlife conservation and public health.

刚地弓形虫是一种全球分布的人畜共患寄生虫,可感染各种温血宿主。本研究首次调查了澳大利亚维多利亚州赤狐(Vulpes Vulpes)中弓形虫的血清阳性率和遗传变异。来自维多利亚地区和墨尔本大都会地区的动物来自于参与害虫控制的猎人和射手。对血清进行抗t抗体筛选。采用改良的凝集试验检测弓形虫IgG抗体,并用qPCR方法检测组织样本中529 bp重复片段。qPCR阳性样品采用五标记(L358, 5sag2, 3sag2, c22-8, GRA6)聚合酶链反应-限制性片段长度多态性协议进行基因分型。Anti-T。38.9%(30/77)的狐狸检出弓形虫抗体,23.4%(18/77)的狐狸检出弓形虫DNA。基因分型结果显示,刚地弓形虫克隆型ⅱ型占优势,而2个分离株显示了可归因于II型样基因型的新等位基因。这些发现表明,澳大利亚红狐经常暴露于弓形虫,可能在评估澳大利亚环境中弓形虫的传播方面发挥重要的流行病学哨兵作用,对野生动物保护和公共卫生都有影响。
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引用次数: 0
Prevalence of porcine toxoplasmosis using ERP-iELISA in Hubei Province. 应用erp - elisa法分析湖北省猪弓形虫病流行情况。
IF 2 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-12-15 DOI: 10.1007/s00436-025-08601-1
Linyue Wu, Mingfeng He, Yu Wang, Xiaodie Ruan, Liyan Luo, Bang Shen, Rui Fang, Junlong Zhao, Yanqin Zhou
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引用次数: 0
Nanofibrous patches for targeted therapy of cutaneous leishmaniasis caused by Leishmania major: a preclinical amphotericin B platform. 纳米纤维贴片靶向治疗由利什曼原虫引起的皮肤利什曼病:临床前两性霉素B平台。
IF 2 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-12-11 DOI: 10.1007/s00436-025-08605-x
Mahya Allahmoradi, Mehdi Mohebali, Hamed Mirjalali, Mahdi Adabi, Fahimeh Firouzjaei Karder, Seyed Mahdi Rezayat, Abbas Rahimi Foroushani, Seyyedeh Elaheh Mousavi, Elham Kazemirad

Cutaneous leishmaniasis (CL) remains a significant public health challenge in endemic regions, particularly where access to safe and patient-friendly treatments is limited. Amphotericin B (AmB), although highly active against Leishmania, is restricted by systemic toxicity and the need for parenteral administration. In this study, AmB-loaded bioactive nanofibrous patches were fabricated using a dual-nozzle electrospinning method incorporating chitosan, gelatin, and polyvinyl alcohol. The resulting nanofibers were structurally characterized by scanning electron microscopy, Fourier-transform infrared spectroscopy, and X-ray diffraction. Drug loading was uniform, and in vitro release demonstrated a sustained profile with approximately 82% cumulative release at 72 h. Cytocompatibility was confirmed in human dermal fibroblasts and THP-1 cells. The therapeutic performance was further assessed in BALB/c mice using short- and long-term treatment protocols. AmB-loaded patches produced a significant reduction in lesion size compared with untreated and placebo groups, and the treatment outcome was comparable to Glucantime® (Day 21) and SinaAmpholeish® (Day 63). No local irritation or observable systemic toxicity was noted. Overall, these findings indicate that nanofiber-mediated topical delivery of AmB provides a promising localized treatment approach for CL and warrants further investigation in translational and clinical studies.

皮肤利什曼病在流行地区仍然是一个重大的公共卫生挑战,特别是在获得安全和对患者友好的治疗的机会有限的地方。两性霉素B (AmB)虽然对利什曼原虫具有高度活性,但受到全身毒性和需要肠外给药的限制。本研究以壳聚糖、明胶和聚乙烯醇为原料,采用双喷嘴静电纺丝法制备了负载amb的生物活性纳米纤维贴片。利用扫描电镜、红外光谱和x射线衍射对所制备的纳米纤维进行了结构表征。药物负载均匀,体外释放表现出持续的特征,72小时累积释放约82%。在人真皮成纤维细胞和THP-1细胞中证实了细胞相容性。采用短期和长期治疗方案进一步评估BALB/c小鼠的治疗效果。与未治疗组和安慰剂组相比,含amb贴片显著减少了病变大小,治疗结果与葡聚糖®(第21天)和SinaAmpholeish®(第63天)相当。没有局部刺激或可观察到的全身毒性。总的来说,这些发现表明纳米纤维介导的局部递送AmB为CL提供了一种有希望的局部治疗方法,值得在转化和临床研究中进一步研究。
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引用次数: 0
Medication adherence and treatment outcomes in intestinal parasitic infections in rural Egypt: a cross-sectional follow-up study. 埃及农村肠道寄生虫感染的药物依从性和治疗结果:一项横断面随访研究。
IF 2 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-12-11 DOI: 10.1007/s00436-025-08554-5
Omnia A Atiya, Ekram W Abd El-Wahab, Azza Mehanna, Basem F Abdel-Aziz

Intestinal parasitic infections (IPIs) remain a pressing global health issue, particularly in low-resource settings where inadequate sanitation, poor hygiene, and limited healthcare access contribute to persistent transmission. In rural Egypt, IPIs are endemic and impose substantial health and economic burdens. This study aimed to assess medication adherence patterns among patients diagnosed with IPIs, identify barriers to adherence, and evaluate associated treatment outcomes in some rural health units in northern Egypt. A cross-sectional and follow-up study was conducted among 450 patients with laboratory-confirmed IPIs across seven rural health units. Data were collected through medical record reviews, structured questionnaires, and the Morisky 8-Item Medication Adherence Scale. Adherence barriers and treatment outcomes were analyzed using descriptive and inferential statistics. Participants had a wide age range (mean age 20.7 ± 17.4 years), with 86% residing in rural areas. Adherence levels were varied: 41.6% high, 18.4% moderate, and 40% low. Key barriers included side effects, forgetfulness, and disrupted routines. Clinical improvement is observed in 82% of patients during the first follow-up and in all patients who completed the third follow-up visit. However, high attrition during follow-up limited confirmation of long-term outcomes, with only 19.8% completing all visits. Notably, patients with higher adherence scores paradoxically showed lower improvement rates (p = 0.048), suggesting complex adherence-outcome dynamics that might be confounded by reinfection or measurement limitations. While antiparasitic treatments were generally effective, adherence varied widely and was influenced by socioeconomic and behavioral factors. In conclusion, reinfection and follow-up attrition remain major challenges. Public health interventions must prioritize patient education, improved follow-up systems, and targeted strategies to enhance adherence and reduce reinfection in high-risk communities.

肠道寄生虫感染(ipi)仍然是一个紧迫的全球卫生问题,特别是在资源匮乏的环境中,环境卫生设施不足、个人卫生条件差和获得医疗保健的机会有限导致了持续传播。在埃及农村,ipi是地方病,造成了巨大的健康和经济负担。本研究旨在评估被诊断为ipi的患者的药物依从性模式,确定依从性障碍,并评估埃及北部一些农村卫生单位的相关治疗结果。在7个农村卫生单位的450名实验室确诊ipi患者中进行了一项横断面和随访研究。通过病历回顾、结构化问卷和Morisky 8项药物依从性量表收集数据。使用描述性和推理统计分析依从性障碍和治疗结果。参与者年龄范围广(平均年龄20.7±17.4岁),86%居住在农村地区。依从性水平各不相同:高41.6%,中等18.4%,低40%。主要障碍包括副作用、健忘和日常生活中断。82%的患者在第一次随访期间和所有完成第三次随访的患者均观察到临床改善。然而,随访期间的高流失率限制了对长期结果的确认,只有19.8%的患者完成了所有就诊。值得注意的是,依从性评分较高的患者反而表现出较低的改良率(p = 0.048),这表明复杂的依从性-结果动态可能与再感染或测量限制相混淆。虽然抗寄生虫治疗通常有效,但依从性差异很大,并受到社会经济和行为因素的影响。总之,再感染和后续减员仍然是主要的挑战。公共卫生干预措施必须优先考虑患者教育、改进随访系统和有针对性的战略,以加强依从性并减少高危社区的再感染。
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引用次数: 0
The history of giardiasis. 贾第虫病的病史。
IF 2 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-12-10 DOI: 10.1007/s00436-025-08607-9
Dietmar Steverding

This review paper outlines the history of giardiasis caused by Giardia duodenalis. Discovered in 1681, G. duodenalis is probably the first protozoan parasite ever observed by a human. Despite the early discovery, the taxonomic status of the protozoan remained uncertain for a long time. The reason for this is that G. duodenalis is a species complex comprising several phylogenetically distinct genotypes termed assemblages. Initially, it was thought that G. duodenalis is a primitive eukaryote because it lacks many subcellular organelles. However, recent research has shown that the protozoan has diverged from higher eukaryotes and that the lack of subcellular organelles is due to secondary loss and reduction. Based on paleoparasitological findings, G. duodenalis has parasitised humans since antiquity and has probably been spread globally by human migratory activity. Interestingly, it was not until 1987 that the pathogenicity of G. duodenalis was demonstrated for humans. Giardiasis is still a public health problem in the 21st century, particularly in young children living in areas with low hygiene standards.

本文综述了十二指肠贾第虫引起贾第虫病的历史。十二指肠棘球绦虫发现于1681年,可能是人类观察到的第一种原生动物寄生虫。尽管发现较早,但其分类地位在很长一段时间内仍不确定。其原因是十二指肠棘球蚴是一个物种复合体,包括几个系统发育上不同的基因型,称为组合。起初,人们认为十二指肠棘球蚴是一种原始真核生物,因为它缺乏许多亚细胞细胞器。然而,最近的研究表明,原生动物已经从高等真核生物中分化出来,亚细胞细胞器的缺乏是由于二次损失和减少。根据古寄生虫学的发现,十二指肠螺杆菌自古以来就寄生在人类身上,并可能通过人类的迁徙活动在全球传播。有趣的是,直到1987年十二指肠梭菌才被证实对人类具有致病性。贾第虫病在21世纪仍然是一个公共卫生问题,特别是在生活在卫生标准较低地区的幼儿中。
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Parasitology Research
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