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Economic burden of malaria on developing countries: A mini review 疟疾对发展中国家的经济负担:小型审查
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2025-05-29 DOI: 10.1016/j.parepi.2025.e00435
Kelechi Chinemerem Mezieobi , Esther Ugo Alum , Okechukwu Paul-Chima Ugwu , Daniel Ejim Uti , Benedict Nnachi Alum , Simeon Ikechukwu Egba , Clinton Michael Ewah
Malaria remains a major public health challenge in developing nations, particularly in sub-Saharan Africa, with profound economic implications. This study examines the economic burden of malaria by analyzing its effects on economic growth, labor productivity, healthcare expenditure, and overall economic stability. A systematic literature review was conducted using databases such as PubMed, Google Scholar, JSTOR, Web of Science, MEDLINE, and EMBASE, with search terms including “Malaria,” “Economic Costs,” “GDP Effect,” “Labor Productivity,” “Health Care Expenditure Impact,” and “Economic Growth.” The search was restricted to studies published between 2000 and 2023, excluding those lacking quantitative data or precise economic evaluations. Findings indicate that malaria significantly hampers GDP growth, reduces investment, and negatively impacts the tourism sector and human capital development. The disease contributes to high absenteeism and presentism, particularly in the agricultural sector, exacerbating poverty and food insecurity. Both direct and indirect economic costs impose a substantial burden on healthcare systems, households, and public services, creating poverty cycles and increasing debt among affected populations. To mitigate these effects, the study underscores the need for strengthened healthcare systems, enhanced prophylactic interventions, sustained research and development, economic support programs, and global collaboration. Given the significant impact of malaria on the health and economic status of nations, tackling both its health and economic effects will fast tract the attainment of sustainable development especially in malaria-endemic countries.
疟疾仍然是发展中国家,特别是撒哈拉以南非洲的一个重大公共卫生挑战,具有深远的经济影响。本研究通过分析疟疾对经济增长、劳动生产率、医疗保健支出和整体经济稳定性的影响来检验疟疾的经济负担。使用PubMed、谷歌Scholar、JSTOR、Web of Science、MEDLINE和EMBASE等数据库进行系统的文献综述,检索词包括“疟疾”、“经济成本”、“GDP效应”、“劳动生产率”、“医疗保健支出影响”和“经济增长”。这项研究仅限于2000年至2023年间发表的研究,排除了那些缺乏定量数据或精确经济评估的研究。研究结果表明,疟疾严重阻碍了GDP增长,减少了投资,并对旅游部门和人力资本开发产生了负面影响。该疾病导致缺勤和出勤率高,特别是在农业部门,加剧了贫困和粮食不安全。直接和间接的经济成本对卫生保健系统、家庭和公共服务造成了沉重的负担,造成了贫困循环,并增加了受影响人群的债务。为了减轻这些影响,该研究强调需要加强卫生保健系统、加强预防性干预、持续研发、经济支持计划和全球合作。鉴于疟疾对各国健康和经济状况的重大影响,处理其健康和经济影响将迅速促进实现可持续发展,特别是在疟疾流行国家。
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引用次数: 0
Global geographical distribution of Toxoplasma gondii genotypes from dogs: A systematic review 犬刚地弓形虫基因型的全球地理分布:系统综述
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2025-05-28 DOI: 10.1016/j.parepi.2025.e00433
Maryam Hataminejad , Mahbobeh Montazeri , Asal Tanzifi , Tahereh Mikaeili Galeh
Toxoplasma gondii (T. gondii) is a ubiquitous protozoan parasite with a complex life cycle involving various intermediate hosts, including dogs. Dogs can act as intermediate hosts for T. gondii, allowing the parasite to undergo asexual reproduction within their tissues. This can lead to the formation of tissue cysts containing bradyzoites, which can be transmitted to other hosts. Therefore, the infectious strains of T. gondii in dogs could reflect the primary genotypes infecting the environment, humans, and animals. This comprehensive research aims to assess the genetic diversity of T. gondii isolates collected from dogs worldwide. A thorough search of four academic databases (PubMed, Scopus, ScienceDirect, and Web of Science) and Google Scholar was conducted for literature published from January 1990 to March 2024. In the present study, a total of 26 papers met the criteria for inclusion. The results revealed that atypical genotypes were the most prevalent, accounting for 78.2 % of the total isolates (151 out of 193). Clonal Types III, II, and I were less frequent, with prevalence rates of 9.8 % (19 out of 193), 7.8 % (15 out of 193), and 3.1 % (6 out of 193), respectively. Type I clonal isolates have been documented in regions including Asia, Europe, and North America. Type II isolates have been identified in Africa, Europe, Oceania, and North America. Furthermore, Type III isolates, along with atypical genotypes, have been reported across Africa, Asia, North America, and South America. According to an analysis of 159 ToxoDB genotypes found in dogs worldwide, ToxoDB #2 (Type III) was the most prevalent genotype (18/159), followed by ToxoDB #1 or #3 (Type II) (15/159), ToxoDB #9 (15/159), and ToxoDB #20 (15/159). Overall, our study revealed low genetic diversity of T. gondii in dogs from Europe, Oceania, and Africa, with circulating clonal strains. Conversely, despite the higher number of isolates in Asia, North America, and South America, non-clonal parasites with extensive genetic diversity were prevalent.
刚地弓形虫(弓形虫)是一种普遍存在的原生动物寄生虫,具有复杂的生命周期,涉及多种中间宿主,包括狗。狗可以作为弓形虫的中间宿主,允许寄生虫在它们的组织中进行无性繁殖。这可能导致含有缓殖子的组织囊肿的形成,这可以传播给其他宿主。因此,犬感染弓形虫的菌株可以反映感染环境、人类和动物的主要基因型。这项综合研究的目的是评估从世界各地的狗身上收集的弓形虫分离株的遗传多样性。对PubMed、Scopus、ScienceDirect和Web of Science四个学术数据库和谷歌Scholar进行了全面检索,检索了1990年1月至2024年3月期间发表的文献。本研究共有26篇论文符合纳入标准。结果显示,非典型基因型最为普遍,占全部分离株的78.2%(193株中151株)。克隆型III、II和I较少见,患病率分别为9.8%(19 / 193)、7.8%(15 / 193)和3.1%(6 / 193)。I型克隆分离株在亚洲、欧洲和北美等地区均有记录。II型分离株已在非洲、欧洲、大洋洲和北美被发现。此外,III型分离株以及非典型基因型在非洲、亚洲、北美和南美均有报道。根据对全世界狗中发现的159种弓形虫基因型的分析,弓形虫2 (III型)是最普遍的基因型(18/159),其次是弓形虫1或3 (II型)(15/159),弓形虫9(15/159)和弓形虫20(15/159)。总体而言,我们的研究显示,来自欧洲、大洋洲和非洲的狗中弓形虫的遗传多样性较低,存在循环的克隆株。相反,尽管亚洲、北美和南美的分离株数量较多,但具有广泛遗传多样性的非克隆寄生虫普遍存在。
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引用次数: 0
Implemented strategic trypanosomosis and vector control activities along the Birbir River Basin through the application of deltamethrin-based insecticides using stationary attractive devices (targets), ground spraying, and live bait techniques 通过使用固定式吸引装置(目标物)、地面喷洒和活饵技术,在比尔比尔河流域使用溴氰菊酯类杀虫剂,实施了战略性锥虫病和病媒控制活动
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2025-05-27 DOI: 10.1016/j.parepi.2025.e00432
Behablom Meharenet, Tekalegn Desta, Dessalew Shitu, Mintesnot Tsegaye
Baseline and control intervention entomological and parasitological studies were conducted from September 2016 to February 2018 with the intended purpose of evaluating the effectiveness of implemented strategic trypanosomosis and vector control activities. The baseline and control intervention entomological studies compared and revealed a decline in the overall apparent fly density from 2.61 flies/trap/day during the baseline study to 1.68 flies/trap/day after the control intervention, representing a reduction of 64.37%. Additionally, the mean daily catch per trap showed a significant reduction from 5.23 ± 1.58 to 3.35 ± 1.58 (mean catch ± SD). The comparison of baseline and control study results showed a significant decline in the overall prevalence of bovine trypanosomosis, from 7.91% to 4.81% (likelihood ratio = 13.49, P ≤ 0.00), corresponding to a reduction of 60.81%. Furthermore, a better herd mean packed cell volume (PCV) was observed during the control intervention study (22.53 ± 4.48 and 25.68 ± 4.04, mean PCV ± SD) compared to the baseline (21.87 ± 4.57 and 25.41 ± 4.27, mean PCV ± SD) in parasite-infected cattle. Therefore, the results of the study clearly showed that the implemented vector control activity, specifically the application of deltamethrin insecticides on stationary attractive devices (targets), ground sprays, and live bait techniques, effectively suppressed both the vector population (Glossina flies) and parasite prevalence (trypanosomiasis) during the study period.
2016年9月至2018年2月进行了基线和控制干预昆虫学和寄生虫学研究,目的是评估实施的战略锥虫病和病媒控制活动的有效性。基线和对照干预昆虫学研究比较发现,总体表观蝇密度从基线研究期间的2.61只/诱蚊器/天下降到对照干预后的1.68只/诱蚊器/天,减少了64.37%。平均日捕获量由5.23±1.58降至3.35±1.58(平均捕获量±SD)。基线和对照研究结果的比较显示,牛锥虫病的总体患病率从7.91%下降到4.81%(似然比= 13.49,P≤0.00),下降了60.81%。此外,在对照干预研究中,感染寄生虫的牛群平均堆积细胞体积(PCV)(22.53±4.48和25.68±4.04,平均PCV±SD)优于基线(21.87±4.57和25.41±4.27,平均PCV±SD)。因此,研究结果清楚地表明,在研究期间实施的媒介控制活动,特别是溴氰菊酯杀虫剂在固定吸引装置(目标)上的应用,地面喷洒和活饵技术,有效地抑制了媒介种群(舌蝇)和寄生虫流行(锥虫病)。
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引用次数: 0
Biocontrol potential of Arabidopsis thaliana against Biomphalaria glabrata, the intermediate host of Schistosoma mansoni, focusing on biological, physiological, histopathological, and genotoxic impacts 拟南芥对曼氏血吸虫中间寄主光光生物phalaria glabrata的生物防治潜力,主要包括生物学、生理学、组织病理学和基因毒性影响
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2025-05-12 DOI: 10.1016/j.parepi.2025.e00428
Najla Y. Beit Elmal , Fathy A. Abdel Ghaffar , Salwa A.H. Hamdi , Amina M. Ibrahim , Mona F. Fol , Nesma A. Mostafa
Controlling Biomphalaria species with plant products is crucial in the treatment of schistosomiasis since it is eco-friendly and generally less harmful to non-target organisms. The goal of this study was to determine the molluscicidal activity of an aqueous extract of Arabidopsis thaliana leaves against Biomphalaria glabrata. A preliminary phytochemical screening test revealed the presence of flavonoids, terpenoids, steroids, anthraquinones, alkaloids, saponins, tannins, and carbohydrates. Following exposure to sub-lethal concentrations (LC10 75.62 mg/L and LC25 90.52 mg/L) of aqueous extract of A. thaliana, a reduction in survival, reproductive, and fecundity rates of B. glabrata were detected, as well as a substantial decrease in GSH, CAT, and SOD, while increasing MDA and NO levels. In addition, there was an increase in liver and renal functions as well as lipid profiles, compared to the control group. Histopathological examination of the digestive gland of treated B. glabrata showed a shrinkage of the tubules and an increase in the inter-tubular spaces as well as degeneration in the oocytes and spermatocytes of the hermaphrodite glands with a loss of connective tissues between the acini. Also, the comet assay revealed a genotoxic effect of aqueous extract of A. thaliana on B. glabrata, with a significant increase in the tail moment, tail length, and DNA percentage reflecting DNA damage compared to the control group. Conclusively, Arabidopsis thaliana aqueous extract acts as a natural molluscicidal agent against Biomphalaria glabrata.
用植物产品控制生物phalaria物种在血吸虫病治疗中至关重要,因为它是生态友好的,通常对非目标生物的危害较小。本研究的目的是测定拟南芥叶水提物对光斑生物的杀螺活性。初步的植物化学筛选试验显示黄酮类、萜类、类固醇、蒽醌类、生物碱、皂苷、单宁和碳水化合物。暴露于亚致死浓度(LC10 75.62 mg/L和LC25 90.52 mg/L)的拟南草水提物后,发现光斑拟南草的存活率、繁殖率和繁殖率下降,GSH、CAT和SOD显著降低,MDA和NO水平升高。此外,与对照组相比,肝脏和肾脏功能以及血脂都有所增加。对处理过的光斑扁豆消化腺的组织病理学检查显示小管缩小,管间间隙增加,雌雄同体腺体的卵母细胞和精母细胞变性,腺泡之间的结缔组织缺失。此外,彗星试验显示,拟南芥水提取物对光斑拟南芥具有遗传毒性作用,与对照组相比,尾巴力矩、尾巴长度和反映DNA损伤的DNA百分比显著增加。综上所述,拟南芥水提物是一种天然的杀螺剂。
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引用次数: 0
Molecular identification of Coranus spp. in a pregnant patient: A case of misidentified Chagas disease vector in Spain 孕妇Coranus sps的分子鉴定:西班牙查加斯病病媒的误认病例
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2025-05-01 DOI: 10.1016/j.parepi.2025.e00426
Jorge Ligero-López , María Dolores Bargues , Patricio Artigas , Giulia Colangeli , Fabiola Peiró-Codina , María Ducons-Márquez , Beatriz López-Alonso , Pilar Goñi , Antonio Beltrán-Rosel
Chagas disease is a significant public health concern in the Americas, transmitted primarily by vectors of the Triatominae subfamily. While Europe, particularly Spain, is free from endemic vectors, the potential for misidentification of non-hematophagous insects as Chagas vectors exists, leading to unnecessary alarm. We present the case of a 31-year-old pregnant Venezuelan woman residing in Spain, who sought medical attention after being bitten by an arthropod she identified as Triatoma infestans. The patient's awareness of Chagas disease in her country of origin heightened her concern about vertical transmission of Trypanosoma cruzi to her fetus. However, serological testing for T. cruzi antibodies was negative. The insect was initially misidentified as T. infestans but was later confirmed through molecular analysis to be Coranus spp., a non-hematophagous reduviid predator. The 18S rRNA gene sequence revealed a 99.37 % similarity to Coranus spp., ruling out any vectorial capacity for Chagas disease. This case underscores the importance of accurate arthropod identification, especially in non-endemic regions, to prevent misdiagnosis and unnecessary treatment. From a public health perspective, the introduction of a Chagas disease vector into Spain would represent a serious threat, necessitating prompt identification and containment measures. Our findings highlight the challenges posed by invasive species and the need for vigilance in regions where Chagas disease is not endemic. Proper identification of suspected vectors is crucial to ensure appropriate clinical and public health responses, preventing unwarranted anxiety and ensuring accurate disease surveillance.
恰加斯病是美洲的一个重大公共卫生问题,主要由锥蝽亚科病媒传播。虽然欧洲,特别是西班牙没有地方性病媒,但存在将非吸血昆虫误认为恰加斯病媒的可能性,从而导致不必要的警报。我们报告一位居住在西班牙的31岁委内瑞拉孕妇,她在被一种节肢动物咬伤后寻求医疗照顾,她认为这是感染三角瘤。患者在其原籍国对恰加斯病的认识提高了她对克氏锥虫垂直传播给胎儿的担忧。然而,克氏t型虫抗体的血清学检测结果为阴性。这种昆虫最初被误认为是T. infestans,但后来通过分子分析证实是Coranus spp.,一种非吸血的reduvid食肉动物。18S rRNA基因序列显示其与Coranus spp.的相似性为99.37%,排除了任何恰加斯病的媒介能力。该病例强调了准确识别节肢动物的重要性,特别是在非流行地区,以防止误诊和不必要的治疗。从公共卫生的角度来看,将恰加斯病病媒引入西班牙将构成严重威胁,需要迅速查明并采取遏制措施。我们的发现强调了入侵物种带来的挑战以及在恰加斯病不流行的地区保持警惕的必要性。正确识别疑似病媒对于确保适当的临床和公共卫生反应、防止不必要的焦虑和确保准确的疾病监测至关重要。
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引用次数: 0
Entamoeba sp. in a city in the Amazon interior in Brazil: Microscopic parasitological, immunological, and molecular diagnosis 巴西亚马孙内陆某城市的内阿米巴虫:显微寄生虫学、免疫学和分子诊断
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2025-04-25 DOI: 10.1016/j.parepi.2025.e00424
Claudijane Ramos dos Santos , Maria Regina Reis Amendoeira , Laís Verdan Dib , Laís Lisboa Corrêa , Alynne da Silva Barbosa
Humans can become infected with different parasites, including intestinal protozoa that can cause diarrhea, dysentery, or even death. These parasites affect mainly individuals living in situations of low socioeconomic conditions, an economic and social context found in most cities in the Amazon interior. The main objective of this study was to evaluate the frequency of Entamoeba sp., with an emphasis on E. histolytica, in patients treated at the Municipal Laboratory of Oriximiná, a city located in the Amazon interior. In 2019, 294 fecal samples were obtained from people treated at the city's laboratory. All samples that showed Entamoeba cysts via microscopic parasitological techniques or that were positive by immunodiagnosis to E. histolytica/E. dispar complex were subjected to polymerase chain reaction (PCR) to identify positivity for E. histolytica, E. dispar, and E. moshkovskii. When the 81 fecal samples considered positive for Entamoeba were subjected to PCR, DNA amplification was observed in 37/81 (45.7 %) samples. E. histolytica was the most diagnosed species in 31/81 (38.3 %), and E. dispar was detected in 22/81 (27.2 %). All reactions performed for E. moshkovskii were negative. The mixed molecular diagnosis of both E. histolytica and E. dispar was confirmed in 16 (19.8 %) fecal samples. Analysis of risk factors revealed that diarrhea was significantly associated with infection by Entamoeba sp. and that the consumption of vegetables produced at home was associated with infection by the complex (p ≤ 0.05). Most of the PCR-positive samples were obtained from residents of neighborhoods from the outskirts of the city, which has the city's lowest socioeconomic indices. The results obtained in this study highlight the precariousness of basic sanitation in these cities, since the detected pathogens, including the pathogenic species E. histolytica, are transmitted mainly through contaminated water and food. Notably, this is the first study to confirm via molecular diagnosis the circulation of E. histolytica in cities in the Amazon interior of Brazil.
人类可能感染不同的寄生虫,包括肠道原生动物,它们会导致腹泻、痢疾,甚至死亡。这些寄生虫主要影响生活在低社会经济条件下的个人,这是亚马逊内陆大多数城市的经济和社会环境。本研究的主要目的是评估在亚马逊内陆城市奥里希敏市实验室治疗的患者中出现内阿米巴的频率,重点是溶组织芽胞杆菌。2019年,从在该市实验室接受治疗的人身上获得了294份粪便样本。所有通过显微寄生虫学技术显示内阿米巴囊肿或通过免疫诊断溶组织芽胞杆菌/E阳性的样本。采用聚合酶链反应(PCR)鉴定溶组织芽孢杆菌、异芽孢杆菌和莫什科夫斯基芽孢杆菌阳性。81份粪便标本经PCR检测为内阿米巴阳性,其中37/81(45.7%)标本DNA扩增。溶组织芽胞杆菌最多,占31/81(38.3%),异速芽胞杆菌最多,占22/81(27.2%)。莫什科夫斯基大肠杆菌的所有反应均为阴性。在16份(19.8%)粪便样本中证实溶组织芽胞杆菌和异速芽胞杆菌的混合分子诊断。危险因素分析显示,腹泻与内阿米巴原虫感染有显著相关性,食用自制蔬菜与内阿米巴原虫感染有显著相关性(p≤0.05)。大多数pcr阳性样本来自城市郊区社区的居民,这是该市社会经济指数最低的地区。本研究获得的结果突出了这些城市的基本卫生条件不稳定,因为检测到的病原体,包括致病性溶组织芽孢杆菌,主要通过受污染的水和食物传播。值得注意的是,这是第一个通过分子诊断确认巴西亚马逊内陆城市中溶组织杆菌传播的研究。
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引用次数: 0
Identification of seropositive cases of Chagas disease in pregnant women in a non-endemic risk area of the state of Mexico: The importance of screening prenatal 在墨西哥州非流行危险区的孕妇中发现恰加斯病血清阳性病例:产前筛查的重要性
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2025-04-25 DOI: 10.1016/j.parepi.2025.e00427
Saúl González-Guzmán , José A. Crescencio-Trujillo , Carla I. Arroyo-Anduiza , María Guadalupe Córdova-Espinoza , Roberto Alvarado-Velázquez , Vladimir Paredes-Cervantes

Objective

Our study aimed to identify seropositive cases of Trypanosoma cruzi in pregnant women from the northeastern region of the State of Mexico and underscore the importance of screening for this disease in prenatal care.

Methods

We analyzed 879 serum samples from pregnant women in this non-endemic area for antibodies to Trypanosoma cruzi.

Results

We found a seroprevalence of 0.34 % to Trypanosoma cruzi in pregnant women aged 20 to 29.

Conclusions

The confirmation of anti-Trypanosoma cruzi antibodies in 3 pregnant women in this non-endemic area further highlights the need to incorporate the diagnosis of this disease as part of prenatal care.
目的本研究旨在确定来自墨西哥东北部地区的孕妇克氏锥虫血清阳性病例,并强调筛查这种疾病在产前护理中的重要性。方法对该地区879例孕妇血清克氏锥虫抗体进行分析。结果20 ~ 29岁孕妇克氏锥虫血清阳性率为0.34%。结论该地区3例孕妇检测到克氏锥虫抗体,进一步强调了将该病诊断纳入产前护理的必要性。
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引用次数: 0
Prevalence of strongyloidiasis in immunocompromised patients in Mazandaran province of northern Iran: A comprehensive study utilizing simultaneous parasitological, serological, and molecular techniques 伊朗北部Mazandaran省免疫功能低下患者中圆线虫病的患病率:一项同时利用寄生虫学、血清学和分子技术的综合研究
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2025-04-25 DOI: 10.1016/j.parepi.2025.e00425
Reza Saberi , Aliasghar Ghorbanzadeh , Rabeeh Tabaripour , Shahabeddin Sarvi , Shirzad Gholami , Seyed Abdollah Hosseini

Introduction

Strongyloides stercoralis is a soil-transmitted helminth (STH) responsible for strongyloidiasis, a neglected tropical disease (NTD) that affects nearly 614 million people globally. This intestinal nematode poses significant health risks, particularly in immunocompromised individuals. The present study aimed to investigate the prevalence of S. stercoralis in high-risk populations in northern Iran, employing a combination of parasitological, serological, and molecular techniques.

Methods

Blood and fecal samples were collected from 92 patients in Mazandaran province, northern Iran, consisting of 52 patients with HIV+/AIDS and 40 cancer patients undergoing chemotherapy or corticosteroid treatment. Initially, all fecal samples were examined using the nutrient agar culture method for parasitological assessment. Following this, DNA extraction was performed on all samples for identify S. stercoralis (by COX1- Nested PCR). Additionally, the sera of the patients were analyzed using the enzyme-linked immunosorbent assay (ELISA) kit (NovaTec Immunodiagnostica GmbH, Dietzenbach, Germany).

Results

The stool samples from these patients were negative in agar plate cultures. Among the 92 patients in the study, stool microscopy for Strongyloides rhabditiform larvae was positive in three cases. Using nested PCR, four samples (4.34 %) tested positive for S. stercoralis. Serological investigations revealed that 4 out of 52 HIV-positive patients (7.69 %) and 15 out of 40 cancer patients (37.5 %) had a history of infection with S. stercoralis.

Conclusions

These results emphasis the importance of employing a multifaceted diagnostic approach, combining parasitological, serological, and molecular techniques, to accurately identify infections in at risk populations. Given the potential for severe complications associated with strongyloidiasis in immunocompromised individuals, regular screening and prompt treatment are essential to reduce health risks.
粪类圆线虫是一种土壤传播的蠕虫(STH),是一种被忽视的热带病(NTD),影响全球近6.14亿人。这种肠道线虫具有重大的健康风险,特别是在免疫功能低下的个体中。本研究旨在采用寄生虫学、血清学和分子技术相结合的方法,调查伊朗北部高危人群中粪球菌的流行情况。方法采集伊朗北部Mazandaran省92例患者的血液和粪便样本,其中52例为HIV+/AIDS患者,40例为化疗或皮质类固醇治疗的癌症患者。最初,所有粪便样本都使用营养琼脂培养法进行寄生虫学评估。随后,对所有样品进行DNA提取(COX1-巢式PCR)鉴定粪球菌。此外,使用酶联免疫吸附试验(ELISA)试剂盒(NovaTec immunodiagnostics GmbH, Dietzenbach, Germany)对患者的血清进行分析。结果患者粪便琼脂平板培养均为阴性。本研究92例患者中,3例粪便显微镜检出横纹状圆线虫幼虫阳性。巢式PCR检测结果为4份(4.34%)粪球菌阳性。血清学调查显示,52例hiv阳性患者中有4例(7.69%),40例癌症患者中有15例(37.5%)有粪球菌感染史。结论这些结果强调了采用多方面的诊断方法,结合寄生虫学、血清学和分子技术,在高危人群中准确识别感染的重要性。鉴于免疫功能低下的个体可能出现与类圆线虫病相关的严重并发症,定期筛查和及时治疗对于降低健康风险至关重要。
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引用次数: 0
First report of Culicoides paraensis (Goeldi, 1905) (Diptera: Ceratoponidae) in Cuba: A new challenge for public health 古巴首次报告副库蠓(Goeldi, 1905)(双翅目:蠓科):对公共卫生的新挑战
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2025-03-20 DOI: 10.1016/j.parepi.2025.e00423
Yanet Martínez Pérez , Ariamys Companioni Ibáñez , Zulema Menéndez Díaz , Eric Camacho Acosta , Mónica Sánchez González , Nell Cox García , Quenia del Rosario Casanova Drake , Gladys Gutierrez-Bugallo
Culicoides paraensis (Goeldi) (Diptera: Ceratoponidae) is considered the primary vector of Oropouche virus (Orthobunyavirus, Peribunyaviridae) in the American Tropics. Here, we report the first record of C. paraensis in Cuba, during the first known outbreak of Oropouche fever outside its endemic range in the Amazon region. Using human landing catches, we collected 98 specimens of C. paraensis in three Cuban provinces (Santiago de Cuba, Cienfuegos, and Havana), where Oropouche fever had been documented in humans. This species was not captured using various traps deployed at the sampling sites (BG-Sentinel, New Jersey traps, and CDC light traps), which may explain why C. paraensis had not been previously reported in Cuba. In North America, C. paraensis develops in wet treeholes, while in tropical regions, it uses cacao husks and banana stumps as larval habitats. However, the specific larval development sites for this species in Cuba are unknown. The capture of adult female C. paraensis in areas of active Oropouche virus circulation suggests their involvement in virus transmission in Cuba.
副库蠓(Goeldi)(双翅目:蠓科)被认为是美洲热带地区Oropouche病毒(正布尼亚病毒,环布尼亚病毒科)的主要媒介。在这里,我们报告了在古巴的第一个记录,在亚马逊地区奥罗波切热的流行范围之外的第一个已知暴发期间。利用人类登陆捕获物,我们在古巴的三个省(古巴圣地亚哥、西恩富戈斯和哈瓦那)收集了98个有人类记录的Oropouche热的paraensis标本。在采样点使用的各种诱捕器(BG-Sentinel、New Jersey诱捕器和CDC光诱器)未捕获到该物种,这可能解释了为什么以前未在古巴报告过paraensis。在北美,paraensis在潮湿的树洞中发育,而在热带地区,它使用可可壳和香蕉树桩作为幼虫的栖息地。然而,该物种在古巴的具体幼虫发育地点尚不清楚。在Oropouche病毒活跃传播地区捕获的成年雌性paraensis表明它们参与了古巴的病毒传播。
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引用次数: 0
Prevalence of malaria and Schistosoma mansoni coinfection in sub Saharan Africa: A systematic review and meta-analysis 撒哈拉以南非洲疟疾和曼氏血吸虫合并感染的流行率:系统回顾与荟萃分析
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2025-03-13 DOI: 10.1016/j.parepi.2025.e00422
Wagaw Abebe , Birhanu Kassanew , Tadesse Misganaw , Agenagnew Ashagre , Getinet Kumie , Marye Nigatie , Yalewayker Gashaw , Ephrem Tamrat , Dagmawi Woldesenbet , Alembante Bazezew

Background

Malaria and schistosomiasis are two parasite illnesses that share transmission sites in distinct tropical climates. Malaria-schistosomiasis coinfection is widespread in Africa. Also, malaria and Schistosoma mansoni coinfection cause exacerbation of health consequences and co-morbidities. However, there is limited pooled data on the prevalence of malaria and Schistosoma mansoni coinfection in sub-Saharan Africa.

Objective

This systemic review and meta-analysis aimed to assess the prevalence of malaria and Schistosoma mansoni coinfection in sub-Saharan Africa.

Method

Systematic search on PubMed, Scopus, Google Scholar, and Science Direct was used to identify relevant studies following reviews and meta-analysis guidelines. A total of eighteen relevant articles on the prevalence of malaria and Schistosoma mansoni coinfection were identified for final systematic review and meta-analysis. Extracted data was analyzed using STATA software version 17.0. The absence or presence of publication bias was assessed using Egger's test. Heterogeneity across studies was checked by I2 statistics; if the I2 value was ≥50 %, significant heterogeneity was considered and subgroup analysis was done.

Results

A total of 18 studies were included for this systematic review and meta-analysis. From this meta-analysis, the pooled prevalence of malaria and Schistosoma mansoni coinfection was 17.39 % (95 % CI: 5.94–28.84). There was significant heterogeneity in prevalence of coinfection, with I2 values greater than or equal to 99.97 % at P = 0.00. The subgroup analysis based on year of publication showed that the pooled prevalence of malaria and Schistosoma mansoni coinfection in studies conducted 2014–2018 was 20.73 % (95 % CI: 0.66–40.80), while it was 14.68 % (95 % CI: 1.02–28.34) in studies conducted 2019–2024. On the other hand, subgroup analysis on diagnostic techniques showed significant differences in the pooled prevalence of malaria and Schistosoma mansoni coinfection.

Conclusions

This systematic review and meta-analysis showed that malaria and Schistosoma mansoni coinfection are prevalent in sub-Saharan Africa.This highlights the region's major challenges in controlling malaria and Schistosoma mansoni coinfections.To ensure the efficiency of coinfections control and treatment, regular monitoring, identification, and reduction of the prevalence of malaria and Schistosoma mansoni coinfection must be maintained. Furthermore, cooperative efforts at local, countrywide, and global levels are necessary to address the multifaceted factors causal to malaria-S.mansoni coinfection.
背景:疟疾和血吸虫病是两种寄生虫病,它们在不同的热带气候中共享传播点。疟疾-血吸虫病合并感染在非洲很普遍。此外,疟疾和曼氏血吸虫合并感染导致健康后果和合并症的恶化。然而,关于撒哈拉以南非洲疟疾和曼氏血吸虫合并感染流行率的汇总数据有限。目的本系统综述和荟萃分析旨在评估撒哈拉以南非洲地区疟疾和曼氏血吸虫合并感染的流行情况。方法系统检索PubMed、Scopus、谷歌Scholar和Science Direct,根据综述和meta分析指南确定相关研究。总共有18篇关于疟疾和曼氏血吸虫合并感染流行的相关文章被确定用于最后的系统评价和荟萃分析。提取的数据采用STATA 17.0版软件进行分析。使用Egger检验评估是否存在发表偏倚。通过I2统计检验各研究的异质性;如果I2值≥50%,则考虑显著异质性,并进行亚组分析。结果本系统综述和荟萃分析共纳入18项研究。从该荟萃分析中,疟疾和曼氏血吸虫合并感染的总患病率为17.39% (95% CI: 5.94-28.84)。合并感染的患病率存在显著的异质性,I2值大于等于99.97%,P = 0.00。基于发表年份的亚组分析显示,2014-2018年研究中疟疾和曼氏血吸虫合并感染的总患病率为20.73% (95% CI: 0.66 ~ 40.80), 2019-2024年研究中疟疾和曼氏血吸虫合并感染的总患病率为14.68% (95% CI: 1.02 ~ 28.34)。另一方面,诊断技术的亚组分析显示,疟疾和曼氏血吸虫合并感染的总流行率存在显著差异。结论本系统综述和荟萃分析显示,疟疾和曼氏血吸虫合并感染在撒哈拉以南非洲地区普遍存在。这突出了该区域在控制疟疾和曼氏血吸虫合并感染方面面临的主要挑战。为确保合并感染控制和治疗的效率,必须保持定期监测、识别和减少疟疾和曼氏血吸虫合并感染的流行。此外,有必要在地方、全国和全球各级开展合作,以解决导致s型疟疾的多方面因素。曼合并感染。
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引用次数: 0
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Parasite Epidemiology and Control
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