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Molecular profiling and risk factors assessment of cutaneous leishmaniasis in an expanding endemic focus of Punjab, Pakistan. 巴基斯坦旁遮普省日益扩大的流行焦点中皮肤利什曼病的分子分析和危险因素评估。
IF 2 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-11-08 DOI: 10.1007/s00436-025-08581-2
Asma Ashraf, Saima Qadeer, Ume Amara Bukhari, Ismail Zeb, Akhtar Rasool, Umme Salma, Hadia Shaukat, Rehman Shahzad, Abdul Rahman Osmani
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引用次数: 0
P. falciparum EBA-181 ligand - searching for the receptor on human erythrocytes. 恶性疟原虫EBA-181配体在人红细胞上的受体搜索。
IF 2 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-11-07 DOI: 10.1007/s00436-025-08582-1
Marlena Jodłowska, Patrycja Burzyńska, Agata Zerka, Ewa Jaśkiewicz

Malaria caused by Plasmodium is responsible for approximately 250 million clinical cases and 600,000 deaths per year, mostly in Africa. Our understanding of Plasmodium parasite biology remains incomplete. The key step of Plasmodium invasion is the blood stage, which is mediated by Erythrocyte binding-like (EBL) and Reticulocyte binding-like (RBL) proteins. Three P. falciparum EBL proteins and their receptors are functional: EBA-175 - Glycophorin A (GPA), EBL-1 - Glycophorin B (GPB), and EBA-140 - Glycophorin C (GPC). Because the fourth EBA-181 ligand recognizes the mysterious erythrocyte receptor Z, which remains unknown, we aimed to characterize its specificity and search for its receptor. The Surface Plasmon Resonance method was employed to evaluate the interaction of the recombinant EBA-181 ligand with sugar moieties and the Rh2b ligand. We have demonstrated that the EBA-181 ligand binds to Neu5Ac and Neu5Gc sialic acids, interacting with the Rh2b protein with a dissociation constant of approximately 3 µM. Moreover, the EBA-181 protein binds to about 100 kDa erythrocyte membrane protein. The P. falciparum EBA-181 merozoite ligand binding was shown to be sialic acid-dependent. It seems that the Rh2b merozoite protein might be the co-ligand cooperating with EBA-181 in erythrocyte invasion. Finally, our studies suggested that erythrocyte Band 3 protein may be a putative receptor for the EBA-181 ligand.

由疟原虫引起的疟疾每年造成约2.5亿临床病例和60万人死亡,主要发生在非洲。我们对疟原虫生物学的了解仍然不完整。疟原虫侵袭的关键阶段是血期,血期由红细胞结合样蛋白(EBL)和网织红细胞结合样蛋白(RBL)介导。三种恶性疟原虫EBL蛋白及其受体具有功能:EBA-175 -糖蛋白A (GPA)、eba -1 -糖蛋白B (GPB)和EBA-140 -糖蛋白C (GPC)。由于第四种EBA-181配体识别神秘的红细胞受体Z,这仍然是未知的,我们旨在表征其特异性并寻找其受体。采用表面等离子体共振方法评价重组EBA-181配体与糖基和Rh2b配体的相互作用。我们已经证明EBA-181配体与Neu5Ac和Neu5Gc唾液酸结合,与Rh2b蛋白相互作用,解离常数约为3µM。此外,EBA-181蛋白与约100 kDa的红细胞膜蛋白结合。恶性疟原虫EBA-181子体配体结合显示为唾液酸依赖性。Rh2b胚子蛋白可能是协同EBA-181参与红细胞侵袭的共配体。最后,我们的研究表明红细胞Band 3蛋白可能是EBA-181配体的假定受体。
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引用次数: 0
Hirudins and fenestrins of the African medicinal leech Asiaticobdella fenestrata. 非洲药用水蛭的水蛭素和水蛭素。
IF 2 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-11-07 DOI: 10.1007/s00436-025-08578-x
Lucia Schulz, Céline Tolksdorf, Bernhard H Rauch, Sebastian Kvist, Christian Müller

African hematophagous leeches are largely underinvestigated both in terms of their biodiversity and the characterization of the repertoire of bioactive components of their salivary gland secretions. Asiaticobdella (formerly Aliolimnatis) fenestrata Moore, 1939, also referred to as the African medicinal leech, is hence a promising candidate for the identification and functional characterization of putative anticoagulants that may serve as inspirations for the development of new or the enhancement of existing drugs for medical purposes. A. fenestrata inhabits flooded plains of southern African regions and mainly feeds on mammals like black lechwe (Kobus leche Gray, 1850). Whereas several anticoagulants, including two putative hirudins of A. fenestrata, have already been identified in previous investigations, functional characterizations of these components are yet missing. We conducted an in-depth re-analysis of the salivary gland transcriptomic data set of A. fenestrata and identified two additional hirudin-like factors that exhibit a remarkable structural feature-the presence of an RGD motif at or near the N-terminal end of the molecules. The presence of such an RGD motif is a key feature of leech-derived platelet aggregation inhibitors such as ornatins and decorsins. However, both in ornatins and in decorsins, the respective RGD motif is located within the molecule between the 5th and the 6th cysteine residues, but not at or near the N-terminus. We named the two putative platelet aggregation inhibitors "fenestrins." Both the two putative hirudins and the two fenestrins of A. fenestrata were expressed as recombinant proteins, purified, and functionally characterized in either coagulation or platelet aggregation assays.

非洲吸血水蛭在其生物多样性和其唾液腺分泌物的生物活性成分的特征方面都没有得到充分的研究。Asiaticobdella(原Aliolimnatis) fenestrata Moore, 1939,也被称为非洲药用水蛭,因此是一种有希望的候选者,可以用于鉴定和功能特征的推定抗凝血剂,可能为开发新的或增强现有药物提供灵感。A. fenestrata栖息在非洲南部被洪水淹没的平原地区,主要以黑乳牛等哺乳动物为食(Kobus leche Gray, 1850)。虽然在之前的研究中已经发现了几种抗凝剂,包括两种推定的水蛭素,但这些成分的功能特征尚未确定。我们进行了一次深入的重新分析水蛭唾液腺转录组数据集,并确定了另外两个水蛭素样因子,它们表现出显著的结构特征——在分子的n端或附近存在RGD基序。这种RGD基序的存在是水蛭衍生的血小板聚集抑制剂(如装饰素和装饰素)的一个关键特征。然而,在装饰素和装饰素中,各自的RGD基序位于分子内的第5和第6半胱氨酸残基之间,而不是在n端或附近。我们将这两种假定的血小板聚集抑制剂命名为“fenestrins”。这两种推测的水蛭素和两种窗内酯均以重组蛋白表达,纯化,并在凝血或血小板聚集试验中进行功能表征。
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引用次数: 0
Expanding the epidemiological insight: the role of synanthropic waterfowl in environmental transmission of trichomonads and acanthamoebae. 扩大流行病学的洞察力:水禽在滴虫和棘阿米巴虫的环境传播中的作用。
IF 2 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-11-04 DOI: 10.1007/s00436-025-08545-6
Nathkapach Kaewpitoon Rattanapitoon, Patpicha Arunsan, Nav La, Khristine Laguador Sandoval, Schawanya Kaewpitoon Rattanapitoon
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引用次数: 0
Cestode parasite accumulation in Octopus maya: Insights from an opportunistic sampling during the 2022 red tide event. 玛雅章鱼体内的寄生虫积累:从2022年红潮事件期间的机会抽样中获得的见解。
IF 2 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-11-03 DOI: 10.1007/s00436-025-08560-7
Linda Yacsiri G Marmolejo-Guzmán, Jhonny G García-Teh, Karen Ascenet Arjona-Cambranes, Guadalupe Anai May-Sosa, M Leopoldina Aguirre-Macedo

The infection dynamics of Prochristianella sp., a metacestode parasitizing the Yucatán Peninsula-endemic octopus, Octopus maya, were examined to explore the relationship between host size and parasitic infection parameters. During a red tide event, forty-nine octopuses were sampled from a single locality in the Yucatán Peninsula, México, and classified into three size classes. Infection metrics were assessed, including prevalence, mean intensity, abundance, and total parasite count. The results revealed a significant positive association (r = 0.85) between host size and the number of Prochristianella sp., with larger octopuses exhibiting higher infection parameters. The findings suggest that Prochristianella sp. progressively accumulates in O. maya throughout its very early life, aligning with the general patterns observed in host-parasite interactions. This finding is consistent with previous studies, which suggest that larger hosts may accumulate higher parasite loads due to their prolonged exposure to infective stages and their trophic habits. These results highlight the ecological role of O. maya as an intermediate host in its marine ecosystem, underscoring the potential implications of parasitic infections on its health and population dynamics. This study represents a significant step toward understanding the ecology of parasites exploiting O. maya, providing insights into host-parasite relationships in marine cephalopods and offering a foundation for future research on the health and sustainability of this economically important species.

研究了Yucatán半岛特有章鱼(octopus maya)寄生的一种寄生蜂Prochristianella sp.的感染动态,探讨了寄主大小与寄生感染参数的关系。在一次赤潮事件中,从Yucatán半岛的一个地方采集了49只章鱼的样本,并将它们分为三个大小类别。评估感染指标,包括患病率、平均强度、丰度和寄生虫总数。结果表明,寄主大小与Prochristianella sp.数量呈显著正相关(r = 0.85),且越大的章鱼感染参数越高。研究结果表明,在玛雅古虫的早期生命中,原christianella sp.逐渐在其体内积累,这与在宿主-寄生虫相互作用中观察到的一般模式一致。这一发现与先前的研究一致,这些研究表明,体型较大的宿主可能由于长期暴露于感染阶段和它们的营养习惯而积累更高的寄生虫负荷。这些结果突出了麻叶虫在其海洋生态系统中作为中间宿主的生态作用,强调了寄生虫感染对其健康和种群动态的潜在影响。该研究为了解寄生于麻叶虫的寄生虫生态学迈出了重要的一步,为了解海洋头足类动物的宿主-寄生虫关系提供了见解,并为未来研究这一重要经济物种的健康和可持续性奠定了基础。
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引用次数: 0
Cross-sectional study of gastrointestinal helminthosis in goats from three ecosystems in Peru: Prevalence and associated factors. 秘鲁三个生态系统山羊胃肠道蠕虫病的横断面研究:患病率及相关因素。
IF 2 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-11-03 DOI: 10.1007/s00436-025-08573-2
Hugo Castillo Doloriert, Miguel Enrique Paredes Chocce, Ana Vargas-Calla, Katherine Robles Noriega, David Godoy Padilla, Sebastián Coronel Berrospi, Richard Ayala Roldan, Irene Acosta Granados, Luis A Gomez-Puerta

Gastrointestinal parasitism is a health issue in livestock, particularly in non-intensive farming systems. This research evaluated the prevalence and risk factors associated with gastrointestinal helminths in goats from three ecosystems in Peru: the Andean shrubland (Ancash), dry forest (Lambayeque), and coastal valley (Lima). The study used a cross-sectional design, with random sampling of goats from extensive production systems in each ecosystem. A total of 819 fecal samples were collected and analyzed using qualitative and quantitative parasitological methods. Additionally, coproculture was performed to identify infective larvae of nematodes. The FAMACHA© index was used to assess anemia levels, while body condition scores were recorded to evaluate the nutritional status of the animals. The highest prevalence was recorded in the Andean shrubland (74.2%), followed by the dry forest (63.1%), whereas the coastal valley had the lowest prevalence (59.3%). The most frequently identified helminths were strongyle-type eggs (49.9%) and Skrjabinema sp. (33.7%), while Moniezia sp. (5.4%) and Fasciola hepatica (1.1%) were detected at lower frequencies. The identification of L3 infective larvae of Haemonchus sp., Trichostrongylus sp., Cooperia sp., Strongyloides sp., Oesophagostomum sp., Bunostomum sp., and Teladorsagia sp. highlighted the diversity of gastrointestinal nematodes affecting goats in Peru. Multivariable analysis revealed that anemia (FAMACHA ≥ 3; PR = 1.14), poor body condition (BCS 1-2; PR = 1.03), and age (2-6 teeths or full dentition; PR = 1.12 and 1.08, respectively) were associated with increased infection risk. Males had lower prevalence than females (PR = 0.80), and goats raised in the dry forest and coastal valley had lower risk than those from the Andean shrubland. These findings highlight the influence of physiological status and environmental conditions on parasite burden in goat herds.

胃肠道寄生虫病是牲畜的一个健康问题,特别是在非集约化养殖系统中。本研究评估了秘鲁安第斯灌木丛(安卡什)、干燥森林(兰巴耶克)和沿海山谷(利马)三个生态系统山羊胃肠道蠕虫的流行率和相关风险因素。该研究采用了横断面设计,从每个生态系统的广泛生产系统中随机抽样山羊。共收集粪便819份,采用定性和定量寄生虫学方法进行分析。此外,还进行了共育,以鉴定线虫的感染性幼虫。采用FAMACHA©指数评估贫血水平,记录体况评分评估动物营养状况。发病率最高的是安第斯灌丛(74.2%),其次是干林(63.1%),最低的是沿海河谷(59.3%)。钉螺虫卵检出率最高(49.9%),钉螺虫卵检出率最高(33.7%),钉螺虫卵检出率较低(5.4%),钉螺虫卵检出率较低(1.1%)。秘鲁山羊胃肠道线虫的多样性体现在Haemonchus sp.、Trichostrongylus sp.、Cooperia sp.、Strongyloides sp.、o食管stomum sp.、Bunostomum sp.和Teladorsagia sp. 3种感染幼虫的鉴定上。多变量分析显示,贫血(FAMACHA≥3,PR = 1.14)、身体状况差(BCS 1-2, PR = 1.03)和年龄(2-6颗牙或全牙列,PR分别为1.12和1.08)与感染风险增加相关。公山羊的患病率低于母山羊(PR = 0.80),生长在干燥森林和沿海山谷的山羊的患病率低于安第斯灌木地的山羊。这些结果强调了生理状态和环境条件对山羊群体寄生虫负担的影响。
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引用次数: 0
Pyrethroid and organochlorine susceptibility in Aedes aegypti populations from eastern black sea region, Türkiye: traces in the kdr gene region of the species origin. 东黑海地区埃及伊蚊种群对拟除虫菊酯类杀虫剂和有机氯的敏感性:物种起源kdr基因区域的痕迹。
IF 2 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-11-01 DOI: 10.1007/s00436-025-08538-5
Murat Öztürk, Fatih Şaban Beriş, Hilal Bedir, Muhammet Mustafa Akiner

Aedes aegypti (Linnaeus 1762) is a significant public health concern in both its native and invaded regions because of the transmission of arboviruses. Target-site mutations in the voltage-gated sodium channel (vgsc) gene, commonly referred to as knockdown resistance (kdr), represent the most extensively studied mechanism underlying pyrethroid resistance. Therefore, we aimed to assess possible pyrethroid and organochlorine resistance levels, knockdown resistance, and mutation types known to contribute to the resistance profile in the Black Sea region of Türkiye in 2020. Bioassay results showed that all field populations, as well as the Bora Bora laboratory strain, were susceptible and predominantly carried wild-type genotypes. For kdr, all samples were wild type for the V410L, L982W, S989P, I1011V/M, L1014F, V1016I/G, and T1520I mutations. The mutant allele was detected in only one specimen in the Pazar population, where it was found in a homozygous state at position F1534C from ten specimens. Novel mutations in the vgsc gene region, with unknown implications for resistance, were determined at positions A1498T, R1599C, P1611L, and P1615S in the studied populations. Two different intron types were detected in the kdr gene (in domain 2) between nucleotide positions 3111 and 3228 and within an intron region (coded as type-1 and type-2). These findings indicate that, Ae. aegypti populations in the Eastern Black Sea region remain susceptible to pyrethroid and organochlorine insecticides. Genetic analyses indicate that these populations likely originated from Asia, with evidence of two distinct lineages. Notably, this study represents the first molecular and phenotypic assessment of insecticide resistance in Ae. aegypti populations conducted in Türkiye.

由于虫媒病毒的传播,埃及伊蚊(Linnaeus 1762)在其原生和入侵地区都是一个重大的公共卫生问题。电压门控钠通道(vgsc)基因的靶位突变,通常被称为敲低抗性(kdr),是研究最广泛的拟除虫菊酯抗性机制。因此,我们的目标是评估可能的拟除虫菊酯和有机氯抗性水平,击倒抗性和已知的有助于2020年黑海地区 rkiye抗性概况的突变类型。生物测定结果表明,所有田间种群以及Bora Bora实验室菌株均易感,且主要携带野生型基因型。对于kdr,所有样本的V410L、L982W、S989P、I1011V/M、L1014F、V1016I/G和T1520I突变均为野生型。突变等位基因仅在Pazar种群的一个标本中被检测到,在10个标本的F1534C位置被发现为纯合子状态。在研究人群中,在A1498T、R1599C、P1611L和P1615S位点发现了vgsc基因区域的新突变,对耐药性的影响尚不清楚。在kdr基因(结构域2)中,在核苷酸位置3111和3228之间以及内含子区域(编码为1型和2型)中检测到两种不同的内含子类型。这些发现表明,Ae。东黑海地区的埃及伊蚊种群仍然对拟除虫菊酯和有机氯杀虫剂敏感。遗传分析表明,这些种群可能起源于亚洲,有证据表明它们有两个不同的谱系。值得注意的是,本研究首次对伊蚊的杀虫剂抗性进行了分子和表型评估。在基耶省进行的埃及伊蚊种群调查。
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引用次数: 0
Prevalence and risk factors for Schistosoma haematobium infestation in WASH-based communities of Ogun Central, Nigeria. 尼日利亚奥贡中部华盛顿州社区血血吸虫感染的流行情况和危险因素
IF 2 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-11-01 DOI: 10.1007/s00436-025-08569-y
Oluwaseyi T Taiwo, Sammy O Sam-Wobo, Kehinde O Ademolu, Adewale O Talabi, Adewale M Taiwo

Neglected tropical diseases (NTDs) remain a major public health concern in sub-Saharan Africa, where inadequate sanitation and unsafe water contribute to ongoing transmission. This study examined the prevalence and associated risk factors of Schistosoma haematobium among school-aged children in 20 WASH-focused communities across four Local Government Areas in Ogun Central, Nigeria, between March 2021 and March 2023. Urine and stool samples were collected from 1019 pupils and analyzed using standard parasitological techniques, while structured questionnaires captured demographic information, WASH indicators, and attitudes toward anthelmintic treatment. The overall prevalence of S. haematobium was 2%. Significant associations were observed between infection and water sources (p < 0.05), toilet facilities (p = 0.045), and hematuria (p < 0.001). Age was also identified as a significant demographic factor influencing infection. These findings highlight the persistent vulnerability of children in WASH-dependent communities to urinary schistosomiasis and emphasize the need for integrated control strategies that combine improved sanitation, safe water supply, health education, and regular mass drug administration.

在撒哈拉以南非洲,被忽视的热带病仍然是一个主要的公共卫生问题,在那里,卫生设施不足和不安全的水助长了持续的传播。本研究调查了2021年3月至2023年3月期间尼日利亚奥贡中部四个地方政府区的20个以wash为重点的社区的学龄儿童中血血吸虫的流行情况和相关风险因素。收集了1019名学生的尿液和粪便样本,并使用标准寄生虫学技术进行了分析,同时结构化问卷收集了人口统计信息、WASH指标和对驱虫治疗的态度。总体流行率为2%。在感染和水源之间观察到显著的关联(p
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引用次数: 0
Association of MHC class II β domain polymorphism in channel catfish (Ictalurus punctatus) with natural infection by Ligictaluridus floridanus. 斑点鲶鱼MHCⅱ类β结构域多态性与flictaluridus自然感染的关系
IF 2 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-10-29 DOI: 10.1007/s00436-025-08575-0
Guadalupe Moncerrat González Roldán, Gaspar Manuel Parra Bracamonte, Flaviano Benavides González, Isidro Otoniel Montelongo Alfaro, Jesús Di Carlo Quiroz Velásquez, Xochitl F De La Rosa-Reyna

The major histocompatibility complex (MHC) class II β genes are highly polymorphic and trigger the adaptive immune response in fish against parasitic infections. In channel catfish, exon 2 of the HLA (human leukocyte antigens) and H-2 genes encodes the MHC class II β domain. HLA and H-2 have not been documented in channel catfish populations or associated with parasite infections. We used Ligictaluridus floridanus, a common monogenean ectoparasite, to uncover SNPs in channel catfish. This study uses massive sequencing technology to find single nucleotide polymorphisms (SNPs) in a portion of the MHC class II β domain of the HLA and H-2 genes. Based on an adjusted parasite load, we ranked fish as resistant (RR) or susceptible (SS) to L. floridanus natural infection. We recovered SNPs from 58 fish, 32 classified as RR and 26 as SS. We found 13 SNPs, resulting in 12 non-synonymous changes (4 in HLA and 8 in H-2) and one synonymous change in the H-2 gene. The GG homozygote genotype for the alternative SNP HLA:1849444(C/G), which changes an aspartate (D) to glutamate (E), was significantly associated with susceptibility to L. floridanus. Our study identified 11 haplotypes in the HLA gene, with only one identical to the previously reported allele Icpu-DAB*03 (FKDN). We identified four non-synonymous SNPs in the HLA gene, with a significant association with susceptibility to L. floridanus observed in the genotype GG of SNP HLA:1849444(C/G). In the H-2 gene, the nine SNPs identified were non-significant in any test conducted.

主要的组织相容性复合体(MHC) II类β基因是高度多态性的,并引发鱼类对寄生虫感染的适应性免疫反应。在通道鲶鱼中,HLA(人类白细胞抗原)和H-2基因的外显子2编码MHC II类β结构域。HLA和H-2在通道鲶鱼种群中未被证实或与寄生虫感染有关。本研究利用一种常见的单基因外寄生虫——佛罗里达Ligictaluridus floridanus,在河道鲶鱼中发现了SNPs。本研究利用大规模测序技术发现HLA和H-2基因MHC II类β结构域部分的单核苷酸多态性(snp)。根据调整后的寄生虫负荷,我们将鱼类分为对floridanus自然感染的抗性(RR)和易感(SS)。我们从58条鱼中恢复了SNPs,其中32条被归类为RR, 26条被归类为SS。我们发现了13个SNPs,导致12个非同义变化(4个在HLA中,8个在H-2中)和1个H-2基因同义变化。替代SNP HLA:1849444(C/G)的GG纯合子基因型,将天冬氨酸(D)变为谷氨酸(E),与L. floridanus的易感性显著相关。我们的研究确定了HLA基因的11个单倍型,其中只有一个与先前报道的等位基因Icpu-DAB*03 (FKDN)相同。我们在HLA基因中发现了4个非同义SNP,在SNP HLA:1849444(C/G)的GG基因型中观察到与L. floridanus易感性显著相关。在H-2基因中,发现的9个snp在任何测试中都不显著。
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引用次数: 0
Factors associated with detecting pathogenic intestinal parasites in multiple stool microscopy samples: a retrospective cross-sectional study. 在多个粪便显微镜样品中检测致病性肠道寄生虫的相关因素:一项回顾性横断面研究。
IF 2 3区 医学 Q2 PARASITOLOGY Pub Date : 2025-10-23 DOI: 10.1007/s00436-025-08570-5
Thareerat Ananchaisarp, Wisarut Srisintorn, Pirun Saelue, Kanoot Jaruthamsophon, Poom Adisakwattana

Determining the optimal number of stool samples for accurate parasite detection is crucial in healthcare. However, previous studies have reported conflicting results. This study investigated factors associated with the detection of pathogenic intestinal parasites in additional stool microscopy examinations. This retrospective cross-sectional study at a tertiary care hospital outpatient clinic included patients who submitted three stool samples between 2012 and 2021 and had at least one pathogenic intestinal parasite-positive stool sample. Diagnostic yields for one, two, and three stool specimens were the primary outcome. The secondary outcome was the identification of factors associated with the time to the first positive stool microscopy result, which was analysed using ordinal logistic regression. Among the 103 infected patients, compared with the infection detection rate in the first specimen, the rate increased with the second specimen and further increased with the third specimen, achieving a cumulative detection rate of 100%. Some parasites, such as hookworms, were easily detected in the first sample. However, more than half the patients infected with Trichuris trichiura and all patients infected with Isospora belli were missed if only one stool specimen was collected. Immunocompetent hosts were significantly more likely to have pathogenic intestinal parasites detected in later stool specimens (adjusted ordinal odds ratio = 3.94 [95% confidence interval: 1.34-14.05]). Collecting multiple stool specimens was associated with a higher likelihood of detecting pathogenic intestinal parasites, particularly in immunocompetent patients. Clinicians may request a second or even a third sample if the first is negative.

确定粪便样本的最佳数量以准确检测寄生虫在医疗保健中至关重要。然而,之前的研究报告了相互矛盾的结果。本研究调查了在额外的粪便显微镜检查中发现致病性肠道寄生虫的相关因素。这项在三级医院门诊进行的回顾性横断面研究纳入了2012年至2021年期间提交三份粪便样本并至少有一份致病性肠道寄生虫阳性粪便样本的患者。一个、两个和三个粪便标本的诊断率是主要结果。次要结果是确定与第一次粪便显微镜阳性结果的时间相关的因素,使用有序逻辑回归进行分析。103例感染患者中,与第1例标本的感染检出率相比,第2例标本的感染检出率增加,第3例标本的感染检出率进一步增加,累计检出率达到100%。一些寄生虫,如钩虫,在第一个样本中很容易被检测到。然而,如果只采集一份粪便标本,一半以上的Trichuris trichiura感染患者和所有的bellisospora感染患者都被遗漏。免疫能力强的宿主在后期粪便标本中检出致病性肠道寄生虫的可能性更大(调整后的顺序优势比= 3.94[95%可信区间:1.34-14.05])。收集多个粪便标本与检测致病性肠道寄生虫的可能性较高相关,特别是在免疫功能正常的患者中。如果第一次呈阴性,临床医生可能会要求第二次甚至第三次取样。
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