Background: Intracellular bacteria such as Rickettsia spp., Borrelia spp., Coxiella spp., and Bartonella spp. cause febrile illnesses similar to malaria and arboviruses, leading to under-reporting in sub-Saharan Africa. Methods: Following Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines, we included studies on these bacteria in humans, animals, and vectors in West Africa (2000-2023). Case reports, editorials, studies on other pathogens, and coinfections were excluded. Data was retrieved from African Journals Online, Google Scholar, and PubMed (last search: December 31, 2023). The risk of bias was assessed using an adapted Cochrane RoB 2.0 tool. Data were analyzed using Excel 2016 and QGIS. A random-effects model estimated prevalence, with subgroup analysis based on country, detection method, period, and host type. Heterogeneity was measured via the I2 index (>50% indicating moderate heterogeneity). Publication bias was assessed by stratifying studies by risk of bias. Results: Out of 27 articles included, 10 covered studies on Rickettsia spp., 5 Borrelia spp., 6 Coxiella spp., 3 Bartonella spp., and 3 both Rickettsia spp. and Coxiella spp. Among them, 10 studies focused on vectors, 5 on animals, 5 on humans, and 7 on One Health. The prevalence of Rickettsia spp. was the highest in humans, 19.46%, 95% confidence interval: [19.42-19.50]. Bartonella spp. had the highest prevalence in animals, 82.57%, 95% CI: [82.46-82.69], and vectors 37.62%, 95% CI: [37.53-37.71]. Prevalence increased significantly post 2010 (81.4%). PCR-based detection showed a higher prevalence (63%). In the risk-of-bias analysis, the quality of the studies, which were included, did not affect the results and overall validity of findings. Conclusion: Intracellular bacteria spread widely among humans, animals, and vectors. One Health approach is essential for managing zoonotic bacterial diseases in Africa. Variation in prevalence underlines the need for methodological standardization and future research should focus on harmonizing methods by integrating molecular methods.
{"title":"Epidemiology of Intracellular Bacterial Pathogens <i>Rickettsia</i> spp., <i>Borrelia</i> spp., <i>Coxiella</i> spp., and <i>Bartonella</i> spp. in West Africa from 2000 to 2023: A Systematic Review.","authors":"Merci Muhigwa, Nina Gouba, Etienne Bilgo, Aboubakar Soma, Fernand Michodigni, Yaya Sozanga Sanou, Abdoulaye Diabate, Abdoul-Salam Ouedraogo","doi":"10.1089/vbz.2025.0011","DOIUrl":"10.1089/vbz.2025.0011","url":null,"abstract":"<p><p><b><i>Background:</i></b> Intracellular bacteria such as <i>Rickettsia</i> spp., <i>Borrelia</i> spp., <i>Coxiella</i> spp., and <i>Bartonella</i> spp. cause febrile illnesses similar to malaria and arboviruses, leading to under-reporting in sub-Saharan Africa. <b><i>Methods:</i></b> Following Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines, we included studies on these bacteria in humans, animals, and vectors in West Africa (2000-2023). Case reports, editorials, studies on other pathogens, and coinfections were excluded. Data was retrieved from African Journals Online, Google Scholar, and PubMed (last search: December 31, 2023). The risk of bias was assessed using an adapted Cochrane RoB 2.0 tool. Data were analyzed using Excel 2016 and QGIS. A random-effects model estimated prevalence, with subgroup analysis based on country, detection method, period, and host type. Heterogeneity was measured via the <i>I</i><sup>2</sup> index (>50% indicating moderate heterogeneity). Publication bias was assessed by stratifying studies by risk of bias. <b><i>Results:</i></b> Out of 27 articles included, 10 covered studies on <i>Rickettsia</i> spp., 5 <i>Borrelia</i> spp., 6 <i>Coxiella</i> spp., 3 <i>Bartonella</i> spp., and 3 both <i>Rickettsia</i> spp. and <i>Coxiella</i> spp. Among them, 10 studies focused on vectors, 5 on animals, 5 on humans, and 7 on One Health. The prevalence of <i>Rickettsia</i> spp. was the highest in humans, 19.46%, 95% confidence interval: [19.42-19.50]. <i>Bartonella</i> spp. had the highest prevalence in animals, 82.57%, 95% CI: [82.46-82.69], and vectors 37.62%, 95% CI: [37.53-37.71]. Prevalence increased significantly post 2010 (81.4%). PCR-based detection showed a higher prevalence (63%). In the risk-of-bias analysis, the quality of the studies, which were included, did not affect the results and overall validity of findings. <b><i>Conclusion:</i></b> Intracellular bacteria spread widely among humans, animals, and vectors. One Health approach is essential for managing zoonotic bacterial diseases in Africa. Variation in prevalence underlines the need for methodological standardization and future research should focus on harmonizing methods by integrating molecular methods.</p>","PeriodicalId":23683,"journal":{"name":"Vector borne and zoonotic diseases","volume":" ","pages":"491-503"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Backgrounds: Leishmaniasis is one of the neglected tropical diseases, distributed across 89 countries in both the Old and New Worlds. Among the 54 identified Leishmania species, 21 are known to be pathogenic to humans. Cutaneous leishmaniasis (CL) is primarily caused by L. major and L. tropica, while visceral leishmaniasis (VL) in Iran is caused by L. infantum. Accurate detection and species identification of Leishmania spp. are crucial for more effective treatment, epidemiology, and control strategies for the disease. Among the molecular targets recently used for detecting Leishmania species, the heat-shock protein 70 (Hsp70) gene has proven to be highly suitable. Methods: This study aimed to establish and evaluate a SYBR Green real-time PCR targeting the Hsp70 gene to identify and differentiate three Leishmania species: L. major, L. tropica, and L. infantum in clinical specimens. A total of 219 microscopic smears, consisting of both positive and negative leishmaniasis cases diagnosed by microscopy, were subjected to DNA extraction and the Hsp70 real-time PCR assay designed in this study. Results: Based on the analysis of the melting temperature (Tm) of the amplified Hsp70 target, 115 microscopy-positive smears were identified, comprising 70.4% L. major, 23.5% L. tropica, and 6.1% L. infantum. All results were confirmed using a commercial diagnostic kit. Sanger sequencing of selected positive amplicons unequivocally confirmed the accuracy of this method in identifying and distinguishing the three Leishmania species. Conclusions: The Hsp70 real-time PCR can be considered an effective method for detecting and identifying Leishmania species from microscopic slides prepared from CL and VL cases in different regions of Iran.
背景:利什曼病是一种被忽视的热带病,分布在新旧世界的89个国家。在已查明的54种利什曼原虫中,已知21种对人类具有致病性。皮肤利什曼病(CL)主要由大利什曼原虫和热带利什曼原虫引起,而伊朗内脏利什曼病(VL)由婴儿利什曼原虫引起。利什曼原虫的准确检测和物种鉴定对该病的更有效治疗、流行病学和控制策略至关重要。在最近用于检测利什曼原虫的分子靶标中,热休克蛋白70 (Hsp70)基因已被证明是非常合适的。方法:本研究旨在建立针对Hsp70基因的SYBR Green实时荧光定量PCR,用于临床标本中利什曼原虫(L. major, L. tropica, L. infumtum)的鉴定和区分。对镜检确诊的利什曼病阳性和阴性病例共219例镜检涂片进行DNA提取和本研究设计的Hsp70实时PCR检测。结果:通过对扩增Hsp70靶细胞的熔融温度(Tm)分析,共检出115个显微镜阳性涂片,其中主要L.占70.4%,热带L.占23.5%,婴儿L.占6.1%。所有结果均使用商用诊断试剂盒进行确认。所选阳性扩增子的Sanger测序明确证实了该方法在鉴定和区分三种利什曼原虫时的准确性。结论:Hsp70实时荧光定量PCR可作为检测和鉴定伊朗不同地区CL和VL病例显微载玻片中利什曼原虫种类的有效方法。
{"title":"Sensitive and Specific Detection/Identification of <i>Leishmania major</i>, <i>Leishmania tropica</i>, and <i>Leishmania infantum</i> by a Single Real Time PCR Targeting <i>Hsp70</i>.","authors":"Reza Mohammadi Manesh, Parisa Mousavi, Mahshid Shakibapour, Mehdi Mohebali, Behrooz Ataei, Hossein Mirhendi","doi":"10.1089/vbz.2024.0087","DOIUrl":"10.1089/vbz.2024.0087","url":null,"abstract":"<p><p><b><i>Backgrounds:</i></b> Leishmaniasis is one of the neglected tropical diseases, distributed across 89 countries in both the Old and New Worlds. Among the 54 identified <i>Leishmania</i> species, 21 are known to be pathogenic to humans. Cutaneous leishmaniasis (CL) is primarily caused by <i>L. major</i> and <i>L. tropica</i>, while visceral leishmaniasis (VL) in Iran is caused by <i>L. infantum</i>. Accurate detection and species identification of <i>Leishmania</i> spp. are crucial for more effective treatment, epidemiology, and control strategies for the disease. Among the molecular targets recently used for detecting <i>Leishmania</i> species, the heat-shock protein 70 (<i>Hsp70</i>) gene has proven to be highly suitable. <b><i>Methods:</i></b> This study aimed to establish and evaluate a SYBR Green real-time PCR targeting the <i>Hsp70</i> gene to identify and differentiate three <i>Leishmania</i> species: <i>L. major</i>, <i>L. tropica</i>, and <i>L. infantum</i> in clinical specimens. A total of 219 microscopic smears, consisting of both positive and negative leishmaniasis cases diagnosed by microscopy, were subjected to DNA extraction and the <i>Hsp70</i> real-time PCR assay designed in this study. <b><i>Results:</i></b> Based on the analysis of the melting temperature (T<sub>m</sub>) of the amplified <i>Hsp70</i> target, 115 microscopy-positive smears were identified, comprising 70.4% <i>L. major</i>, 23.5% <i>L. tropica</i>, and 6.1% <i>L. infantum</i>. All results were confirmed using a commercial diagnostic kit. Sanger sequencing of selected positive amplicons unequivocally confirmed the accuracy of this method in identifying and distinguishing the three <i>Leishmania</i> species. <b><i>Conclusions:</i></b> The <i>Hsp70</i> real-time PCR can be considered an effective method for detecting and identifying <i>Leishmania</i> species from microscopic slides prepared from CL and VL cases in different regions of Iran.</p>","PeriodicalId":23683,"journal":{"name":"Vector borne and zoonotic diseases","volume":" ","pages":"511-516"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-01Epub Date: 2025-05-22DOI: 10.1089/vbz.2025.0019
Mabatho M Nkoko, Ndivhuwo Shivambu, Tinyiko C Shivambu, Takalani Nelufule, Nozipho Khumalo, Nimmi Seoraj-Pillai, Tshifhiwa C Nangammbi
Rodents are associated with the spread of deadly zoonotic and emerging infectious diseases. Their widespread distribution is strongly linked to their ability to thrive in human-altered environments with access to food and shelter. Thus, humans are exposed to zoonotic agents that can spread and infect them directly and indirectly. We sourced published literature on ectoparasites associated with Rattus rattus, R. norvegicus, and Mus musculus from various academic databases such as Google Scholar, PubMed, Web of Science, and Scopus. The relevant literature was screened and selected in R statistical software using the packages ''metagear'' and ''revtool.'' We reviewed and analyzed a total of 53 articles published between 1994 and 2024. The literature review covered studies from 29 countries, represented by six continents, namely, Africa, Asia, Europe, North America, Oceania, and South America, with the majority of the studies from Asia. R. rattus had the most published studies. Our literature review identified 87 species of zoonotic ectoparasites, with Xenopsylla cheopis, Polyplax spinulosa, and Laelaps echidninus being the most reported across all host species. Mites were the most reported ectoparasites (40.83%), followed by fleas (25%), ticks (20%), and lice (14.17%). Most of these ectoparasites were reported from R. rattus, with the highest number of documented ectoparasites. Investigating the prevalence, distribution, and potential risks of alien invasive rodents and their ectoparasites is paramount for public health and improving integrated pest management control strategies.
啮齿动物与致命的人畜共患疾病和新出现的传染病的传播有关。它们的广泛分布与它们在人类改变的环境中茁壮成长并获得食物和住所的能力密切相关。因此,人类暴露于可以直接或间接传播和感染他们的人畜共患病原体。我们从谷歌Scholar、PubMed、Web of Science和Scopus等不同的学术数据库中获取了与Rattus Rattus、褐家鼠和小家鼠相关的体外寄生虫的已发表文献。在R统计软件中使用“metagear”和“revtool”软件包筛选和选择相关文献。“我们审查并分析了1994年至2024年间发表的53篇文章。文献综述涵盖了来自非洲、亚洲、欧洲、北美、大洋洲和南美洲六大洲29个国家的研究,其中大部分研究来自亚洲。家鼠发表的研究最多。文献综述共鉴定出87种人畜共患体外寄生虫,其中报道最多的是棘外蚤、棘多蚤和针鼹。报告的体外寄生虫以螨类最多(40.83%),其次是蚤(25%)、蜱(20%)和虱(14.17%)。这些外寄生虫大多来自大鼠,记录的外寄生虫数量最多。调查外来入侵啮齿动物及其外寄生虫的流行、分布和潜在风险对公共卫生和改进害虫综合防治策略至关重要。
{"title":"Zoonotic Ectoparasites Infesting Commensal Invasive Murid Rodents.","authors":"Mabatho M Nkoko, Ndivhuwo Shivambu, Tinyiko C Shivambu, Takalani Nelufule, Nozipho Khumalo, Nimmi Seoraj-Pillai, Tshifhiwa C Nangammbi","doi":"10.1089/vbz.2025.0019","DOIUrl":"10.1089/vbz.2025.0019","url":null,"abstract":"<p><p>Rodents are associated with the spread of deadly zoonotic and emerging infectious diseases. Their widespread distribution is strongly linked to their ability to thrive in human-altered environments with access to food and shelter. Thus, humans are exposed to zoonotic agents that can spread and infect them directly and indirectly. We sourced published literature on ectoparasites associated with <i>Rattus rattus</i>, <i>R. norvegicus</i>, and <i>Mus musculus</i> from various academic databases such as Google Scholar, PubMed, Web of Science, and Scopus. The relevant literature was screened and selected in R statistical software using the packages ''metagear'' and ''revtool.'' We reviewed and analyzed a total of 53 articles published between 1994 and 2024. The literature review covered studies from 29 countries, represented by six continents, namely, Africa, Asia, Europe, North America, Oceania, and South America, with the majority of the studies from Asia. <i>R. rattus</i> had the most published studies. Our literature review identified 87 species of zoonotic ectoparasites, with <i>Xenopsylla cheopis</i>, <i>Polyplax spinulosa</i>, and <i>Laelaps echidninus</i> being the most reported across all host species. Mites were the most reported ectoparasites (40.83%), followed by fleas (25%), ticks (20%), and lice (14.17%). Most of these ectoparasites were reported from <i>R. rattus</i>, with the highest number of documented ectoparasites. Investigating the prevalence, distribution, and potential risks of alien invasive rodents and their ectoparasites is paramount for public health and improving integrated pest management control strategies.</p>","PeriodicalId":23683,"journal":{"name":"Vector borne and zoonotic diseases","volume":" ","pages":"481-490"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-01Epub Date: 2025-06-06DOI: 10.1089/vbz.2024.0132
Chao Xu, Hongjie Dong, Ting Xiao, Song Zhu, Fan Bai, Qi Wang, Wenju Zhu, Hui Sun, Jin Li, Guihua Zhao, Yongbin Wang, Qingkuan Wei, Kun Yin
Background: The increasing number of imported malaria cases has become a serious public health issue in China. However, the relationship between human genetic variations and malaria susceptibility within the Chinese Han population remains insufficiently understood. This study aims to investigate the contribution of CD55 polymorphisms to the susceptibility of uncomplicated malaria infection imported from Africa in Han Chinese individuals. Materials and Methods: This case-control study included 348 patients with uncomplicated Plasmodium falciparum (P. falciparum) infections imported from Africa and 276 healthy controls from a Chinese population. Genotyping of CD55 polymorphisms rs2564978, rs6691942, and rs1507765 was conducted using a Sequenom MassARRAY system. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated through nonconditional logistic regression analysis. Haplotype and linkage disequilibrium tests were performed using the Haploview 4.2 software. Results: Of the 624 samples, 619 were successfully genotyped for rs2564978, and 620 were successfully genotyped for rs6691942 and rs1507765. A statistically significant difference in genotype distribution between the case and control groups was observed for the rs2564978 polymorphism. Specifically, the heterozygous CT genotype (p = 0.035) and the dominant genetic model CC + CT versus TT (p = 0.044, OR = 1.441, 95% CI: 1.010-2.056) of rs2564978 were associated with an increased risk of uncomplicated malaria, respectively. Haplotype analysis revealed that rs2564978 and rs6691942 were in linkage disequilibrium. Conclusion: The findings suggested that the rs2564978 polymorphism of the CD55 gene may increase the risk of uncomplicated malaria imported from Africa in the Chinese Han population.
背景:输入性疟疾病例日益增多,已成为中国严重的公共卫生问题。然而,在中国汉族人群中,人类遗传变异与疟疾易感性之间的关系仍然不够清楚。本研究旨在探讨CD55多态性对中国汉族非洲输入性疟疾易感性的影响。材料与方法:本病例对照研究包括348例非洲输入性恶性疟原虫(P. falciparum)感染患者和276例中国人群健康对照。利用Sequenom MassARRAY系统对CD55多态性rs2564978、rs6691942和rs1507765进行基因分型。通过非条件logistic回归分析计算比值比(ORs)和95%置信区间(ci)。采用Haploview 4.2软件进行单倍型和连锁不平衡检验。结果:624份样本中,619份成功分型rs2564978, 620份成功分型rs6691942和rs1507765。rs2564978多态性在病例组和对照组之间的基因型分布差异有统计学意义。具体而言,rs2564978的杂合子CT基因型(p = 0.035)和显性遗传模型CC + CT vs TT (p = 0.044, OR = 1.441, 95% CI: 1.010-2.056)分别与无并发症疟疾的风险增加相关。单倍型分析表明,rs2564978和rs6691942处于连锁不平衡状态。结论:CD55基因rs2564978多态性可能增加中国汉族非洲输入性疟疾发病风险。
{"title":"Association Between CD55 Polymorphisms and Susceptibility to Uncomplicated Malaria Imported from Africa in a Chinese Han Population.","authors":"Chao Xu, Hongjie Dong, Ting Xiao, Song Zhu, Fan Bai, Qi Wang, Wenju Zhu, Hui Sun, Jin Li, Guihua Zhao, Yongbin Wang, Qingkuan Wei, Kun Yin","doi":"10.1089/vbz.2024.0132","DOIUrl":"10.1089/vbz.2024.0132","url":null,"abstract":"<p><p><b><i>Background:</i></b> The increasing number of imported malaria cases has become a serious public health issue in China. However, the relationship between human genetic variations and malaria susceptibility within the Chinese Han population remains insufficiently understood. This study aims to investigate the contribution of CD55 polymorphisms to the susceptibility of uncomplicated malaria infection imported from Africa in Han Chinese individuals. <b><i>Materials and Methods:</i></b> This case-control study included 348 patients with uncomplicated <i>Plasmodium falciparum</i> (<i>P. falciparum</i>) infections imported from Africa and 276 healthy controls from a Chinese population. Genotyping of CD55 polymorphisms rs2564978, rs6691942, and rs1507765 was conducted using a Sequenom MassARRAY system. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated through nonconditional logistic regression analysis. Haplotype and linkage disequilibrium tests were performed using the Haploview 4.2 software. <b><i>Results:</i></b> Of the 624 samples, 619 were successfully genotyped for rs2564978, and 620 were successfully genotyped for rs6691942 and rs1507765. A statistically significant difference in genotype distribution between the case and control groups was observed for the rs2564978 polymorphism. Specifically, the heterozygous CT genotype (<i>p</i> = 0.035) and the dominant genetic model CC + CT versus TT (<i>p</i> = 0.044, OR = 1.441, 95% CI: 1.010-2.056) of rs2564978 were associated with an increased risk of uncomplicated malaria, respectively. Haplotype analysis revealed that rs2564978 and rs6691942 were in linkage disequilibrium. <b><i>Conclusion:</i></b> The findings suggested that the rs2564978 polymorphism of the CD55 gene may increase the risk of uncomplicated malaria imported from Africa in the Chinese Han population.</p>","PeriodicalId":23683,"journal":{"name":"Vector borne and zoonotic diseases","volume":" ","pages":"517-522"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Lymphatic filariasis is a major public health problem known for its disfiguring and debilitating effects. Alappuzha district in Kerala has been a hotspot for Brugian and Bancroftian filariasis. The efforts to combat Brugian filariasis in this region about two decades earlier led to notable decline in vector density and interruption of disease transmission. Materials and Method: A cross-sectional survey was carried out in Alappuzha district and 12 wards were selected using multistage random sampling method. An entomological survey was conducted in the selected wards. Result: Fourteen out of 69 Ma. annulifera were positive for filarial parasites. The average infection and infectivity rate was 20% and 0%. Molecular characterization of positive samples confirmed the parasites as Brugia malayi. Phylogenetic analysis of the isolates revealed that they belong to the same clade. Conclusion: This study highlights the importance of continued vector surveillance and timely intervention by appropriate vector control measures to prevent transmission of the disease.
{"title":"Xenomonitoring and Molecular Characterization of <i>Brugia malayi</i> from <i>Mansonia annulifera</i> in Alappuzha, Kerala, India.","authors":"Kiruthiga Tamilselvan, Aiswarya R Suresh, Sivalaxmi Balakrishnan, Harish Kumar Shah, Bhairavi Balasubramanian, Jessu Mathew, Hisham Moosan","doi":"10.1089/vbz.2025.0015","DOIUrl":"10.1089/vbz.2025.0015","url":null,"abstract":"<p><p><b><i>Background:</i></b> Lymphatic filariasis is a major public health problem known for its disfiguring and debilitating effects. Alappuzha district in Kerala has been a hotspot for Brugian and Bancroftian filariasis. The efforts to combat Brugian filariasis in this region about two decades earlier led to notable decline in vector density and interruption of disease transmission. <b><i>Materials and Method:</i></b> A cross-sectional survey was carried out in Alappuzha district and 12 wards were selected using multistage random sampling method. An entomological survey was conducted in the selected wards. <b><i>Result:</i></b> Fourteen out of 69 Ma. annulifera were positive for filarial parasites. The average infection and infectivity rate was 20% and 0%. Molecular characterization of positive samples confirmed the parasites as Brugia malayi. Phylogenetic analysis of the isolates revealed that they belong to the same clade. <b><i>Conclusion:</i></b> This study highlights the importance of continued vector surveillance and timely intervention by appropriate vector control measures to prevent transmission of the disease.</p>","PeriodicalId":23683,"journal":{"name":"Vector borne and zoonotic diseases","volume":" ","pages":"476-479"},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2025-04-26DOI: 10.1089/vbz.2025.0023
Kristin Michel, Nicole M Ioerger, Ashlie M Ake, Susan M Hettenbach, Cassandra Olds, Dustin L Pendell, James Stack, Stephen Higgs, Dana L Vanlandingham
Background: The state of Kansas (KS) has been called the "agricultural heartland" of the United States. Vector-borne and parasitic diseases (VBPD) have a major impact on the production of livestock, such as cattle, swine, goats and sheep, as well as crops, such as wheat, corn, and sorghum. The purpose of this review is to educate agricultural professionals in the state of KS about VBPD of current or potential concern and to inform the public about the challenges faced by the agricultural community. Methods: This review describes and discusses the endemic VBPD that currently impact agricultural production in KS and foreign VBPD of concern. In addition, we outline the major arthropod vectors of VBPD in KS, including ticks, mites, and various insects. In the context of this review, parasites are strictly limited to arthropod ectoparasites that negatively impact livestock production. Modern agricultural data for the state of KS were mostly sourced from the USDA National Agricultural Statistics Service, and current KS VBPD data were mostly sourced from the KS State Veterinary Diagnostic Laboratory. Conclusion: These VBPD have a large economic impact on the state and country, and we have concluded there is a need for updated estimates regarding the economic burden of VBPD in KS and throughout the United States to make better animal and crop health investment decisions.
{"title":"Understanding the Burden of Agriculturally Significant Vector-Borne and Parasitic Diseases in Kansas.","authors":"Kristin Michel, Nicole M Ioerger, Ashlie M Ake, Susan M Hettenbach, Cassandra Olds, Dustin L Pendell, James Stack, Stephen Higgs, Dana L Vanlandingham","doi":"10.1089/vbz.2025.0023","DOIUrl":"10.1089/vbz.2025.0023","url":null,"abstract":"<p><p><b><i>Background:</i></b> The state of Kansas (KS) has been called the \"agricultural heartland\" of the United States. Vector-borne and parasitic diseases (VBPD) have a major impact on the production of livestock, such as cattle, swine, goats and sheep, as well as crops, such as wheat, corn, and sorghum. The purpose of this review is to educate agricultural professionals in the state of KS about VBPD of current or potential concern and to inform the public about the challenges faced by the agricultural community. <b><i>Methods:</i></b> This review describes and discusses the endemic VBPD that currently impact agricultural production in KS and foreign VBPD of concern. In addition, we outline the major arthropod vectors of VBPD in KS, including ticks, mites, and various insects. In the context of this review, parasites are strictly limited to arthropod ectoparasites that negatively impact livestock production. Modern agricultural data for the state of KS were mostly sourced from the USDA National Agricultural Statistics Service, and current KS VBPD data were mostly sourced from the KS State Veterinary Diagnostic Laboratory. <b><i>Conclusion:</i></b> These VBPD have a large economic impact on the state and country, and we have concluded there is a need for updated estimates regarding the economic burden of VBPD in KS and throughout the United States to make better animal and crop health investment decisions.</p>","PeriodicalId":23683,"journal":{"name":"Vector borne and zoonotic diseases","volume":" ","pages":"429-443"},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2025-05-20DOI: 10.1089/vbz.2025.0009
Wei Wang, Chun-Liang Yan, Qi-Shan Xue
Objective: This study aimed to analyze the clinical characteristics of five cases of Chlamydia psittaci pneumonia diagnosed using metagenomics next-generation sequencing (mNGS) and to provide help for its diagnosis and treatment. Methods: Five patients who were admitted to the department of Respiratory and Critical Care Medicine of Beijing Aerospace General Hospital between June 2020 and December 2021 and diagnosed with C. psittaci pneumonia using mNGS were selected, including one case with severe pneumonia. We analyzed the clinical characteristics, epidemiology, laboratory results, treatment, and prognosis of the five participating patients. Results: The main clinical manifestations were high fever, dry cough, chest tightness, shortness of breath, and myalgia. All five patients had a history of contact with poultry. The white blood cell count was normal or slightly increased, the lymphocyte count was significantly decreased, and the percentage of neutrophil granulocyte, C-reactive protein (CRP), erythrocyte sedimentation rate, and procalcitonin were significantly increased. Chest computed tomography showed inflammatory infiltration and consolidation of one or more lung lobes, possibly accompanied by pleural effusion and liver function impairment. Bronchoscopy mainly showed congestion and edema of airway mucosa with less sputum in the airway. In all patients, we detected the nucleic acid sequences of C. psittaci in alveolar lavage fluid or sputum using mNGS and confirmed the diagnosis of C. psittaci pneumonia based on clinical manifestations and exposure history. After adjusting antibiotics to a moxifloxacin-based treatment regimen, the disease improved. The application of the mNGS assay enables us to make faster diagnoses of diseases so that timely medication can be administered, thus shortening the duration of a patient's illness. Conclusion:C. psittaci pneumonia has an acute onset, and fever and cough are common symptoms. A history of contact between the patient and birds is an important diagnostic clue; however, clinical symptoms and laboratory and imaging examinations lack specificity. The detection using mNGS of bronchoalveolar lavage fluid can quickly confirm the diagnosis and reduce missed diagnoses and misdiagnoses. Moxifloxacin-based therapy is effective, and patients require combination therapy if they have other bacterial infections.
{"title":"Clinical Characteristics of Five Cases of <i>Chlamydia psittaci</i> Pneumonia Diagnosed Using Metagenomics Next-Generation Sequencing.","authors":"Wei Wang, Chun-Liang Yan, Qi-Shan Xue","doi":"10.1089/vbz.2025.0009","DOIUrl":"10.1089/vbz.2025.0009","url":null,"abstract":"<p><p><b><i>Objective:</i></b> This study aimed to analyze the clinical characteristics of five cases of <i>Chlamydia psittaci</i> pneumonia diagnosed using metagenomics next-generation sequencing (mNGS) and to provide help for its diagnosis and treatment. <b><i>Methods:</i></b> Five patients who were admitted to the department of Respiratory and Critical Care Medicine of Beijing Aerospace General Hospital between June 2020 and December 2021 and diagnosed with <i>C. psittaci</i> pneumonia using mNGS were selected, including one case with severe pneumonia. We analyzed the clinical characteristics, epidemiology, laboratory results, treatment, and prognosis of the five participating patients. <b><i>Results:</i></b> The main clinical manifestations were high fever, dry cough, chest tightness, shortness of breath, and myalgia. All five patients had a history of contact with poultry. The white blood cell count was normal or slightly increased, the lymphocyte count was significantly decreased, and the percentage of neutrophil granulocyte, C-reactive protein (CRP), erythrocyte sedimentation rate, and procalcitonin were significantly increased. Chest computed tomography showed inflammatory infiltration and consolidation of one or more lung lobes, possibly accompanied by pleural effusion and liver function impairment. Bronchoscopy mainly showed congestion and edema of airway mucosa with less sputum in the airway. In all patients, we detected the nucleic acid sequences of <i>C. psittaci</i> in alveolar lavage fluid or sputum using mNGS and confirmed the diagnosis of <i>C. psittaci</i> pneumonia based on clinical manifestations and exposure history. After adjusting antibiotics to a moxifloxacin-based treatment regimen, the disease improved. The application of the mNGS assay enables us to make faster diagnoses of diseases so that timely medication can be administered, thus shortening the duration of a patient's illness. <b><i>Conclusion:</i></b> <i>C. psittaci</i> pneumonia has an acute onset, and fever and cough are common symptoms. A history of contact between the patient and birds is an important diagnostic clue; however, clinical symptoms and laboratory and imaging examinations lack specificity. The detection using mNGS of bronchoalveolar lavage fluid can quickly confirm the diagnosis and reduce missed diagnoses and misdiagnoses. Moxifloxacin-based therapy is effective, and patients require combination therapy if they have other bacterial infections.</p>","PeriodicalId":23683,"journal":{"name":"Vector borne and zoonotic diseases","volume":" ","pages":"463-469"},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2025-05-23DOI: 10.1089/vbz.2024.0056
Mikhail Yu Kartashov, Ekaterina I Krivosheina, Ekaterina V Naidenova, Kirill S Zakharov, Alexander N Shvalov, Sanaba Boumbaly, Vladimir A Ternovoi, Valery B Loktev
Background: Over the past decade, numerous new tick-associated flavi-like viruses with segmented genomes have been discovered almost worldwide. Kindia tick virus (KITV) was first detected in Rhipicephalus geigyi ticks in West Africa in 2017. The current study aimed to detect viral RNA in tick and cattle samples collected in Guinea and to perform complete sequencing of KITV isolates and their analysis. Methods: Adult ticks and blood samples were collected from cattle in Coyah, Dubréka, Forécariah, and Kindia prefectures of the Republic of Guinea in 2022. These samples were tested for KITV infection by RT-PCR with primers targeting the NS5 gene. Positive probes were sequenced using Illumina technology, and their analysis was performed for obtaining complete sequences of all KITV segments. Results: The RNA of the KITV was detected by RT-PCR in Rh. geigyi, Rh. annulatus ticks, and blood samples of cattle. The prevalence rates for cattle were 6.6%, for Rh. annulatus 6.9%, and for Rh. geigyi ticks 10.7%. The analysis of 15 complete sequences of KITV genomes showed 99.61-99.67% identity for amino acid sequences for segments 1 and 4 and 97.88-98.83% for segments 2 and 3 with previously detected KITV isolate in Guinea in 2017. Phylogenetic analysis demonstrated that obtained KITV sequences can be classified as typical for clade A of the Jingmen tick virus (JMTV) group together with Mogiana tick virus. Conclusion: The KITV isolates from cattle and feeding ticks show practically full identity sequences for all four viral segments, and these sequences can be classified as clade A of the segmented flavi-like virus JMTV group.
{"title":"Simultaneous Detection and Genome Analysis of the Kindia Tick Virus in Cattle and <i>Rhipicephalus</i> Ticks in the Republic of Guinea.","authors":"Mikhail Yu Kartashov, Ekaterina I Krivosheina, Ekaterina V Naidenova, Kirill S Zakharov, Alexander N Shvalov, Sanaba Boumbaly, Vladimir A Ternovoi, Valery B Loktev","doi":"10.1089/vbz.2024.0056","DOIUrl":"10.1089/vbz.2024.0056","url":null,"abstract":"<p><p><b><i>Background:</i></b> Over the past decade, numerous new tick-associated flavi-like viruses with segmented genomes have been discovered almost worldwide. Kindia tick virus (KITV) was first detected in <i>Rhipicephalus geigyi</i> ticks in West Africa in 2017. The current study aimed to detect viral RNA in tick and cattle samples collected in Guinea and to perform complete sequencing of KITV isolates and their analysis. <b><i>Methods:</i></b> Adult ticks and blood samples were collected from cattle in Coyah, Dubréka, Forécariah, and Kindia prefectures of the Republic of Guinea in 2022. These samples were tested for KITV infection by RT-PCR with primers targeting the NS5 gene. Positive probes were sequenced using Illumina technology, and their analysis was performed for obtaining complete sequences of all KITV segments. <b><i>Results:</i></b> The RNA of the KITV was detected by RT-PCR in <i>Rh. geigyi</i>, <i>Rh. annulatus</i> ticks, and blood samples of cattle. The prevalence rates for cattle were 6.6%, for <i>Rh. annulatus</i> 6.9%, and for <i>Rh. geigyi</i> ticks 10.7%. The analysis of 15 complete sequences of KITV genomes showed 99.61-99.67% identity for amino acid sequences for segments 1 and 4 and 97.88-98.83% for segments 2 and 3 with previously detected KITV isolate in Guinea in 2017. Phylogenetic analysis demonstrated that obtained KITV sequences can be classified as typical for clade A of the Jingmen tick virus (JMTV) group together with Mogiana tick virus. <b><i>Conclusion:</i></b> The KITV isolates from cattle and feeding ticks show practically full identity sequences for all four viral segments, and these sequences can be classified as clade A of the segmented flavi-like virus JMTV group.</p>","PeriodicalId":23683,"journal":{"name":"Vector borne and zoonotic diseases","volume":" ","pages":"470-475"},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2025-05-12DOI: 10.1089/vbz.2025.0007
Zahraalsadat Tavakolian, Amir Tukmechi, Abdulghaffar Ownagh, Ahmad Enferadi
Background: Zoonotic diseases pose a significant global health challenge, accounting for over half of all newly emerging infectious illnesses. One such pathogenic agent is the bacterium Francisella tularensis, which causes tularemia, a zoonotic disease spread in the Northern Hemisphere through various means, including tick bites. Unfortunately, there is limited literature on tick-borne bacteria affecting human and animal health. This research confirmed the presence of Francisella spp. in ticks in the Urmia region, highlighting the potential for ticks to act as vectors for transmitting the bacteria to livestock and humans. Materials and Methods: A total of 397 ticks, 315 blood samples, and 241 milk samples were gathered from sheep and goats to screen for the existence of Francisella spp. The nested PCR technique revealed the existence of Francisella spp. 16S rRNA gene in the samples. Results: Blood and milk samples from small ruminants did not show the presence of Francisella spp., but the bacteria were detected in 6 tick pools (n = 79; 7.59%; 95% CI: 3.52%-15.59%). The positive ticks identified were Hyalomma asiaticum 2 (n = 24; 8.33%; 95% CI: 2.31%-25.84%), Hyalomma eagyptum 3 (n = 9; 33.33%; 95% CI: 12.06%-64.58%), and Rhipicephalus sanguineus 1 (n = 15; 6.67%; 95% CI: 1.19%-29.82%) and the presence of Francisella tularensis subspecies holarctica was found to be positive in 3 out of 79 tick pools (3.80%; 95% CI: 1.3%-10.58%). The positive ticks identified in this experiment were female Hyalomma aegyptium (1 out of 3; 33.33%; 95% CI: 6.15%-79.23%), male Hyalomma asiaticum (1 out of 14; 7.14%; 95% CI: 1.27%-31.47%) and female Rhipicephalus sanguineus (1 out of 7; 14.29%; 95% CI: 2.57%-51.32%). Conclusion: The study explored the presence of Francisella species, especially the most dangerous, F. tularensis, in small ruminants and the ticks that attach to them using molecular techniques in the Urmia region of northwestern Iran. The research seeks to improve knowledge of Francisella spp. epidemiology. Understanding the risk of human-livestock transmission of this pathogen is crucial for public health, particularly for individuals working in animal-related fields.
{"title":"Molecular Detection of <i>Francisella</i> spp. in Blood, Milk, and Ticks Infesting Small Ruminants in Urmia, Iran.","authors":"Zahraalsadat Tavakolian, Amir Tukmechi, Abdulghaffar Ownagh, Ahmad Enferadi","doi":"10.1089/vbz.2025.0007","DOIUrl":"10.1089/vbz.2025.0007","url":null,"abstract":"<p><p><b><i>Background:</i></b> Zoonotic diseases pose a significant global health challenge, accounting for over half of all newly emerging infectious illnesses. One such pathogenic agent is the bacterium Francisella tularensis, which causes tularemia, a zoonotic disease spread in the Northern Hemisphere through various means, including tick bites. Unfortunately, there is limited literature on tick-borne bacteria affecting human and animal health. This research confirmed the presence of Francisella spp. in ticks in the Urmia region, highlighting the potential for ticks to act as vectors for transmitting the bacteria to livestock and humans. <b><i>Materials and Methods:</i></b> A total of 397 ticks, 315 blood samples, and 241 milk samples were gathered from sheep and goats to screen for the existence of Francisella spp. The nested PCR technique revealed the existence of Francisella spp. 16S rRNA gene in the samples. <b><i>Results:</i></b> Blood and milk samples from small ruminants did not show the presence of Francisella spp., but the bacteria were detected in 6 tick pools (<i>n</i> = 79; 7.59%; 95% CI: 3.52%-15.59%). The positive ticks identified were Hyalomma asiaticum 2 (<i>n</i> = 24; 8.33%; 95% CI: 2.31%-25.84%), Hyalomma eagyptum 3 (<i>n</i> = 9; 33.33%; 95% CI: 12.06%-64.58%), and Rhipicephalus sanguineus 1 (<i>n</i> = 15; 6.67%; 95% CI: 1.19%-29.82%) and the presence of Francisella tularensis subspecies holarctica was found to be positive in 3 out of 79 tick pools (3.80%; 95% CI: 1.3%-10.58%). The positive ticks identified in this experiment were female Hyalomma aegyptium (1 out of 3; 33.33%; 95% CI: 6.15%-79.23%), male Hyalomma asiaticum (1 out of 14; 7.14%; 95% CI: 1.27%-31.47%) and female Rhipicephalus sanguineus (1 out of 7; 14.29%; 95% CI: 2.57%-51.32%). <b><i>Conclusion:</i></b> The study explored the presence of Francisella species, especially the most dangerous, F. tularensis, in small ruminants and the ticks that attach to them using molecular techniques in the Urmia region of northwestern Iran. The research seeks to improve knowledge of Francisella spp. epidemiology. Understanding the risk of human-livestock transmission of this pathogen is crucial for public health, particularly for individuals working in animal-related fields.</p>","PeriodicalId":23683,"journal":{"name":"Vector borne and zoonotic diseases","volume":" ","pages":"454-462"},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2025-05-23DOI: 10.1089/vbz.2024.0092
Jieqin Song, Yan Dong, Yu Zhang, Guozhong Zhou, Xinya Wu, Li Gao, Hanxin Wu, Li Peng, Jiaru Yang, Zhenhua Ji, Bingxue Li, Yuxin Fan, Jingjing Chen, Meixiao Liu, Jing Kong, Weijie Ma, Lei Zhong, Weijiang Ma, Aihua Liu, Fukai Bao
Background: Lyme disease (LD, also known as Lyme borreliosis) is the most frequent tick-transmitted disease caused by the spirochete Borrelia in Europe and the United States. LD is distributed in the Northern Hemisphere, but the seroprevalence of LD in Asian human populations is unclear. Objectives: To investigate the seroprevalence of LD in Asian human populations. Data Sources: PubMed, Embase, the Cochrane Central Register of Controlled Trials (CENTRAL), and other sources were searched for relevant studies with MeSH terms from their inception up to 20 June 2022. Study Eligibility Criteria: Cross-sectional studies with no language restrictions. Participants: Healthy people, at-risk people, and patients with suspected LD. Moreover, the seroprevalence of LD was diagnosed by laboratory diagnosis (nzyme-linked immunosorbent assays (ELISA)/Immunofluorescence assays (IFA) or/and two-tier testing) in human populations. Assessment of Risk of Bias: Risk of bias was rated using the Joanna Briggs Institute (JBI) standardized critical appraisal instrument for prevalence studies (Critical Appraisal Checklist for Analytical Cross-Sectional Studies). Methods of Data Synthesis: Seroprevalence and proportion of LD in human populations in Asia were obtained from the included studies. Two authors independently screened and selected studies according to our predefined criteria (PROSPERO CRD42022362029) and assessed their risk of bias. A third author was available for arbitrating discrepancies. A random-effects model meta-analysis was conducted to determine the proportions of LD and related information, and further subgroup analyses of some studies were conducted, such as methods for diagnosing LD, gender, and human populations with and without tick bites. Results: There are 18 studies included after full-text screening and 11,498 people in the meta-analysis. These studies encompassed countries such as China, Japan, Korea, Türkiye, Singapore, and Indonesia. Regarding the risk of bias and the JBI checklist, 2 studies scored 7 points and 16 studies scored 8 points. All studies were rated as high quality (≥5 points). In the meta-analysis, the seroprevalences of LD were 12.1% (95% confidence interval [CI] 0.081-0.168) by ELISA/IFA and 5.7% (95% CI 0.034-0.085) for two-tier seropositivity testing in Asia. In subgroup analyses, the proportion of those diagnosed with LD by ELISA/IFA (14.7%, 95% CI 0.094-0.208) was significantly higher than the proportion diagnosed by two-tier testing (5.9%, 95% CI 0.032-0.095) (p < 0.01). The proportion of LD (two-tier testing) was slightly higher in women (7.4%, 95% CI 0.036-0.123) than in men (6.2%, 95% CI 0.026-0.111), but the difference was not significant (p = 0.70). In the study population, 47% (95% CI 0.159-0.795) were bitten by ticks (people with confirmed tick bites). The difference in the prop
背景:莱姆病(Lyme disease, LD,又称莱姆博氏螺旋体病)是欧洲和美国由博氏螺旋体引起的最常见的蜱传疾病。LD分布于北半球,但在亚洲人群的血清患病率尚不清楚。目的:调查亚洲人群LD的血清患病率。数据来源:检索PubMed、Embase、Cochrane Central Register of Controlled Trials (Central)和其他来源的相关研究,从其成立到2022年6月20日。研究资格标准:无语言限制的横断面研究。研究对象:健康人、高危人群和疑似LD患者。此外,通过实验室诊断(酶联免疫吸附测定法(ELISA)/免疫荧光测定法(IFA)或/和双层检测)在人群中诊断LD的血清阳性率。偏倚风险评估:使用乔安娜布里格斯研究所(JBI)流行病学研究的标准化关键评估工具(分析横断面研究的关键评估清单)对偏倚风险进行评估。数据综合方法:从纳入的研究中获得亚洲人群中LD的血清阳性率和比例。两位作者根据我们预定义的标准(PROSPERO CRD42022362029)独立筛选和选择研究,并评估其偏倚风险。有第三位作者可以对差异进行仲裁。采用随机效应模型进行meta分析,确定LD的比例及相关信息,并对部分研究进行亚组分析,如LD的诊断方法、性别、有无蜱叮咬人群等。结果:全文筛选后纳入18项研究,荟萃分析纳入11498人。这些研究涵盖了中国、日本、韩国、日本、新加坡和印度尼西亚等国家。关于偏倚风险和JBI检查表,2项研究得7分,16项研究得8分。所有研究均被评为高质量(≥5分)。在荟萃分析中,ELISA/IFA检测LD的血清患病率为12.1%(95%可信区间[CI] 0.081-0.168),两级血清阳性检测在亚洲的患病率为5.7% (95% CI 0.034-0.085)。在亚组分析中,ELISA/IFA诊断为LD的比例(14.7%,95% CI 0.094 ~ 0.208)显著高于两层检测诊断为LD的比例(5.9%,95% CI 0.032 ~ 0.095) (p < 0.01)。女性的LD比例(7.4%,95% CI 0.036-0.123)略高于男性(6.2%,95% CI 0.026-0.111),但差异不显著(p = 0.70)。在研究人群中,47% (95% CI 0.159-0.795)被蜱虫叮咬(确诊蜱虫叮咬的人)。遭受蜱虫叮咬的人群(7.9%,95% CI 0.019-0.166)和未被蜱虫叮咬的人群(2.7%,95% CI 0.013-0.089)的LD比例(两层测试)差异无统计学意义(p = 0.09)。结论:荟萃分析显示LD在亚洲的高血清患病率,表明它已成为该地区一个重要的公共卫生问题。亚洲的相关政府部门和卫生组织应加强对LD的监测和教育工作。本研究强调了可靠和准确的标准血清学诊断程序对LD诊断的重要性。严格实施双层检测对LD诊断尤其重要。如果只使用ELISA/IFA,可能会导致假阳性结果。其关于艾滋病流行情况的调查结果可作为今后研究该区域艾滋病监测和流行情况的基础。此外,这些发现可能对临床医生的工作有用。
{"title":"Seroprevalence of Lyme Disease in Asian Human Populations: A Systematic Review and Meta-Analysis.","authors":"Jieqin Song, Yan Dong, Yu Zhang, Guozhong Zhou, Xinya Wu, Li Gao, Hanxin Wu, Li Peng, Jiaru Yang, Zhenhua Ji, Bingxue Li, Yuxin Fan, Jingjing Chen, Meixiao Liu, Jing Kong, Weijie Ma, Lei Zhong, Weijiang Ma, Aihua Liu, Fukai Bao","doi":"10.1089/vbz.2024.0092","DOIUrl":"10.1089/vbz.2024.0092","url":null,"abstract":"<p><p><b><i>Background:</i></b> Lyme disease (LD, also known as Lyme borreliosis) is the most frequent tick-transmitted disease caused by the spirochete <i>Borrelia</i> in Europe and the United States. LD is distributed in the Northern Hemisphere, but the seroprevalence of LD in Asian human populations is unclear. <b><i>Objectives:</i></b> To investigate the seroprevalence of LD in Asian human populations. <b><i>Data Sources:</i></b> PubMed, Embase, the Cochrane Central Register of Controlled Trials (CENTRAL), and other sources were searched for relevant studies with MeSH terms from their inception up to 20 June 2022. <b><i>Study Eligibility Criteria:</i></b> Cross-sectional studies with no language restrictions. <b><i>Participants:</i></b> Healthy people, at-risk people, and patients with suspected LD. Moreover, the seroprevalence of LD was diagnosed by laboratory diagnosis (nzyme-linked immunosorbent assays (ELISA)/Immunofluorescence assays (IFA) or/and two-tier testing) in human populations. <b><i>Assessment of Risk of Bias:</i></b> Risk of bias was rated using the Joanna Briggs Institute (JBI) standardized critical appraisal instrument for prevalence studies (Critical Appraisal Checklist for Analytical Cross-Sectional Studies). <b><i>Methods of Data Synthesis:</i></b> Seroprevalence and proportion of LD in human populations in Asia were obtained from the included studies. Two authors independently screened and selected studies according to our predefined criteria (PROSPERO CRD42022362029) and assessed their risk of bias. A third author was available for arbitrating discrepancies. A random-effects model meta-analysis was conducted to determine the proportions of LD and related information, and further subgroup analyses of some studies were conducted, such as methods for diagnosing LD, gender, and human populations with and without tick bites. <b><i>Results:</i></b> There are 18 studies included after full-text screening and 11,498 people in the meta-analysis. These studies encompassed countries such as China, Japan, Korea, Türkiye, Singapore, and Indonesia. Regarding the risk of bias and the JBI checklist, 2 studies scored 7 points and 16 studies scored 8 points. All studies were rated as high quality (≥5 points). In the meta-analysis, the seroprevalences of LD were 12.1% (95% confidence interval [CI] 0.081-0.168) by ELISA/IFA and 5.7% (95% CI 0.034-0.085) for two-tier seropositivity testing in Asia. In subgroup analyses, the proportion of those diagnosed with LD by ELISA/IFA (14.7%, 95% CI 0.094-0.208) was significantly higher than the proportion diagnosed by two-tier testing (5.9%, 95% CI 0.032-0.095) (<i>p</i> < 0.01). The proportion of LD (two-tier testing) was slightly higher in women (7.4%, 95% CI 0.036-0.123) than in men (6.2%, 95% CI 0.026-0.111), but the difference was not significant (<i>p</i> = 0.70). In the study population, 47% (95% CI 0.159-0.795) were bitten by ticks (people with confirmed tick bites). The difference in the prop","PeriodicalId":23683,"journal":{"name":"Vector borne and zoonotic diseases","volume":" ","pages":"444-453"},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}