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Seroprevalence and risk factors for Toxoplasma gondii infection in solid organ transplant patients: A global systematic review and meta-analysis 实体器官移植患者弓形虫感染的血清阳性率和危险因素:一项全球系统综述和荟萃分析
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2025-03-07 DOI: 10.1016/j.parepi.2025.e00421
Mina Mamizadeh , Farajolah Maleki , Mohammad Reza Mohammadi , Laya Shamsi , Ali Asghari , Ali Pouryousef
This study aimed to assess the global seroprevalence of IgG and IgM antibodies against Toxoplasma gondii (T. gondii) in solid organ transplant (SOT) recipients (kidney, liver, heart) through a literature review of studies published until October 24, 2024. Selected studies reported data on anti-T. gondii IgG and IgM seroprevalence in the post-transplant stage of SOT recipients. A random-effects model estimated pooled seroprevalence rates, and heterogeneity was evaluated using the I2 statistic. Sensitivity analysis examined prevalence changes after excluding studies, while subgroup analysis of IgG seroprevalence accounted for publication years, countries, continents, WHO regions, sample sizes, and types of transplanted organs. Out of 26 articles and 29 datasets analyzed, 21 articles and 24 datasets involving 19,391 transplant recipients and 880 controls were used to assess anti-T. gondii IgG and IgM seroprevalence and odds ratios (ORs). Additionally, 8 articles reported the anti-T. gondii IgG serostatus of donors and recipients. The pooled IgG seropositivity for T. gondii in SOT recipients was 9.8 % (95 % CI, 4.7–19.4 %), showing significant variation by region and organ type. The anti-T. gondii IgM seroprevalence in SOT recipients was 6.4 % (95 % CI, 3.3–12 %). Renal transplant recipients exhibited higher IgG seroprevalence compared to liver and heart transplant recipients. The pooled OR for T. gondii infections in SOT recipients vs. controls was 1.39 (95 % CI, 0.95–2.04, P = 0.08). The highest pooled anti-T. gondii IgG serostatus was 50.7 % in the undetermined group, followed by 38 % in the D−/R- group, 15.4 % in the D−/R+ group, 10.6 % in the D+/R- group, and 9.9 % in the D+/R+ group. Overall, T. gondii active infections and its increased risk trend in SOT recipients should not be overlooked.
本研究旨在通过对截至2024年10月24日发表的研究文献进行综述,评估实体器官移植(SOT)受者(肾、肝、心)抗弓形虫IgG和IgM抗体的全球血清阳性率。选定的研究报告了抗t抗体的数据。弓形虫IgG和IgM在移植后SOT受者血清中的阳性率。随机效应模型估计合并血清患病率,并使用I2统计量评估异质性。敏感性分析检查排除研究后的患病率变化,而IgG血清阳性率亚组分析考虑了发表年份、国家、大洲、WHO区域、样本量和移植器官类型。在分析的26篇文章和29个数据集中,21篇文章和24个数据集涉及19,391名移植受者和880名对照组,用于评估抗t。弓形虫IgG和IgM血清阳性率和优势比(ORs)。此外,8篇文章报道了抗t。供体和受体血清弓形虫IgG水平。弓形虫IgG血清阳性率为9.8% (95% CI, 4.7 - 19.4%),不同地区和器官类型有显著差异。anti-T。血清弓形虫IgM阳性率为6.4% (95% CI, 3.3 - 12%)。与肝脏和心脏移植受体相比,肾移植受体血清IgG阳性率较高。接受SOT的患者与对照组相比,弓形虫感染的综合OR为1.39 (95% CI, 0.95-2.04, P = 0.08)。最高的集合反t。未确定组弓形虫IgG阳性率为50.7%,D - /R-组为38%,D - /R+组为15.4%,D+/R-组为10.6%,D+/R+组为9.9%。总之,弓形虫活动性感染及其在SOT接受者中增加的风险趋势不应被忽视。
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引用次数: 0
Epidemic status of echinococcosis, brucellosis, and tuberculosis among rural residents in three counties of Wuzhong City, Ningxia, China in 2023 2023年宁夏吴中市3县农村居民棘球蚴病、布鲁氏菌病和结核病流行状况
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2025-02-17 DOI: 10.1016/j.parepi.2025.e00420
Yan Huo , Jing Tang , MiXue Guo , SiYu Hou , Wei Zhao
In recent years, the rapid development of animal husbandry in rural China has brought about the problem of zoonosis. In 2023, a cross-sectional study was carried out to gain an in-depth understanding of the infection status and influencing factors of three common zoonoses (echinococcosis, brucellosis and tuberculosis) among rural residents in three counties/districts of Wuzhong City, Ningxia. For the selection of the study participants, a cluster sampling approach was adopted. We recruited permanent rural residents from the three counties, without imposing any age limitations, to ensure a broad and representative sample. A field survey was then meticulously carried out among these individuals, and blood samples were collected simultaneously. The collected blood was processed to obtain serum, which was subsequently utilized to detect pathogen-specific IgG antibodies using the Enzyme-Linked Immunosorbent Assay (ELISA). Through a comprehensive questionnaire survey administered to the same group of participants, a detailed analysis was performed to assess the current situation of the infections and to identify the various factors that might be influencing the occurrence and spread of these diseases within this specific population. A total of 1847 people participated in the survey, with their ages ranging from 8 to 94 years old. Subsequently, the corresponding blood samples were tested strictly in accordance with the number of valid questionnaires. The detection rates for these diseases were 4.93 % (91/1844) for echinococcosis, 20.52 % (378/1842) for brucellosis, and 7.26 % (134/1847) for tuberculosis. Univariate analysis revealed no significant variation in the positive detection rate of echinococcosis across different demographic groups. However, factors such as sex, age, educational level, occupation, living environment, and breeding conditions and slaughtering situation significantly influenced the positive detection rate of serum antibodies against brucellosis (P < 0.05). The positive rate of serum antibodies for tuberculosis varied under different breeding and protection conditions (P < 0.05). Multivariate analysis identified risk factors for brucellosis, including male (OR = 1.944, P < 0.001), living with a large number of sheep (OR = 1.640, P = 0.001), and home slaughter (OR = 1.427, P = 0.007), while non-agricultural workers were found to be protective (OR = 0.493, P = 0.003). For tuberculosis, risk factors included raising cattle and sheep at home (OR = 1.877, P = 0.002) and lacking protective contact with these animals (OR = 2.138, P = 0.001). To achieve effective and precise prevention and control of zoonoses, comprehensive measures should be implemented.
近年来,中国农村畜牧业的快速发展带来了人畜共患病问题。2023年,为深入了解宁夏吴中市3个县(区)农村居民棘球蚴病、布鲁氏菌病和结核病3种常见人畜共患病的感染现状及影响因素,开展了横断面研究。对于研究对象的选择,采用整群抽样的方法。我们从三个县抽取农村常住人口,不设年龄限制,保证样本的广泛性和代表性。然后对这些人进行了细致的实地调查,同时收集了血液样本。采集的血液经过处理获得血清,随后使用酶联免疫吸附试验(ELISA)检测病原体特异性IgG抗体。通过对同一组参与者进行全面的问卷调查,进行了详细的分析,以评估感染的现状,并确定可能影响这些疾病在这一特定人群中发生和传播的各种因素。共有1847人参与了调查,他们的年龄从8岁到94岁不等。随后,严格按照有效问卷的数量对相应的血液样本进行检测。棘球蚴病检出率为4.93%(91/1844),布鲁氏菌病检出率为20.52%(378/1842),结核病检出率为7.26%(134/1847)。单因素分析显示不同人群棘球蚴病阳性检出率无显著差异。而性别、年龄、文化程度、职业、生活环境、养殖条件和屠宰情况等因素对布鲁氏菌病血清抗体阳性率有显著影响(P <;0.05)。在不同的饲养和保护条件下,血清结核抗体阳性率存在差异(P <;0.05)。多因素分析确定了布鲁氏菌病的危险因素,包括男性(OR = 1.944, P <;与大量绵羊一起生活(OR = 1.640, P = 0.001)和家庭屠宰(OR = 1.427, P = 0.007),而非农业工人被发现具有保护作用(OR = 0.493, P = 0.003)。结核病的危险因素包括家中饲养牛羊(OR = 1.877, P = 0.002)和缺乏与这些动物的保护性接触(OR = 2.138, P = 0.001)。实现人畜共患病有效精准防控,需要综合施策。
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引用次数: 0
Risks of parasitic helminth disease outbreaks and influence of physico-chemical factors in flood prone areas of Yaoundé, Cameroon 喀麦隆雅温德省洪水易发地区寄生虫病暴发的风险和理化因素的影响。
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.parepi.2024.e00404
Noura Efietngab Atembeh , Jean Patrick Molu , Jeanne Valerie Emvoutou Maboulou , Boris Fominyam , Rodrigue Nanfack Dongmo , Gabriel Bertrand Zambo , Emilie Tchinda Tiecheu , Jeannette Tombi , Lucia Nkengazong , Serge Hubert Zebaze Togouet , Jean Louis Essame Oyono

Background

Urbanization coupled with poverty has promoted the exploitation of risk zones like flood-prone areas in the city of Yaoundé. The overcrowding and poor hygiene observed in these areas are responsible for the unsmiling variations in environmental cleanliness, exploitation of river water for domestic purposes thus putting them at risk for parasitic disease transmissions. This study was conducted in order to assess the risks of human helminthiases outbreaks in relation to water physico-chemical factors in the city of Yaoundé.

Method

Water samples were collected monthly from January to June 2022 in 12 stations from 4 rivers (Biyeme, Ebogo, Olezoa and Tongolo) situated in flood plains in the town of Yaoundé. Intestinal parasite resistant forms were identified using the basic sedimentation technique, while water parameters were assessed using standard procedures.

Results

Results indicated that rivers in flood-prone areas are highly contaminated with a 75 % prevalence rate. In all, resistant forms of nine parasite species were recorded with the genus Toxocara being the most diversified with two species. Strongyloides stercoralis was the most prevalent (33.3 %) and most abundant (1269) species followed by Toxocara canis (26.4 %), Ascaris lumbricoides (25 %), Toxocara leonina (20.8 %), Hookworm (15.3 %), Trichostrongylus sp. (11.1 %), Diphyllobothrium latum (8.3 %), Trichuris trichiura (2.8 %) and Schistosoma intercalatum (1.4 %). The least abundant species was Trichuris trichiura (33). Higher densities of parasite resistant forms were observed during the dry season. River Tongolo was the most contaminated with pathogenic forms. Water pH, orthophosphate, organic matter and alkalinity revealed negative corelations with the occurrence of Diphyllobotrium latum (r = −0.375, −0.253, −462, −0.448 respectively) while organic matter and pH showed positive correlations with the occurrence of Strongyloides stercoralis (r = 0.378) and Trichostrongylus sp. (r = 0.238) respectively.

Conclusion

Flood areas constitute a potential risk zone for the maintenance and spread of human helminthiases. Maintaining proper personal cleanliness, environmental sanitation through the building of functional and accessible faecal disposal facilities and drainages and abstaining from using the rivers as waste dumps are essential in this area to prevent parasitic helminth disease outbreaks.
背景:城市化与贫困相结合,促进了对风险地区的开发,如雅芳代尔市的洪水易发地区。在这些地区观察到的过度拥挤和卫生条件差造成了环境清洁度的明显变化,河水被用于家庭用途,从而使他们面临寄生虫病传播的风险。本研究旨在评估与温德市水体理化因素相关的人类寄生虫病暴发风险。方法:于2022年1 - 6月,在雅温得尔镇洪泛区Biyeme、Ebogo、Olezoa和Tongolo 4条河流的12个站点逐月采集水样。使用基本沉淀法鉴定肠道寄生虫抗性形式,同时使用标准程序评估水参数。结果:洪涝易发地区河流污染严重,污染发生率达75%。总共记录到9种寄生虫的抗性形式,其中弓形虫属最多样化,有2种。以粪圆线虫(33.3%)最常见,数量最多(1269种),其次为犬弓形虫(26.4%)、类蚓蛔虫(25%)、狮子弓形虫(20.8%)、钩虫(15.3%)、毛线虫(11.1%)、双叶虫(8.3%)、毛滴虫(2.8%)和间纹血吸虫(1.4%)。丰度最低的是Trichuris trichiura(33)。在旱季观察到较高密度的寄生虫抗性形式。通哥洛河的致病菌污染最严重。水体pH、正磷酸盐、有机质和碱度与扁豆双叶虫的发生呈负相关(r分别为-0.375、-0.253、-462和-0.448),有机质和pH与粪圆线虫的发生呈正相关(r分别为0.378)和毛圆线虫(r分别为0.238)。结论:洪涝区是人类寄生虫病维持和传播的潜在危险区。在这一地区,通过建立功能齐全和易于使用的粪便处理设施和排水系统,保持适当的个人清洁和环境卫生,以及避免将河流用作废物倾倒场,对于预防寄生虫病的爆发至关重要。
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引用次数: 0
Massive subcutaneous filariosis by Filaria martis in beech marten (Martes foina) in Italy 意大利山毛榉貂(Martes foina)的毛丝虫引起的大量皮下丝虫病。
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.parepi.2024.e00406
Giovanni Sgroi , Ranju Ravindran Santhakumar Manoj , Ettore Napoli , Nicola D'Alessio , Maria Gabriella Lucibelli , Claudio de Martinis , Esterina De Carlo , Peyman Khademi , Alireza Sazmand , Vincenzo Veneziano
The beech marten (Martes foina) is a small-size mustelid endangered according to the IUCN Red List. Despite the plethora of parasites potentially affecting its population decline, subcutaneous filarioids are occasionally reported in martens and their competent arthropod vectors are to date unknown. Therefore, from January 2023 to August 2024, this study investigated the presence of subcutaneous filarioids and ectoparasites of road-killed beech martens (n = 7) from southwestern Italy. One marten (14.3 %, 95 % CI: 2.6–51.3) was massively infected with subcutaneous filarioids, i.e., 18 specimens (11 males and 7 females) in the dorso-posterior region, where mild redness and sloughing of skin were found. All the filarioids were identified as Filaria martis via morphology and Sanger sequencing of the cytochrome c oxidase subunit I (cox1) gene that revealed a single sequence type (GenBank accession number PQ034642) having 100 % nucleotide identity with those available in the literature. The phylogenetic analysis displayed a bootstrap value of 100 % between the cox1 sequences of F. martis of this study and those of beech martens from Italy and European minks from Spain. Haemolymph, gut, and salivary glands of the Ixodes ricinus ticks collected from the infected marten scored negative for F. martis larvae and DNA by dissection and PCR, respectively. This study reported for the first time F. martis subcutaneous filariosis in southwestern Italy, previously outlined only in northern and southeastern areas, indicating the circulation of this poorly investigated filarioid. Knowledge of the competent vectors involved in the biological cycle of F. martis requires further experimental studies.
山毛榉貂(Martes foina)是一种小型鼬,根据世界自然保护联盟红色名录濒临灭绝。尽管大量寄生虫可能影响其种群数量的下降,但偶尔在貂类中报道皮下丝虫病,其称职的节肢动物媒介迄今尚不清楚。因此,从2023年1月至2024年8月,本研究调查了意大利西南部道路死亡的山毛榉马丁(n = 7)皮下丝虫病和体外寄生虫的存在情况。1只貂(14.3%,95% CI: 2.6-51.3)在背-后区大量感染皮下丝虫病,即18只貂(11只雄性和7只雌性),发现皮肤轻度发红和脱皮。通过细胞色素c氧化酶亚基I (cox1)基因的形态学和Sanger测序,所有丝状体均被鉴定为毛丝虫,发现单一序列类型(GenBank登录号PQ034642)与文献中发现的序列类型核苷酸同源性100%。系统发育分析表明,本研究的貂cox1序列与意大利的山毛榉貂和西班牙的欧洲水貂的cox1序列具有100%的自举值。从感染的貂身上采集的蓖麻蜱的血淋巴、肠道和唾液腺分别经解剖和PCR检测为阴性。本研究首次报道了意大利西南部的马氏F.皮下丝虫病,以前仅在北部和东南部地区概述,表明这种研究较少的丝虫病的循环。对参与火星螺旋体生物循环的相关媒介的了解需要进一步的实验研究。
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引用次数: 0
Blastocystis and Giardia duodenalis infection in a male prison in Spain 西班牙某男子监狱囊虫和十二指肠贾第鞭毛虫感染。
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.parepi.2024.e00407
Carla Muñoz-Antoli , Jacklyn Comas , María José Irisarri-Gutiérrez , Lucrecia Acosta , José Guillermo Esteban , Rafael Toledo

Background

General conditions in a prison may facilitate water- or food-borne infections.

Methods

Detection of intestinal parasites was achieved in 471 male prison inmates by standard microscopic procedures on their stool samples. Positive samples were processed by PCR amplification of a 600-bp fragment of the Blastocystis SSU rRNA gene and partial sequences of the Giardia duodenalis bg genes. Identification of subtypes/genotypes was based on Sanger sequencing methods.

Results

Blastocystis was found in 7.9 % (37/471) and G. duodenalis was found in 2.1 % (10/471). Out of the 37 Blastocystis positive samples, 54 % (20/37) were successfully subtyped, allowing the identification of the subtypes ST3 (50 %), ST1 (25 %), ST2 (15 %), ST4 (5 %) and ST6 (5 %). Out of 10 G. duodenalis positive samples, 50 % (5/10) were successfully genotyped, allowing the identification of genotypes A (80 %) and B (20 %).

Conclusions

The predominance of ST3 within the prison inmates, together with its low intra-ST genetic variability, reflected inter-human transmission with spatial stability. The G. duodenalis distribution is not wide enough to consider the possibility of a generalized transmission via contaminated water or food. Personal hygiene practices among male prison inmates may be an important measure to prevent the transmission.
背景:监狱的一般条件可能促进水或食物传播的感染。方法:采用标准显微镜检查方法对471名男性监狱在押人员粪便标本进行肠道寄生虫检测。阳性标本采用PCR扩增囊虫SSU rRNA基因600 bp片段和十二指肠贾第虫bg基因部分序列。亚型/基因型鉴定采用Sanger测序法。结果:囊虫占7.9%(37/471),十二指肠棘球蚴占2.1%(10/471)。在37份囊虫阳性样本中,54%(20/37)成功分型,鉴定出ST3(50%)、ST1(25%)、ST2(15%)、ST4(5%)和ST6(5%)亚型。在10份阳性样本中,50%(5/10)成功分型,鉴定出基因型A(80%)和基因型B(20%)。结论:ST3在监狱囚犯中的优势,以及其较低的st内遗传变异性,反映了具有空间稳定性的人际传播。十二指肠螺杆菌分布范围不够广,不足以考虑通过受污染的水或食物进行广泛传播的可能性。男性监狱囚犯的个人卫生习惯可能是预防传播的重要措施。
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引用次数: 0
Malaria survey data and geospatial suitability mapping for understanding spatial and temporal variations of risk across Kenya 疟疾调查数据和地理空间适宜性绘图,以了解肯尼亚各地风险的时空变化。
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.parepi.2024.e00399
Caroline Kioko, Justine Blanford
Malaria remains a public health concern in Kenya where children and pregnant women are vulnerable groups. The common interventions in place to fight malaria include using insecticide-treated bed nets (ITNs), knowledge and awareness about malaria, and intake of malaria anti-malaria drugs. Despite the availability of these interventions, Kenya still records more than 10,000 clinical cases annually. In this study, we examined how malaria and interventions varied across Kenya for 2015 and 2020. We analyzed the Kenya Malaria Indicator Survey (N = 10,072) for 2015 and, (N = 11,549) for 2020, and climate data with Fuzzy overlay method to examine how malaria and its interventions relate to environmental conditions required for malaria. The study found that 79 % of malaria cases were distributed in lake endemic, 11 % in coastal endemic, 7 % in highland epidemic, and 3 % in seasonal zone. Use of Insecticide-treated bed nets (ITNs) was 77 % in lake endemic, 13 % in coastal endemic, 9 % in highland epidemic, and 1 % in seasonal zone. Knowledge about malaria was 82 % in lake endemic, 9 % in highland epidemic, 6 % in coastal endemic, and 3 % in seasonal zone. Additionally, based on climate data, lake endemic zone was 94 % suitable for malaria transmission compared to other zones. Despite the use of ITNs and awareness about malaria, malaria transmission continues to be a threat especially in counties in the lake endemic zone. Furthermore, place of residence, climate factors, ownership of ITNs may be associated with malaria in the region.
在儿童和孕妇属于弱势群体的肯尼亚,疟疾仍然是一个令人关切的公共卫生问题。防治疟疾的常见干预措施包括使用经杀虫剂处理的蚊帐(ITNs)、了解和提高对疟疾的认识以及服用抗疟疾药物。尽管有这些干预措施,肯尼亚每年仍记录1万多例临床病例。在这项研究中,我们研究了2015年和2020年肯尼亚各地疟疾和干预措施的变化。我们分析了2015年和2020年的肯尼亚疟疾指标调查(N = 10,072)和(N = 11,549),以及使用模糊叠加方法的气候数据,以研究疟疾及其干预措施与疟疾所需的环境条件之间的关系。研究发现,79%的疟疾病例分布在湖泊流行区,11%分布在沿海流行区,7%分布在高原流行区,3%分布在季节性地区。经杀虫剂处理的蚊帐在湖泊流行区使用率为77%,在沿海流行区使用率为13%,在高原流行区使用率为9%,在季节性地区使用率为1%。湖泊流行区疟疾知识知晓率为82%,高原流行区为9%,沿海流行区为6%,季节性流行区为3%。此外,根据气候数据,湖泊流行区与其他地区相比,94%适合疟疾传播。尽管使用了蚊帐并提高了对疟疾的认识,但疟疾传播仍然是一种威胁,特别是在湖泊流行区的各县。此外,居住地、气候因素、杀虫剂的所有权可能与该地区的疟疾有关。
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引用次数: 0
Molecular diagnosis and epidemiological aspects of cutaneous Leishmaniasis in Aleppo: Current status 阿勒颇皮肤利什曼病的分子诊断和流行病学方面:现状
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.parepi.2025.e00412
Lana Kourieh , Mohammad Y. Abajy , Mahasen Alkebajy , Silva Ishkhanian , Ream Nayal
For many decades, Cutaneous leishmaniasis (CL) has been endemic in Aleppo, Syria. The situation has worsened due to the ongoing war. Currently, CL diagnosis in Syria relies mainly on conventional methods, such as clinical symptoms and microscopic examination. This study aimed to evaluate the effectiveness of PCR (polymerase chain reaction) in diagnosing suspected CL cases. Two PCR protocols were applied: kDNA PCR for CL diagnosis and ITS2 PCR to identify the Leishmania parasite species. The results were compared with conventional methods, and correlations between CL prevalence and demographic factors were explored.
Between January 2021 and October 2022, 105 suspected CL patients were screened at the Leishmania Center in Aleppo. kDNA PCR showed a sensitivity of 100 %, detecting positive results in 92 samples. Microscopic examination had a sensitivity of 76.1 %, identifying Leishmania amastigotes in 70 out of 92 samples. ITS2 PCR revealed that L. tropica was the dominant species (96.0 %) in Aleppo. Prevalence of CL was higher among men (54.3 %), the 13–25 years age group (39.1 %), and those with poor to moderate living conditions (87.0 %). Patients typically had an average of 3 lesions, with the upper extremities (55.4 %) and face (35.9 %) being the most affected areas. The study recommends using kDNA PCR for CL diagnosis due to its high sensitivity. Furthermore, the reported demographic and epidemiological data can inform public health authorities in their efforts to treat and prevent leishmaniasis in the country.
几十年来,皮肤利什曼病一直在叙利亚阿勒颇流行。由于持续的战争,局势恶化了。目前,叙利亚的CL诊断主要依靠常规方法,如临床症状和显微镜检查。本研究旨在评估PCR(聚合酶链反应)在诊断疑似CL病例中的有效性。采用两种PCR方法:kDNA PCR诊断利什曼原虫,ITS2 PCR鉴定利什曼原虫种类。结果与常规方法进行了比较,并探讨了CL患病率与人口统计学因素的相关性。2021年1月至2022年10月期间,在阿勒颇利什曼原虫中心对105名疑似CL患者进行了筛查。kDNA PCR的灵敏度为100%,在92份样品中检测到阳性结果。显微镜检查灵敏度为76.1%,在92份样品中鉴定出70份利什曼原虫。ITS2 PCR结果显示,阿勒颇的优势种为热带假单胞菌(96.0%)。男性(54.3%)、13-25岁年龄组(39.1%)和生活条件差至中等的人群(87.0%)的CL患病率较高。患者通常平均有3个病变,上肢(55.4%)和面部(35.9%)是最受影响的区域。该研究建议使用kDNA PCR诊断CL,因为它的高灵敏度。此外,报告的人口和流行病学数据可以为公共卫生当局在该国治疗和预防利什曼病的努力提供信息。
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引用次数: 0
Magnitude of urban malaria and its associated risk factors in Damboya town, Kambata zone, Central Ethiopia 埃塞俄比亚中部坎巴塔地区丹博亚镇城市疟疾程度及其相关危险因素。
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.parepi.2024.e00398
Biruk Mulachew , Temesgen Bezuayehu , Solomon Asnake

Background

As Sub-Saharan African country urban malaria is potential catastrophe in Ethiopia, particularly in relation to rapidly growing small towns, which requires updating the epidemiology of malaria. There was lack of information regarding the study area, hence this study was designed to determine the prevalence of malaria and associated risk factors in Damboya town.

Methods

A Community-based cross-sectional study was carried from March 7 to May 29, 2023 among 422 randomly selected participants. Prevalence of malaria was determined using microscopic examination of thick and thin smear and rapid diagnostic test using kits to standard of the manufacturer. Pretested structured questionnaire was employed to collect socio-demographic data and associated risk factors. Data were entered in Epi data 3.1 and analyzed using SPSS version 25 software. Factors associated with malaria was analyzed using bivariable and multivariable binary logistic regression. The strength of the association was determined by computing Adjusted Odds Ratio (AOR) at Malaria is one of the most vital leading cause of morbidity and mortality in developing countries particularly in Sub Saharan Africa (Bugssa and Tedla, 2020). About 95 % of all malaria cases and 96 % of all malaria deaths in 2021 occurred in Africa (Bugssa and Tedla, 2020). Sub-Saharan Africa accounted for 60 % of global cases and 90 % of global fatalities (WHO, 2022). Over the two peak years of the pandemic (2020–2021), COVID-related setbacks increased malaria cases by around 13 million and fatalities by 63,000 (WHO, 2022). Malaria is thought to directly cost Africa $12 billion annually and reduce GDP growth by 3 %. In addition, it is thought to cause cognitive disorders and school absences, which are barriers to the development of human capital (Monroe et al., 2022). 95 % confidence interval (CI) and p-value of < 0.05.

Result

The prevalence of malaria was 5 % (20, 95 % CI: 3–7), Plasmodium vivix account for 14 (61.9 %) of the infection. Presence of stagnant water (AOR = 3.630, 95 % CI: 1–13, P < 0.049), unavailability of Insecticide-treated bed net (AOR = 3.89, 95 % CI: 1.08–14.01, P < 0.038), living in a house with eaves (AOR = 5.06, 95 %CI: 1.25–20.58, p < 0.023), travel history (AOR = 3.58, 95 %CI: 1–12.79, p < 0.049), low-income (AOR = 5.3, 95 %CI: 1.09–25.2, P < 0.038), were significantly associated with malaria occurrence.

Conclusion

Malaria is still a public health concern in Damboya town. Thus, implementing intervention strategies properly and evaluate the access and utilization status of the suburb community and improve accordingly was required to interrupt the transmission in the community of this town.
背景:作为撒哈拉以南非洲国家,城市疟疾在埃塞俄比亚是潜在的灾难,特别是与快速发展的小城镇有关,这需要更新疟疾流行病学。由于缺乏有关研究地区的信息,因此本研究旨在确定Damboya镇的疟疾流行情况和相关危险因素。方法:于2023年3月7日至5月29日,对随机抽取的422名参与者进行以社区为基础的横断面研究。采用厚薄涂片镜检和快速诊断试验确定疟疾流行情况,使用生产厂家标准的试剂盒。采用预先测试的结构化问卷收集社会人口统计数据及相关危险因素。数据在Epi数据3.1中录入,使用SPSS 25版软件进行分析。采用双变量和多变量二元logistic回归分析与疟疾相关的因素。这种关联的强度是通过计算调整优势比(AOR)来确定的,因为疟疾是发展中国家,特别是撒哈拉以南非洲地区发病和死亡的最重要的主要原因之一(Bugssa和Tedla, 2020)。2021年,约95%的疟疾病例和96%的疟疾死亡发生在非洲(Bugssa和Tedla, 2020年)。撒哈拉以南非洲占全球病例的60%和全球死亡人数的90%(世卫组织,2022年)。在大流行的两个高峰年份(2020-2021年),与covid相关的挫折使疟疾病例增加了约1300万例,死亡人数增加了6.3万例(世卫组织,2022年)。据认为,疟疾每年给非洲造成120亿美元的直接损失,并使GDP增长减少3%。此外,它被认为会导致认知障碍和缺课,这是人力资本发展的障碍(Monroe et al., 2022)。结果95%置信区间(CI)和p值:疟疾患病率为5%(20例,95% CI: 3 ~ 7例),其中14例(61.9%)为恶性疟原虫感染。存在死水(AOR = 3.630, 95% CI: 1-13, P P P P)结论:疟疾仍然是丹博亚镇的一个公共卫生问题。因此,需要正确实施干预策略,评估郊区社区的接入和利用状况,并进行相应的改善,以中断该镇社区的传播。
{"title":"Magnitude of urban malaria and its associated risk factors in Damboya town, Kambata zone, Central Ethiopia","authors":"Biruk Mulachew ,&nbsp;Temesgen Bezuayehu ,&nbsp;Solomon Asnake","doi":"10.1016/j.parepi.2024.e00398","DOIUrl":"10.1016/j.parepi.2024.e00398","url":null,"abstract":"<div><h3>Background</h3><div>As Sub-Saharan African country urban malaria is potential catastrophe in Ethiopia, particularly in relation to rapidly growing small towns, which requires updating the epidemiology of malaria. There was lack of information regarding the study area, hence this study was designed to determine the prevalence of malaria and associated risk factors in Damboya town.</div></div><div><h3>Methods</h3><div>A Community-based cross-sectional study was carried from March 7 to May 29, 2023 among 422 randomly selected participants. Prevalence of malaria was determined using microscopic examination of thick and thin smear and rapid diagnostic test using kits to standard of the manufacturer. Pretested structured questionnaire was employed to collect socio-demographic data and associated risk factors. Data were entered in Epi data 3.1 and analyzed using SPSS version 25 software. Factors associated with malaria was analyzed using bivariable and multivariable binary logistic regression. The strength of the association was determined by computing Adjusted Odds Ratio (AOR) at Malaria is one of the most vital leading cause of morbidity and mortality in developing countries particularly in Sub Saharan Africa (Bugssa and Tedla, 2020). About 95 % of all malaria cases and 96 % of all malaria deaths in 2021 occurred in Africa (Bugssa and Tedla, 2020). Sub-Saharan Africa accounted for 60 % of global cases and 90 % of global fatalities (WHO, 2022). Over the two peak years of the pandemic (2020–2021), COVID-related setbacks increased malaria cases by around 13 million and fatalities by 63,000 (WHO, 2022). Malaria is thought to directly cost Africa $12 billion annually and reduce GDP growth by 3 %. In addition, it is thought to cause cognitive disorders and school absences, which are barriers to the development of human capital (Monroe et al., 2022). 95 % confidence interval (CI) and <em>p</em>-value of &lt;<!--> <!-->0.05.</div></div><div><h3>Result</h3><div>The prevalence of malaria was 5 % (20, 95 % CI: 3–7), <em>Plasmodium vivix</em> account for 14 (61.9 %) of the infection. Presence of stagnant water (AOR = 3.630, 95 % CI: 1–13, <em>P</em> &lt; 0.049), unavailability of Insecticide-treated bed net (AOR = 3.89, 95 % CI: 1.08–14.01, <em>P</em> &lt; 0.038), living in a house with eaves (AOR = 5.06, 95 %CI: 1.25–20.58, <em>p</em> &lt; 0.023), travel history (AOR = 3.58, 95 %CI: 1–12.79, <em>p</em> &lt; 0.049), low-income (AOR = 5.3, 95 %CI: 1.09–25.2, P &lt; 0.038), were significantly associated with malaria occurrence.</div></div><div><h3>Conclusion</h3><div>Malaria is still a public health concern in Damboya town. Thus, implementing intervention strategies properly and evaluate the access and utilization status of the suburb community and improve accordingly was required to interrupt the transmission in the community of this town.</div></div>","PeriodicalId":37873,"journal":{"name":"Parasite Epidemiology and Control","volume":"28 ","pages":"Article e00398"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985034","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
Parasitic infection prevalence in tuberculosis patients and their household contacts in the Littoral Region of Cameroon 喀麦隆沿海地区结核病患者及其家庭接触者中的寄生虫感染流行率
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.parepi.2025.e00409
Lucy Cho Nchang , Chefor Magha , Patience Agwa Fonong , Narcisse Victor Tchamatchoua Gandjui , Nancielle Mbiatong Tchatat , Desmond Akumtoh Nkimbeng , Frank Noel Nietcho , Juluis Visnel Foyet , Fanny Fri Fombad , Tatiana Djikeussi Katcho , Jerome Fru Cho , Achim Hoerauf , Manuel Ritter , Samuel Wanji

Background

Parasitic infections are known to suppress the cell mediated immunity that protects against tuberculosis. The status of parasitic infections among bacteriologically confirmed tuberculosis patients and their household contacts in Cameroon is not well established. This study aimed at reporting the status of parasitic infections in TB patients and their household contacts with keen interest in associated risk factors to disease exposure.

Methodology

This was a hospital based cross-sectional descriptive study carried out with newly diagnosed active tuberculosis (TB) patients and their household contacts in the Littoral Region of Cameroon. Socio-demographic data and associated factors were collected using structured questionnaires. Blood, stool, urine and skin snip samples were collected following standard guidelines for investigation of parasitic infections. Descriptive analysis was performed, bivariate analysis was computed and a multivariable analysis was done to provide adjusted odds ratios (AOR).

Results

A total of 712 TB patients and 472 household contacts were recruited. The overall prevalence of parasitic infections in TB patients was 25.84 % (184/712) and household contacts was 31.36 % (148/472). Blood protozoan (Plasmodium falciparum) infection among active TB patients (20.22 %) and their household contacts (26.27 %) was the most frequently detected parasitic infection. Loa loa was the predominant helminth species seen among active TB patients while Schistosoma mansoni was the predominant helminth infection detected in household contacts. TB patients and household contacts living in urban areas had lower odds of being associated with helminth infections (AOR 0.2, 95 % CI: 0.10–0.40; p ˂ 0.0001 and AOR 0.11, 95 % CI: 0.04–0.27; p ˂ 0.0001 respectively) as compared to those residing in rural areas.

Conclusion

We observed that 31 % of the TB patients and household contacts are infected with parasites including P. falciparum, Loa loa and Since helminths can downregulate immune responses against bacterial infections and thus affect treatment efficacy, we recommend that diagnosis of parasitic infections should be included during TB diagnosis and treatment programmes, especially in rural areas.
背景:已知寄生虫感染可抑制细胞介导的抗结核免疫。喀麦隆细菌学证实的结核病患者及其家庭接触者中的寄生虫感染状况尚未得到很好的确定。本研究旨在报告结核病患者及其家庭接触者的寄生虫感染状况,并对疾病暴露的相关危险因素感兴趣。方法:这是一项基于医院的横断面描述性研究,研究对象是喀麦隆沿海地区新诊断的活动性结核病(TB)患者及其家庭接触者。采用结构化问卷收集社会人口统计数据及相关因素。血液、粪便、尿液和皮肤样本按照调查寄生虫感染的标准指南收集。进行描述性分析,计算双变量分析,并进行多变量分析以提供调整后的优势比(AOR)。结果:共纳入结核病患者712例,家庭接触者472例。结核病患者寄生虫感染总体患病率为25.84%(184/712),家庭接触者为31.36%(148/472)。活动性结核患者及其家庭接触者中血原虫(恶性疟原虫)感染最多(20.22%),其感染比例为26.27%。活动性结核患者中以罗阿血吸虫为主,家庭接触者中以曼氏血吸虫为主。结核病患者和生活在城市地区的家庭接触者与寄生虫感染相关的几率较低(AOR为0.2,95% CI: 0.10-0.40;p < 0.0001, AOR 0.11, 95% CI: 0.04-0.27;P < 0.0001),与居住在农村地区的人相比。结论:我们观察到31%的结核病患者和家庭接触者感染了寄生虫,包括恶性疟原虫、罗阿罗阿疟原虫和寄生虫。由于寄生虫可以下调对细菌感染的免疫反应,从而影响治疗效果,我们建议在结核病诊断和治疗规划中纳入寄生虫感染的诊断,特别是在农村地区。
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引用次数: 0
Emerging malaria in Indonesia: An overview of Plasmodium knowlesi infections 印度尼西亚新出现的疟疾:诺氏疟原虫感染概况
IF 2 Q3 INFECTIOUS DISEASES Pub Date : 2025-02-01 DOI: 10.1016/j.parepi.2024.e00405
Nisa Fauziah , Karomahul Malaya Jati , Fedri Ruluwedrata Rinawan , Naufal Fakhri Nugraha , Bachti Alisjahbana , Jontari Hutagalung

Background

Plasmodium knowlesi, the fifth malaria-causing parasite species, is currently changing the landscape of the most dominant malaria-causing species in the Southeast Asia by becoming the emerging significant cause of malaria in the region, including in Indonesia. This study aimed to provide an overview of malaria caused by P. knowlesi in Indonesia.

Methods

This study utilized secondary data from the Indonesian National Referral Malaria Laboratory from 2011 to 2020 for the analysis.

Results

Analysis on 212 samples collected over ten years identified 66 (31.1 %) cases of P. knowlesi infection, with one (0.5 %) mixed infection of P. knowlesi and P. vivax. These cases were reported in seven provinces in Kalimantan and Sumatra islands. Males were 2.23 times more likely to be at risk for malaria compared to females, and this result was statistically significant (p-value = 0.037, 95 % CI: 0.84–5.91). There was no significant association between the risk of malaria and the age groups classified as non-productive and productive (p-value = 0.535, OR = 0.42, 95 % CI: 0.12–1.53). Individuals working outdoors were not significantly more protected compared to those working indoors (p-value of 0.116, OR = 0.15, 95 % CI: 0.02–1.49). The origin of the sample was found to be the most significant factor (p-value <0.001), with individuals from Kalimantan having the highest risk for malaria caused by P. knowlesi (OR = 3.97, 95 % CI: 2.10–7.49).

Conclusions

Two major Indonesian islands of Sumatra and Kalimantan, which reported malaria cases during the period studied, exhibit a potential risk for P. knowlesi infections that is influenced by factors beyond natural hosts and vectors, such as sex, age, and occupation. Routine PCR examinations for suspected P. knowlesi infections are crucial for developing effective strategies to identify and control this simian malaria parasite.
背景诺氏疟原虫是第五种引起疟疾的寄生虫,它目前正在改变东南亚最主要的引起疟疾的物种的格局,成为该地区(包括印度尼西亚)出现的重要疟疾病因。本研究旨在对印度尼西亚诺氏疟原虫引起的疟疾进行综述。方法利用2011 - 2020年印度尼西亚国家疟疾转诊实验室的二手数据进行分析。结果10年间采集的212份样本中,诺氏疟原虫感染66例(31.1%),诺氏疟原虫与间日疟原虫混合感染1例(0.5%)。在加里曼丹和苏门答腊岛的七个省报告了这些病例。男性患疟疾的风险是女性的2.23倍,这一结果具有统计学意义(p值= 0.037,95% CI: 0.84-5.91)。疟疾风险与被划分为非生产性和生产性年龄组之间没有显著关联(p值= 0.535,OR = 0.42, 95% CI: 0.12-1.53)。在室外工作的个体与在室内工作的个体相比,并没有得到更多的保护(p值为0.116,OR = 0.15, 95% CI: 0.02-1.49)。样本的来源是最重要的因素(p值<;0.001),来自加里曼丹的个体感染诺氏疟原虫引起的疟疾的风险最高(OR = 3.97, 95% CI: 2.10-7.49)。结论印度尼西亚苏门答腊岛和加里曼丹岛在本研究期间报告了疟疾病例,存在诺氏疟原虫感染的潜在风险,受自然宿主和媒介以外的因素影响,如性别、年龄和职业。对疑似诺氏疟原虫感染进行常规聚合酶链反应检测对于制定识别和控制这种类人猿疟疾寄生虫的有效战略至关重要。
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引用次数: 0
期刊
Parasite Epidemiology and Control
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