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Malaria parasitemia and its association with CD4 cells, viral load and haematological parameters among HIV-infected children < 15 years in the Bonasssama Health District, Douala, Cameroon: Prevalence and risk factors 喀麦隆杜阿拉 Bonasssama 卫生区小于 15 岁的 HIV 感染儿童中的疟疾寄生虫血症及其与 CD4 细胞、病毒载量和血液学参数的关系:发病率和风险因素
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2024-11-01 DOI: 10.1016/j.parepi.2024.e00390
Ambe Fabrice Ngwa , Ekwi Damian Nsongmayi , Tanyi Pride Bobga , Bih Vanessa Tita , Judith Ngong Nyeme , Nyanjoh Eugine Mbuh

Background

One of the major causes of morbidity and death in children is malaria, and HIV infection and other factors may make the situation worse. This study aimed to assess the prevalence of malaria parasitemia among HIV-infected children under 15 years in the Bonassama Health District, Douala, Cameroon, and investigate its association with CD4 cell counts, viral load, and haematological parameters.

Methods

The study was a cross-sectional study involving 287 HIV-infected children <15 years and convenient sampling was used to enrol participants. A semi-structured questionnaire was used to obtain the characteristics of the participants from the caregivers. Venous blood was collected; blood films were made and stained using Giemsa for parasite detection. Full blood count, CD4 level and viral load were measured using a haematology auto-analyzer, pima counter and genexpert, respectively. Data were analysed using SPSS, and the chi-square test was used to assess the association. Predisposing factors to malaria were evaluated using multivariable logistic regression, and a p < 0.05 was considered significant.

Results

The overall prevalence of malaria and anaemia was 31.01 % and 25.44 %, respectively. Malaria prevalence was significantly higher in children <5 years (42.68 %, p < 0.001), those presented with fever (40.70 %, p = 0.047), children not on antiretroviral therapy (ART) (28.6 %, p = 0.02) and cotrimoxazole (28.6 %, p = 0.02). Children <5 years (AOR = 1.81, 95 % 1.19–2.75), those between 5 and 9 years (AOR = 1.61, 95 % CI 1.11–2.48), children not on ART(AOR = 2.2, 95 % 1.03–4.74) and Cotrimoxazole (AOR = 9.08, 95 % 2.33–43.46), febrile children (AOR = 1.72, 95 % 1.01–2.11), children with viral load >3000 copies/μL(AOR = 2.933, 95 % 1.36–6.49), and CD4 count <200cells/ μL (AOR = 3.09, 95 % 2.08–4.6) were factors associated with malaria parasitemia among HIV-infected children. Haemoglobin levels (p = 0.0016), White Blood Cells (p = 0.002), Red Blood Cells (P < 0.001), neutrophils count (p < 0.001), and platelet counts (p = 0.0164) were significantly lowered among malaria/HIV children compared to HIV-infected children.

Conclusion

The study concludes that HIV-infected children under 5 years, especially those not on ART or cotrimoxazole, are at a significantly higher risk for malaria and related haematological issues. This underscores the necessity for targeted malaria screening and treatment in this vulnerable group. Public health strategies should prioritize enhancing access to ART and cotrimoxazole to mitigate these risks and improve overall health outcomes.
背景疟疾是导致儿童发病和死亡的主要原因之一,而艾滋病病毒感染和其他因素可能会使情况变得更糟。本研究旨在评估喀麦隆杜阿拉 Bonassama 卫生区 15 岁以下感染艾滋病毒的儿童中疟疾寄生虫血症的流行率,并调查其与 CD4 细胞计数、病毒载量和血液学参数的关系。方法:本研究是一项横断面研究,涉及 287 名感染艾滋病毒的 15 岁儿童,采用方便抽样法进行登记。研究采用半结构式问卷,从护理人员处了解参与者的特征。采集静脉血;制作血片并使用革兰氏染色法检测寄生虫。全血细胞计数、CD4 水平和病毒载量分别使用血液自动分析仪、皮马计数器和 genexpert 进行测量。数据使用 SPSS 进行分析,并使用卡方检验来评估相关性。采用多变量逻辑回归法评估疟疾的诱发因素,以 p < 0.05 为显著性。5岁儿童(42.68%,p <0.001)、发烧儿童(40.70%,p = 0.047)、未接受抗逆转录病毒疗法(ART)(28.6%,p = 0.02)和复方新诺明(28.6%,p = 0.02)的疟疾发病率明显更高。5岁儿童(AOR = 1.81,95 % 1.19-2.75)、5-9岁儿童(AOR = 1.61,95 % CI 1.11-2.48)、未接受抗逆转录病毒疗法的儿童(AOR = 2.2,95 % 1.03-4.74)和复方新诺明(AOR = 9.08,95 % 2.33-43.46)、发热儿童(AOR = 1.72,95 % 1.01-2.11)、病毒载量>3000拷贝/μL(AOR = 2.933,95 % 1.36-6.49)和CD4计数<200个细胞/μL(AOR = 3.09,95 % 2.08-4.6)是艾滋病毒感染儿童疟疾寄生虫血症的相关因素。与艾滋病毒感染儿童相比,疟疾/艾滋病毒感染儿童的血红蛋白水平(P = 0.0016)、白细胞(P = 0.002)、红细胞(P < 0.001)、中性粒细胞计数(P < 0.001)和血小板计数(P = 0.0164)显著降低。结论该研究得出结论,感染艾滋病毒的 5 岁以下儿童,尤其是未接受抗逆转录病毒疗法或复方新诺明治疗的儿童,患疟疾和相关血液病的风险明显更高。这突出表明,有必要对这一弱势群体进行有针对性的疟疾筛查和治疗。公共卫生战略应优先考虑提高抗逆转录病毒疗法和复方新诺明的可及性,以降低这些风险并改善总体健康状况。
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引用次数: 0
Species richness and abundance of wild tsetse flies collected from selected human-wildlife-livestock interface in Tanzania 从坦桑尼亚选定的人类-野生动物-家畜界面采集的野生采采蝇的物种丰富度和丰度
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2024-10-25 DOI: 10.1016/j.parepi.2024.e00389
Filbert E. Mdee , Venance T. Msoffe , Eliakunda M. Mafie , Ladslaus L. Mnyone
The successful control of tsetse flies largely depends on understanding of the species available and abundance. This study assessed the species richness, abundance and apparent density of wild collected tsetse flies from selected human-wildlife-livestock interface in Tanzania. Seasonal trapping using baited NZI, Pyramidal and Biconical traps was done across selected wards. Traps were set at 200 m apart, emptied after every 24 h then rotated to the next sites after 72 h. Collected flies were identified morphologically and letter confirmed using the Polymerase Chain Reaction (PCR). Only two Glossina species; Glossina pallidipes (n = 371; 47.32 %) and Glossina morsitans morsitans (n = 413; 52.68 %) were identified. Among them, 96 flies (80 Female, 16 Male) were blood fed; 57(48 Female and 9 Male) G. pallidipes and 39(32 Female and 7 Male) G.m. morsitans. Tsetse fly abundance varied across wards (χ2 = 4.597, df = 1, p = 0.032), villages (χ2 = 9.491, df = 3, p = 0.023), habitats (χ2 = 17.239, df = 2, p < 0.001), months (χ2 = 13.507, df = 3, p = 0.004) and deployed traps (χ2 = 6.348, df = 2, p = 0.04). About 78.82 % of the total catch occurred in Kisaki ward (n = 618; p < 0.001) and 21.17 % (n = 166; p = 0.032) in Bwakila chini. Similarly, 62.37 % of the catch occurred in Mbojoge village. NZI traps (n = 422; 54 %; 4.98 FTD) were most successful traps. Moreover, 78.06 % of the catch occurred in bushed grassland habitat (n = 612; 55.41 FTD) while 5.48 % in farmland (n = 43; 7.17 FTD). This study recommends NZI and Pyramidal traps for tsetse flies control at the interface and proposes wet season as appropriate time for successful trapping of the flies. Finally, it attracts a need for assessing tsetse flies' blood meal sources and the infection status to establish the prevalence to inform existing trypanosome control programs.
采采蝇的成功控制在很大程度上取决于对其种类和丰度的了解。这项研究评估了从坦桑尼亚选定的人类-野生动物-家畜交界处野生采集的采采蝇的物种丰富度、丰度和表观密度。使用带饵的 NZI、金字塔形和双锥形诱捕器在选定的病房进行季节性诱捕。诱捕器间隔 200 米设置,每隔 24 小时清空一次,然后在 72 小时后轮换到下一个地点。收集到的苍蝇通过聚合酶链式反应(PCR)进行形态鉴定和字母确认。仅鉴定出两种 Glossina:Glossina pallidipes(n = 371;47.32 %)和 Glossina morsitans morsitans(n = 413;52.68 %)。其中,96 只苍蝇(80 只雌蝇,16 只雄蝇)以血液为食;57 只(48 只雌蝇,9 只雄蝇)G. pallidipes 和 39 只(32 只雌蝇,7 只雄蝇)G.m. morsitans。采采蝇丰度在不同病房(χ2 = 4.597,df = 1,p = 0.032)、村庄(χ2 = 9.491,df = 3,p = 0.023)、栖息地(χ2 = 17.239, df = 2, p < 0.001)、月份(χ2 = 13.507, df = 3, p = 0.004)和布设的诱捕器(χ2 = 6.348, df = 2, p = 0.04)。总捕获量的约 78.82% 出现在 Kisaki 区(n = 618;p < 0.001),21.17%(n = 166;p = 0.032)出现在 Bwakila chini。同样,62.37%的捕获量出现在 Mbojoge 村。NZI 诱捕器(n = 422;54 %;4.98 FTD)是最成功的诱捕器。此外,78.06%的捕获量发生在灌木草地栖息地(n = 612;55.41 FTD),5.48%发生在农田(n = 43;7.17 FTD)。这项研究推荐在交界处使用 NZI 和金字塔诱捕器控制采采蝇,并建议将雨季作为成功诱捕采采蝇的适当时间。最后,该研究认为有必要评估采采蝇的血餐来源和感染状况,以确定流行率,为现有的锥虫控制计划提供参考。
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引用次数: 0
Epidemiology, risk factors and vector density of trypanosomosis in cattle in Ethiopia: Systematic review and meta-analysis 埃塞俄比亚牛锥虫病的流行病学、风险因素和病媒密度:系统回顾和荟萃分析
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2024-10-23 DOI: 10.1016/j.parepi.2024.e00388
Melkie Dagnaw Fenta , Atsede Solomon Mebratu , Kalkidan Getnet , Moges Maru , Bemrew Admassu Mengistu

Background

Bovine trypanosomosis remains a major barrier to livestock productivity, agricultural progress, and socioeconomic development in Ethiopia's large tsetse belt regions, threatening 70 million cattle. Therefore, this review examined published literature from the last ten years to estimate the pooled prevalence, risk factors, and vector density of bovine trypanosomosis. This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, using PubMed, Web of Science, HINARI, Google, and Google Scholar. Pooled prevalence and risk factors were calculated with a random effects model in R software, with a 95 % confidence interval. This meta-analysis included research published after 2015 on trypanosomosis in Ethiopian cattle, where Trypanosoma was classified at least to the genus level. Studies on other species, lacking specific prevalence data and published before 2015 were excluded.

Results

A total of 26 articles were included in this meta-analysis. The overall pooled proportion of bovine Trypanosomosis cases was 9 % (95 % CI: 8–9 %). Considerable heterogeneity was observed across the included studies (I2 = 94 %; P < 0.01). The highest pooled prevalence of trypanosomosis was reported in Amhara and Oromia (8 %), followed by Benishangul Gumuz (BSGR) (7 %). Based on the subspecies analysis, the highest pooled proportion was 65 % (95 % CI: 58 %–71 %) for T. congolense (I2 = 81 %: p = 0.01), followed by 32 % for T. vivax (I2 = 60 %: P = 0.61) and 19 % for T. brucei (95 % CI: 7 %–41 %). Among the risk factors, poor body condition, black coat color, and packed cell volume (PCV) were found to be significant for the development of this disease. Black-coated animals were 2.36 and 3.48 times more susceptible to trypanosomosis than red- and white-coated animals, respectively. According to the pooled odds ratio, animals in poor body condition were 2.82 times more likely to have bovine trypanosomosis. Animals infected with Trypanosoma were 18 times more likely to have a lower packed cell volume (PCV) compared to non-infected animals. The study found that Tsetse flies were responsible for 72.32 % of bovine trypanosomosis cases, with Glossina pallidipes and Glossina tachinoides being the most common species. The remaining 27.68 % were due to other biting insects. The study highlights the need for science-based risk mitigation strategies to control Trypanosoma infections, emphasizing the crucial role of Tsetse flies, particularly G. pallidipes and G. tachinoides, in transmission.
背景牛锥虫病仍然是埃塞俄比亚大型采采蝇带地区畜牧业生产力、农业进步和社会经济发展的主要障碍,威胁着 7000 万头牛。因此,本综述研究了过去十年发表的文献,以估算牛锥虫病的总体流行率、风险因素和病媒密度。本系统综述遵循《系统综述和元分析首选报告项目》(Preferred Reporting Items for Systematic Reviews and Meta-Analyses,PRISMA)指南,使用了 PubMed、Web of Science、HINARI、Google 和 Google Scholar。使用 R 软件中的随机效应模型计算了汇总的患病率和风险因素,并得出了 95% 的置信区间。本荟萃分析包括 2015 年之后发表的有关埃塞俄比亚牛锥虫病的研究,其中锥虫至少被归类为属一级。结果 本次荟萃分析共纳入 26 篇文章。牛锥虫病病例的总体汇总比例为 9%(95% CI:8-9%)。在纳入的研究中发现了相当大的异质性(I2 = 94 %; P < 0.01)。阿姆哈拉和奥罗米亚的锥虫病发病率最高(8%),其次是贝尼尚古尔-古穆兹(BSGR)(7%)。根据亚种分析,最高的集合比例为 65 %(95 % CI:58 %-71 %),为 T. congolense(I2 = 81 %:P = 0.01),其次为 32 %,为 T. vivax(I2 = 60 %:P = 0.61),为 19 %,为 T. brucei(95 % CI:7 %-41 %)。在风险因素中,体况差、黑被毛颜色和充盈细胞体积(PCV)对该疾病的发生有显著影响。黑毛动物对锥虫病的易感性分别是红毛和白毛动物的 2.36 倍和 3.48 倍。根据汇总的几率比,体况较差的动物感染牛锥虫病的几率要高出 2.82 倍。与未感染的动物相比,感染锥虫的动物包装细胞容积(PCV)降低的可能性要高出18倍。研究发现,72.32%的牛锥虫病病例是采采蝇造成的,其中最常见的是Glossina pallidipes和Glossina tachinoides。其余 27.68% 的病例由其他叮咬性昆虫引起。这项研究突出表明,有必要采取以科学为基础的风险缓解战略来控制锥虫感染,同时强调采采蝇,尤其是苍蝇和褐飞虱在传播中的关键作用。
{"title":"Epidemiology, risk factors and vector density of trypanosomosis in cattle in Ethiopia: Systematic review and meta-analysis","authors":"Melkie Dagnaw Fenta ,&nbsp;Atsede Solomon Mebratu ,&nbsp;Kalkidan Getnet ,&nbsp;Moges Maru ,&nbsp;Bemrew Admassu Mengistu","doi":"10.1016/j.parepi.2024.e00388","DOIUrl":"10.1016/j.parepi.2024.e00388","url":null,"abstract":"<div><h3>Background</h3><div>Bovine trypanosomosis remains a major barrier to livestock productivity, agricultural progress, and socioeconomic development in Ethiopia's large tsetse belt regions, threatening 70 million cattle. Therefore, this review examined published literature from the last ten years to estimate the pooled prevalence, risk factors, and vector density of bovine trypanosomosis. This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, using PubMed, Web of Science, HINARI, Google, and Google Scholar. Pooled prevalence and risk factors were calculated with a random effects model in R software, with a 95 % confidence interval. This meta-analysis included research published after 2015 on trypanosomosis in Ethiopian cattle, where <em>Trypanosoma</em> was classified at least to the genus level. Studies on other species, lacking specific prevalence data and published before 2015 were excluded.</div></div><div><h3><strong>Result</strong>s</h3><div>A total of 26 articles were included in this meta-analysis. The overall pooled proportion of bovine Trypanosomosis cases was 9 % (95 % CI: 8–9 %). Considerable heterogeneity was observed across the included studies (I<sup>2</sup> = 94 %; <em>P</em> &lt; 0.01). The highest pooled prevalence of trypanosomosis was reported in Amhara and Oromia (8 %), followed by Benishangul Gumuz (BSGR) (7 %). Based on the subspecies analysis, the highest pooled proportion was 65 % (95 % CI: 58 %–71 %) for <em>T. congolense</em> (I<sup>2</sup> = 81 %: <em>p</em> = 0.01), followed by 32 % for <em>T. vivax</em> (I<sup>2</sup> = 60 %: <em>P</em> = 0.61) and 19 % for <em>T. brucei</em> (95 % CI: 7 %–41 %). Among the risk factors, poor body condition, black coat color, and packed cell volume (PCV) were found to be significant for the development of this disease. Black-coated animals were 2.36 and 3.48 times more susceptible to trypanosomosis than red- and white-coated animals, respectively. According to the pooled odds ratio, animals in poor body condition were 2.82 times more likely to have bovine trypanosomosis. Animals infected with <em>Trypanosoma</em> were 18 times more likely to have a lower packed cell volume (PCV) compared to non-infected animals. The study found that Tsetse flies were responsible for 72.32 % of bovine trypanosomosis cases, with <em>Glossina pallidipes</em> and <em>Glossina tachinoides</em> being the most common species. The remaining 27.68 % were due to other biting insects. The study highlights the need for science-based risk mitigation strategies to control <em>Trypanosoma</em> infections, emphasizing the crucial role of Tsetse flies, particularly <em>G. pallidipes</em> and <em>G. tachinoides</em>, in transmission.</div></div>","PeriodicalId":37873,"journal":{"name":"Parasite Epidemiology and Control","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142535418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Extrinsic and intrinsic drivers of prevalence and abundance of hard-bodied ticks (Acari: Ixodidae) in one-humped camel (Camelus dromedarius) 单峰驼硬体蜱(Acari:Ixodidae)流行率和丰度的外在和内在驱动因素
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2024-10-21 DOI: 10.1016/j.parepi.2024.e00387
Rachid Chaibi , Nora Mimoune , Farouk Benaceur , Latifa Stambouli , Lamine Hamida , Rabah Khedim , Radhwane Saidi , Mohammed Hocine Benaissa , Hicham Gouzi , Souad Neffar , Haroun Chenchouni

Background

Ticks are ectoparasites and can be vectors of a wide range of pathogens, posing significant health risks to livestock. In the Sahara Desert of Algeria, particularly among one-humped camels (Camelus dromedarius), there is a need to better understand the factors influencing tick infestation patterns to improve livestock management and health outcomes.

Objectives

This study aimed to investigate the prevalence, intensity, and abundance of hard-bodied ticks (Acari: Ixodidae) among dromedaries, examining both intrinsic factors (sex, age, coat color) and extrinsic variables (farming systems, vegetation types, climate zones, and elevation) that might influence tick infestation in this region.

Methods

Ticks were collected from 286 dromedaries across nine sites in the pre-Saharan regions of Algeria, with elevations ranging from 736 m to 980 m. The sampled camels, which ranged in age from 6 days to 21 years, were examined for tick infestations. The ticks were identified through macroscopic and microscopic methods, and their abundance was analyzed in relation to the camels' characteristics and environmental factors. Three breeding systems were recognized: extensive, intensive, and mixed.

Results

A total of 980 ticks were collected, with Hyalomma dromedarii Koch, 1844 being the most abundant species (553 specimens), followed by Hyalomma impeltatum Schulze & Schlottke, 1930 (393 specimens), and Hyalomma excavatum Koch, 1844 (34 specimens). H. dromedarii showed a preference for parasitizing brown-coated dromedaries and exhibited significantly higher infestation levels during spring (p < 0.001). No significant association was observed between tick infestation and the camels' age or sex (p > 0.05). However, the farming system had a significant impact on tick abundance, with extensive and mixed systems showing higher tick burdens compared to intensive systems (p < 0.01). Additionally, the vegetation type, climate zone, and foraging habitat elevation were found to significantly influence tick densities and prevalence.

Conclusion

This study provides essential insights into the tick infestation dynamics in dromedaries in drylands of Algeria. It highlights the influence of coat color, seasonality, and farming practices on tick burden, with brown-coated camels being more susceptible during the spring. The findings underline the importance of considering both intrinsic and extrinsic factors when developing effective tick control strategies, especially for camels raised in extensive or mixed farming systems in diverse arid rangelands. Future research should expand the scope to cover other arid regions in North Africa for a comprehensive understanding of tick-host dynamics.
背景蜱虫是一种体外寄生虫,可传播多种病原体,对牲畜的健康构成严重威胁。在阿尔及利亚撒哈拉沙漠,尤其是在单峰骆驼(Camelus dromedarius)中,需要更好地了解影响蜱虫侵扰模式的因素,以改善牲畜管理和健康状况。目标本研究旨在调查单峰骆驼硬体蜱(Acari:Ixodidae)的流行率、强度和丰度,研究可能影响该地区蜱虫侵扰的内在因素(性别、年龄、皮毛颜色)和外在变量(养殖系统、植被类型、气候带和海拔高度)。方法在阿尔及利亚撒哈拉沙漠前地区海拔 736 米至 980 米的 9 个地点收集了 286 头单峰骆驼身上的蜱虫。通过宏观和微观方法对蜱虫进行了鉴定,并结合骆驼的特征和环境因素对蜱虫的数量进行了分析。共收集到 980 只蜱虫,其中数量最多的是 Hyalomma dromedarii Koch,1844 年(553 只标本),其次是 Hyalomma impeltatum Schulze & Schlottke,1930 年(393 只标本)和 Hyalomma excavatum Koch,1844 年(34 只标本)。H. dromedarii偏好寄生于褐毛单峰驼,春季的感染率明显更高(p < 0.001)。蜱虫感染与骆驼的年龄和性别之间没有明显的关联(p > 0.05)。然而,养殖系统对蜱虫的数量有显著影响,粗放型和混合型养殖系统的蜱虫负担高于集约型养殖系统(p < 0.01)。此外,植被类型、气候带和觅食栖息地海拔也对蜱的密度和流行率有显著影响。它强调了被毛颜色、季节性和养殖方式对蜱虫负担的影响,其中棕色被毛的骆驼在春季更容易感染蜱虫。研究结果强调了在制定有效的蜱虫控制策略时考虑内在和外在因素的重要性,尤其是对于在多种干旱牧场中以粗放或混合养殖系统饲养的骆驼。未来的研究应将范围扩大到北非其他干旱地区,以全面了解蜱宿主的动态变化。
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引用次数: 0
An update on Leishmania martiniquensis infections: Transmission, clinical characteristics, and treatment 马氏利什曼原虫感染的最新情况:传播、临床特征和治疗
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2024-10-20 DOI: 10.1016/j.parepi.2024.e00386
Somayyeh Ahmadi , Maryam Hataminejad , Bahman Rahimi Esboei , Seyed Abdollah Hosseini , Mahdi Fakhar
Leishmaniasis, caused by intracellular protozoa of the Leishmania genus, continues to be a global health issue, with approximately 700,000 to 1 million new cases occur annually worldwide. The disease is transmitted via the bite of infected female sand flies of the genus Phlebotomus, resulting in a range of symptoms known as cutaneous, mucocutaneous, and visceral leishmaniasis. The species Leishmania (Mundinia) martiniquensis, discovered in 1995, has been linked to cases in individuals with HIV, presenting with diverse clinical pictures. Interestingly, biting midges, not sandflies, has proved to serve as its potentially biological vector. This study focuses on understanding the transmission, clinical aspects, and effective treatment of L. martiniquensis infections.
A comprehensive search strategy was employed to identify relevant published papers on the epidemiology, transmission, clinical characteristics, and treatment of L. martiniquensis up to August 2024. The clinical manifestations encompass localized cutaneous leishmaniasis, disseminated cutaneous leishmaniasis, mucocutaneous leishmaniasis, and visceral leishmaniasis. Leishmaniasis is associated with comorbidities such as inadequate nutrition, population displacement, and reduced immunity. Risk factors for Leishmania infection include the presence of domestic animals, age, gender, and environmental factors. Amphotericin B deoxycholate (AmB) is the main treatment. Combination therapy with allicin and andrographolide may reduce AmB side effects. Recent research investigates other treatments including 8-hydroxyquinoline, which works synergistically with AmB against L. martiniquensis.
利什曼病是由利什曼属细胞内原生动物引起的,它仍然是一个全球性的健康问题,全世界每年约有 70 万至 100 万个新病例。这种疾病是通过被感染的雌性沙蝇(沙蝇属 Phlebotomus)叮咬传播的,导致一系列症状,即皮肤、粘膜和内脏利什曼病。1995 年发现的利什曼原虫(Mundinia)martiniquensis 与艾滋病毒感染者的病例有关,其临床表现多种多样。有趣的是,事实证明叮咬蠓而不是沙蝇是其潜在的生物媒介。本研究的重点是了解马氏疟原虫感染的传播途径、临床表现和有效治疗方法。本研究采用了一种全面的检索策略,以确定截至 2024 年 8 月发表的有关马氏疟原虫流行病学、传播途径、临床特征和治疗方法的相关论文。临床表现包括局部皮肤利什曼病、播散性皮肤利什曼病、粘膜利什曼病和内脏利什曼病。利什曼病与营养不良、人口迁移和免疫力下降等并发症有关。利什曼病感染的风险因素包括家畜、年龄、性别和环境因素。脱氧胆酸两性霉素 B(AmB)是主要的治疗方法。大蒜素和穿心莲内酯的联合疗法可减少 AmB 的副作用。最近的研究对其他治疗方法进行了调查,包括 8-羟基喹啉,它与 AmB 一起对马氏囊虫产生协同作用。
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引用次数: 0
A randomized controlled trial of Tickoff® (Metarhizium anisopliae ICIPE 7) for control of tick infestations and transmission of tick-borne infections in extensively grazed zebu cattle in coastal Kenya Tickoff® (Metarhizium anisopliae ICIPE 7)在肯尼亚沿海广泛放牧的斑马牛中控制蜱虫侵扰和蜱传感染的随机对照试验
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2024-10-09 DOI: 10.1016/j.parepi.2024.e00384
Joseph Wang’ang’a Oundo , Shewit Kalayou , Gerrit Gort , Gebbiena M. Bron , Constantianus J.M. Koenraadt , Quirine ten Bosch , Daniel Masiga
The entomopathogenic fungus Metarhizium anisopliae isolate ICIPE 7 is being developed as an eco-friendly alternative to chemical acaricides in managing natural tick infestation on livestock. Its impact on tick infestation and tick-borne infections in cattle under natural conditions are yet unclear. We conducted a randomized controlled field trial to assess the safety and effects of Tickoff® (a formulation of M. anisopliae isolate ICIPE 7) and the chemical acaricide Triatix® on tick infestation and incidence of Anaplasma marginale and Theileria parva in extensively grazed zebu cattle in coastal Kenya. A total of 217 eligible herds comprising 1459 intent-to-treat zebu cattle were enrolled from 12 villages. The herds were randomly assigned in a 1:1:1 ratio to Tickoff®, Triatix®, or Tickoff® excipients. Tick counts, treatment administrations, and adverse events were registered every two weeks for seven months. The mortality of ticks collected from treated cattle was monitored in vitro. Infections with A. marginale and T. parva were monitored every two months. No adverse events were reported in either treatment group. Tickoff® did not significantly affect tick infestation (p = 0.869) or infection incidence (p > 0.05) compared to excipients. Triatix® significantly reduced tick infestation (p < 0.001) and incidence of T. parva (p = 0.042), but not A. marginale (p = 0.509) compared to the reference Tickoff®. In ticks that were removed from cattle, Tickoff® demonstrated significant pathogenicity in vitro relative to excipients (hazard ratio: 8.50, 95 % CI: 4.67–15.47). Fungus growth and sporulation were also observed on tick cadavers from Tickoff®, but not from excipients. While Tickoff® did not impact tick counts, its delayed, but significant effect on tick mortality may hinder onward pathogen transmission and give rise to indirect (i.e., to untreated animals) epidemiological effects, that were not picked up with this study design. Additionally, adverse environmental conditions resulted in low tick abundance and pathogen circulation towards the end of the study period, reducing the power of the study. This work re-emphasizes the challenges of randomized controlled field trials and the complexity of assessing the impact of vector control products on both direct and indirect impacts on pathogen transmission.
目前正在开发昆虫病原真菌 Metarhizium anisopliae 分离物 ICIPE 7,作为化学杀螨剂的生态友好型替代品,用于控制牲畜的自然蜱虫害。在自然条件下,它对牛的蜱虫侵扰和蜱传感染的影响尚不清楚。我们进行了一项随机对照田间试验,以评估 Tickoff®(分离自 ICIPE 7 的疟原虫制剂)和化学杀螨剂 Triatix® 对肯尼亚沿海地区广泛放牧的斑马牛的蜱虫侵扰、边缘疟原虫(Anaplasma marginale)和副疟原虫(Theileria parva)发病率的安全性和影响。共有来自 12 个村庄的 217 个符合条件的牧群(包括 1459 头有意接受治疗的斑马牛)参加了这项研究。这些牛群按 1:1:1 的比例随机分配给 Tickoff®、Triatix® 或 Tickoff® 辅料。在七个月的时间里,每两周对蜱计数、治疗用药和不良反应进行登记。从接受治疗的牛身上收集的蜱虫死亡率在体外进行监测。每两个月监测一次A. marginale和T. parva的感染情况。两个治疗组均未出现不良反应。与辅料相比,Tickoff® 对蜱虫侵扰(p = 0.869)或感染发生率(p > 0.05)没有明显影响。与参照物 Tickoff® 相比,Triatix® 能明显降低蜱虫侵扰(p <0.001)和 T. parva 感染率(p = 0.042),但不能降低 A. marginale 感染率(p = 0.509)。在从牛身上清除的蜱虫中,Tickoff® 与辅料相比具有显著的体外致病性(危险比:8.50,95 % CI:4.67-15.47)。在蜱尸体上也观察到了 Tickoff® 真菌的生长和孢子,而辅料则没有。虽然 Tickoff® 对蜱虫数量没有影响,但其对蜱虫死亡率的延迟但显著的影响可能会阻碍病原体的继续传播,并引起间接的(即对未处理动物的)流行病学影响,而本研究设计并未发现这些影响。此外,不利的环境条件导致研究末期蜱虫数量和病原体流通量较低,降低了研究的有效性。这项工作再次强调了随机对照现场试验的挑战性,以及评估病媒控制产品对病原体传播的直接和间接影响的复杂性。
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引用次数: 0
Cutaneous leishmaniasis in British troops following jungle training in Belize: Cumulative incidence and potential risk practices 在伯利兹接受丛林训练的英军中的皮肤利什曼病:累积发病率和潜在风险实践
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2024-10-05 DOI: 10.1016/j.parepi.2024.e00385
Ngwa Niba Rawlings , Mark Bailey , Peter Craig , Orin Courtenay

Background

British soldiers undergoing jungle training in Belize typically experience a relatively low risk of developing cutaneous leishmaniasis. However, an uncharacteristically large outbreak of cutaneous leishmaniasis occurred in 2022. This study aimed to determine the cumulative incidence of the disease and highlight potential shortcomings in personal protective measures to mitigate exposure to sand fly vector bites.

Methods

A retrospective analysis was conducted on medical records of cutaneous leishmaniasis cases between 2005 and 2022, as well as on questionnaire responses regarding personal protective measures administered to cutaneous leishmaniasis cases in 2022. Data were sourced from Defence Public Health Unit, Military Environmental Health Department and British Army Training Support Unit Belize.

Results

Eighty-one confirmed clinical cutaneous leishmaniasis cases were recorded between 2005 and 2022, with a substantial peak (38 cases) in 2022. Most cases occurred during the wet season. Pre-2022, the median cumulative incidence per 8-week deployment was 0.90 % (Q1–Q3: 0.34 %–1.34 %), with an annual variation of 0.2 % to 2.0 %. In 2022, the cumulative incidence spiked to 4.22 %, associated with a risk ratio of 5.3 (95 % C.I.s, 3.41, 8.16), and rising to a cumulative incidence of 7.3 % in a single unit of 450 men (33 cases) in late 2022. These values are significantly higher than the median cumulative incidence of all previous years, and to published reports for other cutaneous leishmaniasis -endemic regions. Troop responses identified limitations in the supply of optimal equipment, and in sand fly bite and leishmaniasis risk avoidance information provided by the pre-deployment health education programme. Compliance with health education advise was also suboptimal, with irregular use of insect repellents, protective clothing / head netting, and insecticide-treated hammocks.

Conclusions

The reasons behind the unusually high numbers of cutaneous leishmaniasis cases and cumulative incidence in 2022 remain unclear, emphasising the need to improve personal protective measures provision and implement a comprehensive health education programme for troops undergoing jungle training in Belize.
背景在伯利兹接受丛林训练的英国士兵患皮肤利什曼病的风险通常相对较低。然而,2022 年却一反常态地爆发了大规模的皮肤利什曼病。本研究旨在确定该疾病的累积发病率,并强调个人防护措施在减少沙蝇病媒叮咬暴露方面可能存在的不足。方法对 2005 年至 2022 年期间皮肤利什曼病病例的医疗记录以及 2022 年皮肤利什曼病病例个人防护措施调查问卷进行了回顾性分析。数据来源于国防公共卫生部门、军事环境卫生部门和伯利兹英军训练支援部队。结果 2005 年至 2022 年期间共记录了 81 例经确诊的临床皮肤利什曼病病例,其中 2022 年达到高峰(38 例)。大多数病例发生在雨季。2022 年之前,每 8 周部署的累计发病率中位数为 0.90%(第一季度至第三季度:0.34%-1.34%),年变化率为 0.2%-2.0%。2022 年,累计发病率飙升至 4.22%,风险比为 5.3(95% 置信区间,3.41, 8.16),2022 年末,在一个 450 人的单位(33 例)中,累计发病率上升至 7.3%。这些数值明显高于往年累计发病率的中位数,也高于其他皮肤利什曼病流行地区的公开报告。部队的反应表明,最佳设备的供应以及部署前健康教育计划提供的沙蝇叮咬和利什曼病风险规避信息存在局限性。结论 2022 年皮肤利什曼病病例和累计发病率异常高的原因尚不清楚,强调有必要改善个人防护措施的供应,并为在伯利兹接受丛林训练的部队实施全面的健康教育计划。
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引用次数: 0
In vivo anti-schistosomal activity of the methanol extracts from Searsia longipes and Lannea schimperi Searsia longipes 和 Lannea schimperi 甲醇提取物的体内抗血吸虫活性
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2024-10-05 DOI: 10.1016/j.parepi.2024.e00383
Nicolaus Omari Mbugi , Geoffrey Maina , Musa Chacha , Ernest Mbega
Schistosomiasis is a disease caused by the flat worms under the genus Schistosoma. The disease is prominent in tropical and sub tropical countries and it is manifested in two forms; the acute and the chronic form. Treatment and control of the schistosomiasis is constrained with various factors including immerging worm resistance and selective efficacy of the current recommended drug of choice. This therefore calls for the search of new approaches to offset the problems. The aim of this study was to investigate the efficacy of the methanolic extract from Searsia longipes and Lannea schimperi against Schistosoma mansoni by using animal model. Swiss albino mice were used for the efficacy testing, whereby, for each extract, 5 groups of mice were used, and each contained 5 mice. Three different doses were administered to three groups, whereas the remaining two groups were used as negative and positive control arms. Efficacies were assessed based on the reduction of the worm eggs in the faeces and organs, body weight gain, loss of liver weight, as well as reduction of worm burden. Both extracts demonstrated significant egg and worm reduction, which was directly proportional to the dose increment. At the highest dose used, Searsia longipes expressed the higher percentage egg reduction (73.33 %), whereas Lannea schimperi demonstrated the higher worm burden reduction (68.53 %). The present study provides strong evidence of the anti-schistosomal activity of the extracts from both S. longipes and L. schimperi. These findings are a significant step forward, suggesting that these plants could be a promising alternative medicine for the treatment of schistosomiasis. However, further investigations are warranted to isolate the compound responsible for this activity and to assess the sub-acute toxicity of the plant extracts. This next phase of research is crucial for advancing our understanding and potential use of these plant extracts.
血吸虫病是一种由血吸虫属扁形虫引起的疾病。这种疾病主要发生在热带和亚热带国家,有急性和慢性两种表现形式。血吸虫病的治疗和控制受到各种因素的制约,包括浸入性蠕虫抗药性和当前推荐药物的选择性药效。因此,需要寻找新的方法来解决这些问题。本研究旨在通过动物模型研究 Searsia longipes 和 Lannea schimperi 的甲醇提取物对曼氏血吸虫的疗效。药效测试使用瑞士白化小鼠,每种提取物使用 5 组小鼠,每组 5 只。对三组小鼠施用三种不同的剂量,其余两组分别作为阴性和阳性对照组。根据小鼠粪便和器官中虫卵的减少量、体重增加量、肝脏重量的减少量以及虫体负担的减少量来评估药效。两种提取物都能显著减少虫卵和虫体,其减少量与剂量递增成正比。在使用的最高剂量下,Searsia longipes 的虫卵减少率较高(73.33%),而 Lannea schimperi 的虫体减少率较高(68.53%)。本研究提供了强有力的证据,证明 Searsia longipes 和 L. schimperi 的提取物具有抗吸虫活性。这些发现是向前迈出的重要一步,表明这些植物可能是治疗血吸虫病的一种很有前途的替代药物。不过,还需要进一步研究,以分离出具有这种活性的化合物,并评估植物提取物的亚急性毒性。下一阶段的研究对于促进我们对这些植物提取物的了解和潜在用途至关重要。
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引用次数: 0
Empowering rural communities for effective larval source management: A small-scale field evaluation of a community-led larviciding approach to control malaria in south-eastern Tanzania 增强农村社区有效管理幼虫源的能力:在坦桑尼亚东南部对社区主导的疟疾防治幼虫灭杀方法进行小规模实地评估
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2024-10-04 DOI: 10.1016/j.parepi.2024.e00382
Salum A. Mapua , Alex J. Limwagu , Dmitry Kishkinev , Khamis Kifungo , Ismail H. Nambunga , Samuel Mziray , Gwakisa John , Wahida Mtiro , Kusirye Ukio , Javier Lezaun , Frederic Tripet , Fredros O. Okumu

Introduction

Larval source management, particularly larviciding, is mainly implemented in urban settings to control malaria and other mosquito-borne diseases. In Tanzania, the government has recently expanded larviciding to rural settings across the country, but implementation faces multiple challenges, notably inadequate resources and limited know-how by technical staff. This study evaluated the potential of training community members to identify, characterize and target larval habitats of Anopheles funestus mosquitoes, the dominant vector of malaria transmission in south-eastern Tanzania.

Methods

A mixed-methods study was used. First, interviewer-administered questionnaires were employed to assess knowledge, awareness, and perceptions of community members towards larviciding (N = 300). Secondly community-based volunteers were trained to identify and characterize aquatic habitats of dominant malaria vector species, after which they treated the most productive habitats with a locally-manufactured formulation of the biolarvicide, Bacillus thuringiensis var. israelensis. Longitudinal surveys of mosquito adults and larvae were used to assess impacts of the community-led larviciding programme in two villages in rural south-eastern Tanzania.

Results

At the beginning of the program, the majority of village residents were unaware of larviciding as a potential malaria prevention method, and about 20 % thought that larvicides could be harmful to the environment and other insects. The trained community volunteers identified and characterized 360 aquatic habitats, of which 45.6 % had Anopheles funestus, the dominant malaria vector in the area. The preferred larval habitats for An. funestus were deep and had either slow- or fast-moving waters. Application of biolarvicides reduced the abundance of adult An. funestus and Culex spp. species inside human houses in the same villages, by 46.3 % and 35.4 % respectively. Abundance of late-stage instar larvae of the same taxa was also reduced by 74 % and 42 %, respectively.

Conclusion

This study demonstrates that training community members to identify, characterize, and target larval habitats of the dominant malaria vectors can be effective for larval source management in rural Tanzania. Community-led larviciding reduced the densities of adult and late-stage instar larvae of An. funestus and Culex spp. inside houses, suggesting that this approach may have potential for malaria control in rural settings. However, efforts are still needed to increase awareness of larviciding in the relevant communities.
导言 幼虫源管理,尤其是杀幼虫剂,主要在城市环境中实施,以控制疟疾和其他蚊子传播的疾病。在坦桑尼亚,政府最近将杀幼虫剂的使用范围扩大到了全国的农村地区,但在实施过程中面临着多重挑战,尤其是资源不足和技术人员的专业技能有限。本研究评估了培训社区成员识别、描述和锁定按蚊幼虫栖息地的潜力,按蚊是坦桑尼亚东南部疟疾传播的主要病媒。首先,采用由访谈者主持的问卷调查来评估社区成员对杀幼虫剂的了解、认识和看法(N = 300)。其次,对社区志愿者进行培训,以识别和描述疟疾病媒的主要水生栖息地,然后用当地生产的生物杀虫剂苏云金芽孢杆菌(Bacillus thuringiensis var.israelensis)制剂处理最富饶的栖息地。对蚊子成虫和幼虫进行纵向调查,以评估坦桑尼亚东南部农村地区两个村庄由社区主导的杀幼虫剂计划的影响。结果在计划开始时,大多数村民不知道杀幼虫剂是一种潜在的疟疾预防方法,约 20% 的人认为杀幼虫剂可能对环境和其他昆虫有害。经过培训的社区志愿者确定并描述了 360 个水生栖息地,其中 45.6% 的栖息地有按蚊,按蚊是该地区主要的疟疾病媒。疟蚊喜欢的幼虫栖息地都很深,水流缓慢或湍急。施用生物杀虫剂后,同一村落房屋内的成虫疟蚊和库蚊数量分别减少了 46.3% 和 35.4%。这项研究表明,培训社区成员识别、描述和锁定主要疟疾病媒的幼虫栖息地可以有效地在坦桑尼亚农村地区进行幼虫源管理。社区主导的幼虫灭杀减少了房屋内疟原虫和库蚊的成虫和晚期幼虫密度,表明这种方法在农村环境中可能具有控制疟疾的潜力。不过,仍需努力提高相关社区对杀幼虫剂的认识。
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引用次数: 0
Epidemiological survey of two morphotypes of Demodex folliculorum (Prostigmata: Demodicidade) in young people from southern Spain 对西班牙南部年轻人中两种形态的毛囊德莫德克(前驱体:Demodicidade)进行流行病学调查
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2024-09-28 DOI: 10.1016/j.parepi.2024.e00381
F.J. Márquez , A.J. López-Montoya , S. Sánchez-Carrión , I. Dimov , M. de Rojas
Different morphotypes of Demodex from humans have been described. Among them, molecular studies have made it possible to discern between the Demodex folliculorum and Demodex brevis. Further studies showed two morphotypes of D. folliculorum harboured two different habits (human skin and human eyelashes), both of them with finger-shaped terminal opisthosoma difficult to differentiate and that can be assigned to D. folliculorum,
Thus, a complete morphometric study of the species, which in this study are referred to as Demodex folliculorum species complex, was carried out. From this morphometric and meristic study two distinct morphological forms (short and long) could be identified within the Demodex folliculorum species complex. These forms differ significantly in four out of the six biometric parameters we analysed: gnathosomal length and width, podosomal width, and opisthosomal length. Moreover, a comprehensive survey of the two morphotypes from different habitats (skin and eyelashes), was carried out in young people of Southern Spain. Therefore, an analysis of 104 asymptomatic students, which were contact lens wearers, and the presence of D. folliculorum was carried out. A statistical analysis based on Bayesian zero inflated Poisson GLM has been applied to our sample data. For the age group considered (18–24 years old), the overall D. folliculorum prevalence for skin face or eye infections (at least one of them) was 19.31 % (51 people), with a statistically significant higher prevalence in males men. Furthermore, there is a slight statistical correlation between the presence of Demodex in silicone hydrogel soft contact lens wearers. This study confirms: i) the existence of two morphotypes of D. folliculorum that appear segregated due to the parasitization microhabitats,ii) a higher prevalence of mites in men than in women, iii) the existence of a high number of statistically supported double infections (skin-eyelashes). It also provides epidemiological data on the prevalence of long and short forms of D. folliculorum in a healthy young population.
人们已经描述了人类蜕皮虫的不同形态。其中,分子研究使我们能够区分毛囊德莫德克(Demodex folliculorum)和布氏德莫德克(Demodex brevis)。进一步的研究表明,D. folliculorum 的两个形态型有两种不同的习性(人类皮肤和人类睫毛),它们都有难以区分的指状末端开口瘤,可以归类为 D. folliculorum。通过形态和分生研究,可以在毛囊德莫德克种群中确定两种不同的形态(短形和长形)。在我们分析的六个生物计量参数中,这两种形态在四个参数上存在明显差异:钩体长度和宽度、荚膜宽度和开口体长度。此外,我们还在西班牙南部的年轻人中对来自不同栖息地(皮肤和睫毛)的两种形态进行了全面调查。因此,对 104 名佩戴隐形眼镜的无症状学生进行了分析,以确定是否存在毛囊虫。我们对样本数据进行了贝叶斯零膨胀泊松 GLM 统计分析。在所考虑的年龄组(18-24 岁)中,脸部皮肤或眼部感染(至少其中一种)的毛囊虫感染率为 19.31%(51 人),男性的感染率明显更高。此外,据统计,硅水凝胶软性隐形眼镜佩戴者中出现的蜕皮虫与此略有关联。这项研究证实:i) 由于寄生微生境的不同,毛囊虫有两种不同的形态;ii) 男性的螨虫感染率高于女性;iii) 从统计学角度看,存在大量的双重感染(皮肤-睫毛)。该研究还提供了关于健康年轻人群中长型和短型毛囊虫流行率的流行病学数据。
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引用次数: 0
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Parasite Epidemiology and Control
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