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First report of T. spiralis in a wolf in Italy: An increasing health concern? 意大利首次报告狼体内发现螺旋形螺旋体:日益严重的健康问题?
IF 2.9 Q2 PARASITOLOGY Pub Date : 2024-12-26 DOI: 10.1016/j.fawpar.2024.e00253
G. Marucci , C. Raso , E. Borgogni , F. Celani , I. Tartarelli , S. Cherchi , A. Di Giambattista , P. Calderini , A. Casulli
Trichinella spiralis is a zoonotic nematode parasite of worldwide distribution. It is present in Europe with important foci, particularly in Eastern countries and Spain. This species is generally associated with a domestic cycle that involves primarily pigs. It is best adapted for pigs but can also infect a wide range of other domestic, synanthropic, and wild mammals including carnivores, omnivores and scavengers. Before 2016, when T. spiralis larvae were detected in a red fox (Vulpes vulpes) in the Piacenza province (Emilia Romagna region, Northern Italy), this parasite had only been reported in Italy occasionally, being found in horses or pork products imported from Eastern Europe. We describe here the first isolation of T. spiralis in a wolf (Canis lupus) in the Lazio region, Central Italy. In the wolf specimen T. spiralis was identified in coinfection with Trichinella britovi, a species endemic in Italian wildlife. Among the Trichinella species, T. spiralis is the most frequently associated with human disease in Europe and is known to cause more severe symptoms than T. britovi. In light of wolf population expansion, the detection of T. spiralis in Central Italy implies new scenarios for the risk of human trichinellosis because of the high risk this species represents for domestic and wild pigs. Active monitoring of wildlife living in these areas is necessary to define the actual distribution of  this species and to detect its possible presence in other areas of the Italian peninsula.
旋毛虫是一种分布于世界各地的人畜共患线虫寄生虫。它目前在欧洲有重要的焦点,特别是在东方国家和西班牙。这一物种通常与主要涉及猪的家庭循环有关。它最适合猪,但也可以感染广泛的其他家养、共生和野生哺乳动物,包括食肉动物、杂食动物和食腐动物。2016年之前,在皮亚琴察省(意大利北部艾米利亚罗马涅大区)的一只红狐(Vulpes Vulpes)体内检测到螺旋体绦虫幼虫时,这种寄生虫仅在意大利偶尔报告,在从东欧进口的马或猪肉产品中发现。我们在这里描述了第一次分离螺旋体在狼(狼犬)在拉齐奥地区,意大利中部。在狼标本中,鉴定出螺旋体与意大利野生动物特有种布氏旋毛虫共感染。在旋毛虫种类中,螺旋体是欧洲最常与人类疾病相关的,已知比布氏弓形虫引起更严重的症状。鉴于狼种群的扩大,在意大利中部发现螺旋形螺旋体意味着人类旋毛虫病风险的新情况,因为该物种对家猪和野猪具有高风险。有必要对生活在这些地区的野生动物进行积极监测,以确定该物种的实际分布,并发现其在意大利半岛其他地区的可能存在。
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引用次数: 0
Molecular characterization and zoonotic risk assessment of Cryptosporidium spp. in Philippine bats 菲律宾蝙蝠隐孢子虫的分子特征及人畜共患风险评估。
IF 2.9 Q2 PARASITOLOGY Pub Date : 2024-12-06 DOI: 10.1016/j.fawpar.2024.e00249
Lin Xu , Yasuhiro Fukuda , Fumi Murakoshi , Phillip Alviola , Joseph Masangkay , Frances Cagayat Recuenco , Ayman Shehata , Tsutomu Omatsu , Hironori Bando , Hikaru Fujii , Yumi Une , Kentaro Kato
Cryptosporidium is a genus of parasitic protozoa known to cause diarrheal disease that impacts both humans and animals through infection of various vertebrate species. Bats are recognized as reservoirs for zoonotic pathogens, including Cryptosporidium. The Philippines, renowned for its rich biodiversity, is home to diverse bat species, providing a unique ecological setting to investigate Cryptosporidium infection dynamics. Understanding the prevalence and genetic diversity of Cryptosporidium in Philippine bats is crucial for assessing their potential role in zoonotic disease transmission and associated public health risks.
We investigated the prevalence and genotypic diversity of Cryptosporidium in bats in the Philippines. From January 2019 to March 2024, a total of 569 bats were captured and analyzed, with 14 of the bat samples testing positive for the 18 s rRNA gene of Cryptosporidium, yielding an overall infection rate of 2.46 %. One sample exhibited co-infection, with 18 s rRNA sequence analysis indicating mixed infection with a species closely related to Cryptosporidium parvum (intestinal Cryptosporidium) and Cryptosporidium sp. (gastric Cryptosporidium). Phylogenetic analysis of the 18S rRNA gene revealed that intestinal and gastric Cryptosporidium spp. form two distinct clades. Intestinal Cryptosporidium includes C. parvum, C. hominis, and most bat genotypes, while gastric Cryptosporidium, such as C. andersoni and C. serpentis, is typically found in reptiles and cattle. An unidentified Cryptosporidium species was also detected in one sample, whose sequence matched that of Cryptosporidium previously isolated from a human patient with diarrhea. Nine other samples exhibited genotypes related to C. parvum, indicating a potential for transmission to humans. The remaining three samples exhibited Cryptosporidium bat genotypes II and VI, which have previously been detected in Philippine bats. Our findings underscore the role of bats in the Philippines as potential reservoirs for Cryptosporidium and highlight the diversity of Cryptosporidium species in Philippine bats.
隐孢子虫是一种寄生原生动物属,已知可引起腹泻疾病,通过感染多种脊椎动物影响人类和动物。蝙蝠被认为是包括隐孢子虫在内的人畜共患病病原体的宿主。菲律宾以其丰富的生物多样性而闻名,是多种蝙蝠的家园,为研究隐孢子虫感染动态提供了独特的生态环境。了解菲律宾蝙蝠隐孢子虫的流行和遗传多样性对于评估其在人畜共患疾病传播和相关公共卫生风险中的潜在作用至关重要。我们调查了菲律宾蝙蝠隐孢子虫的流行率和基因型多样性。2019年1月至2024年3月,共捕获并分析了569只蝙蝠,其中14只蝙蝠样本隐孢子虫18s rRNA基因检测呈阳性,总感染率为2.46%。其中1份样品出现共感染,经18 s rRNA序列分析,表明混合感染了一种与小肠隐孢子虫(小肠隐孢子虫)和胃隐孢子虫(胃隐孢子虫)密切相关的物种。对18S rRNA基因的系统发育分析表明,肠道隐孢子虫和胃隐孢子虫形成两个不同的分支。肠道隐孢子虫包括小隐孢子虫、人隐孢子虫和大多数蝙蝠基因型,而胃隐孢子虫,如安德氏隐孢子虫和蛇隐孢子虫,通常在爬行动物和牛身上发现。在一个样本中还检测到一种未确定的隐孢子虫,其序列与先前从人类腹泻患者中分离的隐孢子虫序列相匹配。其他9个样本显示出与小孢子虫相关的基因型,表明有可能传播给人类。其余3份样本显示隐孢子虫蝙蝠基因型II和VI,这两种基因型以前曾在菲律宾蝙蝠中检测到。我们的研究结果强调了菲律宾蝙蝠作为隐孢子虫潜在宿主的作用,并强调了菲律宾蝙蝠隐孢子虫物种的多样性。
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引用次数: 0
Editorial Board Page
IF 2.9 Q2 PARASITOLOGY Pub Date : 2024-12-01 DOI: 10.1016/S2405-6766(24)00032-5
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引用次数: 0
Immuno-therapeutic and prophylactic potential of Trichinella spiralis antigens for inflammatory bowel diseases 螺旋旋毛虫抗原对炎症性肠病的免疫治疗和预防潜力
IF 2.9 Q2 PARASITOLOGY Pub Date : 2024-10-06 DOI: 10.1016/j.fawpar.2024.e00248
Majed H. Wakid , Walaa A. El Kholy , Muslimah N. Alsulami , Eman S. El-Wakil
Ulcerative colitis (UC), a severe chronic inflammatory disorder of the colon, is one of the inflammatory bowel diseases (IBD) that affects humans and several domestic animal species, including cats and dogs. Helminth infections and autoimmune diseases are inversely correlated, as explained by the hygiene hypothesis, which suggests that IBD is infrequent in countries where helminth infections are common but more prevalent in developed nations. This study investigated the therapeutic and prophylactic potential of Trichinella spiralis (T. spiralis) antigens in an experimental colitis model for IBD. Mice were divided into eight groups: normal model, colitis model, larval antigen prophylaxis, adult antigen prophylaxis, larval antigen therapeutic, adult antigen therapeutic, larval antigen prophylaxis and therapeutic, and adult antigen prophylaxis and therapeutic. Colitis was induced intrarectally by administering a single dose of 0.2 ml of acetic acid, except in the healthy group, which received PBS (0.2 ml). The mice were euthanized 12 days after colitis induction. The therapeutic and prophylactic potential of T. spiralis antigens were assessed through colitis severity and histopathological, immunological, and immunohistochemical examinations. The results showed a significant reduction in Disease Activity Index (DAI), an increase in goblet cells' acidic mucin levels, reduced iNOS and TNF-α expression, and decreased serum levels of IFN-γ and IL-10 cytokines in Groups IV-VIII compared to the colitis model, particularly in the group that received adult worm antigen both prophylactically and therapeutically. This study demonstrated that T. spiralis antigens, especially from adult worms, had protective and therapeutic effects on experimental colitis, with a superior effect when administered both before and after colitis induction by reducing inflammation and modulating the immune response. Thus, T. spiralis antigens may improve disease outcomes and provide a novel treatment approach for ulcerative colitis.
溃疡性结肠炎(UC)是一种严重的结肠慢性炎症性疾病,是炎症性肠病(IBD)的一种,影响人类和包括猫和狗在内的几种家养动物。螺旋体感染与自身免疫性疾病呈反比关系,正如 "卫生假说 "所解释的那样,"卫生假说 "认为,在螺旋体感染普遍的国家,IBD并不常见,但在发达国家则更为流行。本研究调查了螺旋毛癣菌(T. spiralis)抗原在 IBD 实验性结肠炎模型中的治疗和预防潜力。小鼠分为八组:正常模型组、结肠炎模型组、幼虫抗原预防组、成虫抗原预防组、幼虫抗原治疗组、成虫抗原治疗组、幼虫抗原预防和治疗组、成虫抗原预防和治疗组。通过直肠内注射单剂量 0.2 毫升醋酸诱发结肠炎,健康组除外,该组接受的是 PBS(0.2 毫升)。小鼠在诱导结肠炎 12 天后安乐死。通过结肠炎严重程度以及组织病理学、免疫学和免疫组化检查评估了螺旋体抗原的治疗和预防潜力。结果显示,与结肠炎模型相比,第四至第八组的疾病活动指数(DAI)明显降低,鹅口疮细胞酸性粘蛋白水平升高,iNOS和TNF-α表达减少,血清中IFN-γ和IL-10细胞因子水平降低,尤其是同时接受成虫抗原预防和治疗的组。这项研究表明,螺旋体抗原,尤其是来自成虫的抗原,对实验性结肠炎具有保护和治疗作用,在结肠炎诱导前后给药,通过减轻炎症和调节免疫反应,效果更佳。因此,螺旋体抗原可改善疾病预后,为溃疡性结肠炎提供一种新的治疗方法。
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引用次数: 0
Auditing of Danish pig herds for controlled housing requirements and Trichinella 对丹麦猪群的控制饲养要求和旋毛虫审计
IF 2.9 Q2 PARASITOLOGY Pub Date : 2024-09-30 DOI: 10.1016/j.fawpar.2024.e00247
Lis Alban , Heidi Enemark , Heidi Huus Petersen , Lisbeth Harm Nielsen
Trichinella is a zoonotic parasite, which historically has been of large concern for public health in Europe. Consequently, testing of all pigs for Trichinella has been mandatory in many European countries, even though Trichinella is almost exclusively found in outdoor or backyard production. The idea therefore emerged that auditing for biosecurity should replace testing in indoor production. In the European Union (EU), pigs raised under so-called controlled housing conditions are exempt from testing. The specific requirements for a pig production to be considered a controlled housing holding are described in Annex IV in the EU Trichinella Regulation No. 2015/1375. In Denmark, the controlled housing concept is used extensively, not to omit Trichinella testing but to allow visual-only post-mortem inspection at export-authorized abattoirs. The Danish pig industry has established a quality assurance scheme called DANISH Product Standard, which is used to assure that the pig production maintains specific standards. This paper describes how the control, including the auditing, is set up and shows how the EU requirements regarding controlled housing are controlled. Moreover, the EU requirements are compared with the recommendations issued by the International Commission on Trichinellosis and the World Organisation for Animal Health. Finally, strengths, weaknesses, opportunities and threats of the Danish way of documenting indoor finisher herds' compliance with controlled housing as specified by the EU are discussed. It is concluded that the validity of the system is high.
旋毛虫是一种人畜共患病寄生虫,历来是欧洲公共卫生的重大问题。因此,尽管旋毛虫几乎只出现在室外或散养生产中,但许多欧洲国家仍强制要求对所有猪只进行旋毛虫检测。因此,出现了一种想法,即生物安全审计应取代室内生产中的检测。在欧盟(EU),在所谓的受控饲养条件下饲养的猪可免于检测。欧盟第 2015/1375 号旋毛虫法规附件 IV 中描述了将养猪场视为受控饲养场的具体要求。在丹麦,受控饲养概念得到了广泛应用,这并不是为了省去旋毛虫检测,而是为了允许在出口授权屠宰场进行仅目视的死后检查。丹麦养猪业制定了一项名为 "丹麦产品标准 "的质量保证计划,用于确保养猪生产保持特定标准。本文介绍了如何建立包括审计在内的控制措施,并说明了如何控制欧盟有关控制饲养的要求。此外,还将欧盟的要求与国际毛霉菌病委员会和世界动物卫生组织提出的建议进行了比较。最后,讨论了丹麦记录室内育成畜群是否符合欧盟规定的控制饲养要求的方法的优势、劣势、机遇和威胁。结论是该系统的有效性很高。
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引用次数: 0
An immunochromatographic test using whole blood for rapid diagnosis of human paragonimiasis and its diagnostic usefulness 利用全血进行快速诊断人类副银屑病的免疫层析试验及其诊断用途
IF 2.9 Q2 PARASITOLOGY Pub Date : 2024-09-23 DOI: 10.1016/j.fawpar.2024.e00246
Patcharaporn Boonroumkaew , Lakkhana Sadaow , Penchom Janwan , Rutchanee Rodpai , Oranuch Sanpool , Tongjit Thanchomnang , Hiroshi Yamasaki , Pewpan M. Intapan , Wanchai Maleewong
Paragonimiasis is a harmful food-borne zoonosis caused by lung flukes of the genus Paragonimus. The disease is found on most continents, several million people are at risk of infection, and it is a re-emerging disease in developing countries. The gold standard for diagnosis of pulmonary paragonimiasis requires the finding of eggs in sputa and/or fecal samples. In ectopic paragonimiasis cases, eggs are typically not seen, and supportive information is required such as a history of eating freshwater crabs or crayfishes, radiographic findings and immunological tests. Here, we developed a proof of concept based on lateral flow assay, an immunochromatographic test kit, named the paragonimiasis whole-blood test kit, for detection of specific IgG antibody in simulated whole-blood samples (WBSs) using worm excretory-secretory antigens to diagnose human paragonimiasis. The laboratory diagnostic values of this kit were compared with the detected IgG in serum samples. In simulated WBSs, the diagnostic sensitivity and specificity were 97.8 % and 96.1 %, respectively, while for serum samples, these values were 100.0 % and 94.8 %, respectively. The comparative IgG antibody detections whether a result was positive or negative between simulated WBSs and serum samples did not differ significantly with a concordance of 97.8 % in laboratory conditions using a circumscribed set of samples. The tool is fast and easy to use. The next step involves observing and evaluating native whole blood samples and using specific recombinant antigens need to be evaluated for support diagnosis of paragonimiasis caused by P. heterotremus, P. westermani and P. miyazakii at the bedside or at local and remote hospitals with limited facilities. It will also be valuable for epidemiological surveys in Asia where paragonimiasis is endemic.
副猪嗜血杆菌病是一种由副猪嗜血杆菌属肺吸虫引起的有害食源性人畜共患病。这种疾病在大多数大陆都有发现,数百万人面临感染风险,而且在发展中国家正在重新流行。诊断肺吸虫病的金标准是在痰和/或粪便样本中发现虫卵。在异位副银屑病病例中,通常看不到虫卵,需要提供辅助信息,如食用淡水蟹或小龙虾的病史、放射学检查结果和免疫学测试。在此,我们开发了一种基于侧流检测的概念验证方法,即一种免疫层析检测试剂盒,命名为副银屑病全血检测试剂盒,利用蠕虫排泄物分泌抗原检测模拟全血样本(WBSs)中的特异性 IgG 抗体,以诊断人类副银屑病。该试剂盒的实验室诊断值与血清样本中检测到的 IgG 进行了比较。在模拟 WBS 中,诊断灵敏度和特异性分别为 97.8 % 和 96.1 %,而在血清样本中,这两个值分别为 100.0 % 和 94.8 %。在实验室条件下,使用一组限定的样本对模拟 WBS 和血清样本的 IgG 抗体检测结果进行比较,无论结果是阳性还是阴性,差异都不大,一致性为 97.8%。该工具使用简单快捷。下一步将对本地全血样本进行观察和评估,并使用特异性重组抗原进行评估,以支持在床边或设施有限的地方和偏远医院诊断由异变形杆菌、西马尼氏菌和宫崎马尼氏菌引起的副猪嗜血杆菌病。这对于在副银屑病流行的亚洲进行流行病学调查也很有价值。
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引用次数: 0
Editorial Board Page 编辑委员会页面
IF 2.9 Q2 PARASITOLOGY Pub Date : 2024-09-01 DOI: 10.1016/S2405-6766(24)00026-X
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引用次数: 0
Filters comprised of sand and Zero Valent Iron hold promise as tools to mitigate risk posed by Cyclospora cayetanensis oocysts 由沙子和零价铁组成的过滤器有望成为降低卡耶坦环孢子虫卵囊风险的工具
IF 2.9 Q2 PARASITOLOGY Pub Date : 2024-08-31 DOI: 10.1016/j.fawpar.2024.e00243
C. Yeager , M. Tucker , A. Gutierrez , C. O'Brien , M. Sharma , V. Fournet , J.P. Dubey , M. Jenkins , K. Kniel , B.M. Rosenthal

Irrigation water contaminated by human fecal material may elevate the risk of produce contamination with the enteric parasite Cyclospora cayetanensis. Oocysts of C. cayetanensis are resistant to commonly used disinfectants and a method of removing C. cayetanensis from irrigation water would mitigate this risk. We evaluated zero valent iron (ZVI) sand filtration as one such method. We sought to determine if sand filters containing ZVI outperformed those without ZVI. We first evaluated the abundant poultry parasites Eimeria maxima, E. tenella and E. acervulina as surrogates for C. cayetanensis. We determined if a miniaturized gravity fed ZVI-sand filter, scaled to evaluate scarce supplies of C. cayetanensis oocysts, provided useful information about the performance of larger filtration systems. Filters were inoculated with oocysts, rinsed, and the resulting filtrate examined microscopically for oocysts. We performed experiments to measure the effect of varying ZVI concentrations, repeated filter use, simulated agricultural water, and oocyst size and condition. We then compared the performance of mini filters to that of larger, gravity-fed pool filters and found that ZVI-sand filtration was far more effective at removing Eimeria spp. from water when compared to sand filtration, at both scales. Sand mini filters retained 13–54 % of E. acervulina oocysts, and pool filters retained 82 %, but when combined with 50 % (mini filter) or 35 % (pool filter) v/v ZVI, mini filters retained 89–99 % of oocysts and pool filters retained >99 %. The effectiveness of the mini filters increased with increasing ZVI concentration, and the addition of ZVI far outweighed the influence of any other measured variable. We then performed experiments including C. cayetanensis, which provided similar results to those utilizing Eimeria; 59 % of inoculated C. cayetanensis oocysts were retained in sand mini filters, and 97 % in mini filters composed of 35 % v/v ZVI. In sum, ZVI is highly effective in removing oocysts from water and Eimeria is a useful surrogate for C. cayetanensis to assess filtration. ZVI-sand filtration shows promise as a tool to mitigate the risk of C. cayetanensis contamination of irrigation water. Further studies should evaluate the performance of ZVI-sand in pressurized fast filtration systems under a range of field conditions.

被人类粪便污染的灌溉水可能会增加农产品被卡耶坦环孢子虫污染的风险。C. cayetanensis 的卵囊对常用的消毒剂有抗药性,因此从灌溉水中去除 C. cayetanensis 的方法可以降低这种风险。我们评估了零价铁(ZVI)砂滤法。我们试图确定含零价铁的砂滤器是否优于不含零价铁的砂滤器。我们首先评估了大量的家禽寄生虫 Eimeria maxima、E. tenella 和 E. acervulina 作为 C. cayetanensis 的替代品。我们确定了微型重力进给 ZVI 砂过滤器的规模,以评估稀缺的 Cayetanensis 卵囊供应,该过滤器是否能提供有关大型过滤系统性能的有用信息。在过滤器中接种卵囊,然后冲洗,用显微镜检查滤液中的卵囊。我们进行了实验,以测量不同 ZVI 浓度、重复使用过滤器、模拟农业用水以及卵囊大小和状况的影响。然后,我们将微型过滤器的性能与大型重力式水池过滤器的性能进行了比较,结果发现,与砂滤相比,ZVI-砂滤在去除水中艾美耳菌属方面的效果要好得多。小型砂滤器能保留 13% 到 54% 的埃默氏菌卵囊,而水池过滤器能保留 82% 的卵囊,但当与 50% (小型过滤器)或 35% (水池过滤器)v/v ZVI 结合使用时,小型过滤器能保留 89% 到 99% 的卵囊,而水池过滤器能保留 >99% 的卵囊。微型过滤器的效果随着 ZVI 浓度的增加而提高,ZVI 的添加远远超过了任何其他测量变量的影响。然后,我们又进行了卡耶坦氏菌的实验,结果与利用艾美拉菌的实验相似;沙质小型过滤器保留了 59% 的接种卡耶坦氏菌卵囊,而在含有 35% v/v ZVI 的小型过滤器中则保留了 97%。总之,ZVI 能高效去除水中的卵囊,而埃默氏菌是评估卡耶坦金氏虫过滤效果的有效替代物。ZVI 砂滤技术有望成为降低 Cayetanensis 污染灌溉水风险的一种工具。进一步的研究应评估 ZVI 砂在一系列实地条件下加压快速过滤系统中的性能。
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引用次数: 0
Foodborne concerns of Blastocystis spp. in marine animals (fish, bivalves, and sponges): A systematic review and meta-analysis of global prevalence and subtypes distribution 海洋动物(鱼类、双壳贝类和海绵)中由食物引起的布氏囊虫问题:全球流行率和亚型分布的系统回顾和荟萃分析
IF 2.9 Q2 PARASITOLOGY Pub Date : 2024-08-25 DOI: 10.1016/j.fawpar.2024.e00242
Mohammad Ghafari-Cherati , Amin Karampour , Seyedeh-Sara Nazem-Sadati , Ali Asghari

Blastocystis spp. is a common intestinal parasite found in humans and various animals, including marine species like fish, bivalves, and sponges. While traditionally considered non-pathogenic, emerging evidence suggests potential foodborne concerns, especially for vulnerable populations. The present systematic review and meta-analysis reviewed four electronic databases (PubMed, Scopus, Google Scholar, and Web of Science) until June 13, 2024, for studies reporting the prevalence and subtypes (STs) distribution of Blastocystis spp. in marine animals, including fish, bivalves, and sponges, to assess foodborne concern and zoonotic importance. In the analysis of 11 studies involving 1329 marine animals from nine countries, five studies/datasets (742 samples) focused on fish, five studies/datasets (567 samples) on bivalves, and one (20 samples) on sponges. This review found that 12.4 % (95 % CI: 4.3–31 %) of marine animals globally were infected by Blastocystis spp., with bivalves showing the highest infection rate at 32 % (95 % CI: 13–59.7 %), exceeding sponges with a single study at 10 % (95 % CI: 2.5–32.4 %), and fish at 4.4 % (95 % CI: 2–9.3 %). Sensitivity analysis assessed changes in weighted prevalence after excluding certain studies. A subgroup analysis of Blastocystis spp. prevalence was conducted based on publication years, countries, continents, WHO regions, and sample sizes. The data collected indicated that marine animals serve as suitable reservoirs for various Blastocystis spp. STs (ST1-ST4, ST7, ST8, ST10, ST14, ST23, ST26, and ST44), with most (except for ST26 and ST44) having the potential for zoonotic transmission. Overall, the findings emphasize the potential for foodborne risk posed by Blastocystis spp. in marine animals and highlight the need for improved monitoring and control measures to ensure food safety.

Blastocystis spp.是一种常见的肠道寄生虫,存在于人类和各种动物体内,包括鱼类、双壳类动物和海绵等海洋物种。虽然传统上被认为是非致病性的,但新出现的证据表明它可能会引起食源性疾病,尤其是对弱势群体。本系统综述和荟萃分析回顾了截至 2024 年 6 月 13 日的四个电子数据库(PubMed、Scopus、Google Scholar 和 Web of Science)中有关报告海洋动物(包括鱼类、双壳贝类和海绵)中布氏囊虫流行率和亚型(STs)分布的研究,以评估食源性问题和人畜共患病的重要性。在对涉及 9 个国家 1329 种海洋动物的 11 项研究进行的分析中,5 项研究/数据集(742 个样本)侧重于鱼类,5 项研究/数据集(567 个样本)侧重于双壳贝类,1 项研究(20 个样本)侧重于海绵。本综述发现,全球有 12.4 %(95 % CI:4.3-31 %)的海洋动物感染了 Blastocystis spp.,其中双壳类动物的感染率最高,为 32 %(95 % CI:13-59.7 %),超过了只有一项研究的海绵类动物的 10 %(95 % CI:2.5-32.4 %)和鱼类的 4.4 %(95 % CI:2-9.3 %)。敏感性分析评估了排除某些研究后加权患病率的变化。根据发表年份、国家、大陆、世卫组织地区和样本大小,对布氏囊虫感染率进行了分组分析。收集到的数据表明,海洋动物是各种囊泡属 ST(ST1-ST4、ST7、ST8、ST10、ST14、ST23、ST26 和 ST44)的合适贮藏地,其中大多数(ST26 和 ST44 除外)具有人畜共患病传播的潜力。总之,研究结果强调了海洋动物中的布氏囊霉菌可能带来的食源性风险,并强调了改进监测和控制措施以确保食品安全的必要性。
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引用次数: 0
Prevalence of Entamoeba histolytica/dispar and Giardia lamblia infections and their associated factors among schoolchildren in the Amhara region, Northwest Ethiopia 埃塞俄比亚西北部阿姆哈拉地区学龄儿童中组织溶解恩塔米巴氏菌/双球菌和蓝氏贾第鞭毛虫感染的流行率及其相关因素
IF 2.9 Q2 PARASITOLOGY Pub Date : 2024-08-13 DOI: 10.1016/j.fawpar.2024.e00241
Tadesse Hailu, Getaneh Alemu

Globally, intestinal protozoa E. histolytica/dispar and Giardia lamblia are the cause of amoebiasis and giardiasis, respectively. Despite their important medical importance and common occurrence in Ethiopia, they are minimally addressed in terms of their prevalence, sensitive diagnostic methods, and associated risk factors. Infections with E. histolytica/dispar and G. lamblia are often misdiagnosed and underreported in impoverished countries. Thus, the purpose of this study was to ascertain the prevalence of Giardia lamblia and E. histolytica/dispar infections as well as related variables among schoolchildren in the Amhara region. A cross-sectional study was conducted among 844 schoolchildren in the Amhara region from April to December 2019. A stool sample was collected from each study participant and processed via the formol ether concentration technique (FECT) and spontaneous tube sedimentation techniques (STST). Data were entered in EpiData and analysed by SPSS statistical software. The prevalence of E. histolytica and G. lamblia infections using each diagnostic method and composite reference was determined by descriptive statistics. The association of risk factors with E. histolytica/dispar and G. lamblia infections was analysed by logistic regression and variables with p < 0.05 were considered to have statistical significance. From the total, 243 (28.8%) schoolchildren were found to be infected by at least one of E. histolytica/dispar or G. lamblia. The prevalence of E. histolytica/dispar and G. lamblia infections was 201 (23.8%) and 62 (7.3%), respectively. The co-infection prevalence with both E. histolytica/dispar and G. lamblia was 22 (2.6%). The sensitivity (78.6%) and negative predictive value of STST (19.6%) were higher than FECT sensitivity (65.4%) and negative predictive value (13.1%). Children in 10–14 years of age (AOR = 1.66;95%CI: 1.16–2.38), lived in the rural (AOR = 1.97;95%CI: 1.12–3.49), used latrine improperly (AOR = 1.49;95%CI: 1.04–2.13), did not wash hands before meal (AOR = 2.10; 95%CI:1.08–4.10), and after latrine (AOR = 1.51;95%CI: 1.05–2.19), ate unwashed raw vegetables (AOR = 1.85;95%CI:1.26–2.70), and played with soil (AOR = 1.48;95%CI:1.06–2.06) were associated with E. histolytica/dispar and G. lamblia infection. These findings revealed high prevalence of E. histolytica/dispar and G. lamblia infections was high in the Amhara region. Therefore, proper implementation of water, sanitation and hygiene should be advocated at the community and school levels to mitigate the disease burden.

在全球范围内,阿米巴病和贾第鞭毛虫分别由肠道原生动物组织溶解虫/双鞭毛虫和蓝氏贾第鞭毛虫引起。尽管这两种原虫在医学上具有重要意义,而且在埃塞俄比亚也很常见,但人们对它们的发病率、敏感的诊断方法和相关的风险因素却知之甚少。在贫困国家,组织溶血性大肠埃希氏菌/二孢子虫和羊膜包虫感染常常被误诊,报告率也很低。因此,本研究的目的是确定阿姆哈拉地区学龄儿童中蓝氏贾第鞭毛虫和组织溶解性大肠杆菌/双球菌感染的流行率以及相关变量。这项横断面研究于2019年4月至12月在阿姆哈拉地区的844名学童中进行。研究人员收集了每位参与者的粪便样本,并通过甲醇醚浓缩技术(FECT)和自发管沉降技术(STST)进行处理。数据被输入 EpiData,并通过 SPSS 统计软件进行分析。使用每种诊断方法和综合参考值确定的组织溶解性大肠杆菌和羊角风疫病感染率是通过描述性统计确定的。通过逻辑回归分析了风险因素与组织溶解埃希氏菌/dispar 和羊膜蛆感染的关系,p < 0.05 的变量被认为具有统计学意义。结果发现,共有 243 名学童(28.8%)至少感染了一种组织溶解性大肠杆菌/dispar 或羊膜蛆。感染组织溶解性大肠杆菌/双球菌和羊膜蛆的人数分别为 201 人(23.8%)和 62 人(7.3%)。同时感染组织溶解虫/双球菌和羊膜蛆虫的人数为 22 人(2.6%)。STST 的灵敏度(78.6%)和阴性预测值(19.6%)均高于 FECT 的灵敏度(65.4%)和阴性预测值(13.1%)。10-14 岁儿童(AOR = 1.66;95%CI: 1.16-2.38)、农村儿童(AOR = 1.97;95%CI: 1.12-3.49)、如厕不当(AOR = 1.49;95%CI: 1.04-2.13)、饭前不洗手(AOR = 2.10;95%CI:1.08-4.10)、如厕后不洗手(AOR = 1.49;95%CI:1.04-2.13)、不洗手(AOR = 1.66;95%CI:1.16-2.38)和不洗手(AOR = 1.97;95%CI:1.12-3.49)。10)、如厕后不洗手(AOR = 1.51;95%CI:1.05-2.19)、吃未经清洗的生蔬菜(AOR = 1.85;95%CI:1.26-2.70)、玩泥土(AOR = 1.48;95%CI:1.06-2.06)与组织溶解性大肠杆菌/双球菌和蓝氏痢疾杆菌感染有关。这些研究结果表明,阿姆哈拉地区的组织溶解性大肠杆菌/dispar和羊膜蛆感染率很高。因此,应在社区和学校层面倡导正确实施水、环境卫生和个人卫生,以减轻疾病负担。
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Food and Waterborne Parasitology
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