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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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引用次数: 0
Serological evidence of human exposure to foodborne zoonotic parasites in Romanian patients and possible association with food habits and hygiene 罗马尼亚病人接触食源性人畜共患病寄生虫的血清学证据以及与饮食习惯和卫生的可能关联
IF 2.9 Q2 PARASITOLOGY Pub Date : 2024-08-03 DOI: 10.1016/j.fawpar.2024.e00240
Violeta Briciu , Zsuzsa Kalmár , Anca Ieremia , Mihaela Lupșe , Mirela Flonta , Monica Muntean , Cristina Cismaru , Melinda Horvat , Amanda Rădulescu , Adriana Topan , Cristian Jianu , Angela Monica Ionică

Humans may become accidental dead-end hosts for a series of zoonotic foodborne parasites, of which Toxoplasma gondii, Echinococcus spp., Toxocara spp., and Trichinella spiralis are of major public health interest, due to their potential pathological implications. The aims of the study were to evaluate the exposure to these pathogens in north-western Romania, and to investigate their potential association to risk factors. From June 2022 to January 2024, 554 patients admitted to a tertiary hospital in north-western Romania were screened for the presence of IgG antibodies against T. gondii, Echinococcus spp., Toxocara canis, and T. spiralis by ELISA, and potential risks were assessed using a questionnaire. Overall, 225 samples (40.6%) were positive for at least one pathogen. The highest seroprevalence for IgG was found for T. gondii (33.9%), followed by Echinococcus spp. (9.1%), T. spiralis (2.9%), and T. canis (1.1%). For T. spiralis, raw meat consumption was associated with positivity. For T. gondii, increased age, rural environment, contact with cats, consumption of unwashed fruits/vegetables and drinking water from unverified sources were significantly associated to seropositivity. The present study provides new insights into the epidemiological status of zoonotic foodborne parasite in Romania, underlining the need to increase awareness on the importance of water, sanitation and food habits in relation with this neglected pathology.

人类可能会意外成为一系列人畜共患病食源性寄生虫的宿主,其中弓形虫、棘球蚴属、弓形虫属和螺旋体旋毛虫因其潜在的病理影响而备受公共卫生关注。这项研究的目的是评估罗马尼亚西北部地区接触这些病原体的情况,并调查它们与风险因素的潜在关联。从 2022 年 6 月到 2024 年 1 月,罗马尼亚西北部一家三甲医院对 554 名住院患者进行了筛查,通过 ELISA 检测他们体内是否存在淋球菌、棘球蚴属、犬弓形虫和螺旋体的 IgG 抗体,并通过问卷调查评估潜在风险。总体而言,225 份样本(40.6%)至少有一种病原体呈阳性。淋球菌的 IgG 血清阳性率最高(33.9%),其次是棘球蚴属(9.1%)、螺旋体(2.9%)和犬沙门氏菌(1.1%)。就螺旋体而言,食用生肉与阳性相关。就淋病双球菌而言,年龄增大、农村环境、与猫接触、食用未清洗的水果/蔬菜和饮用来源不明的水与血清阳性有显著相关性。本研究为了解罗马尼亚人畜共患病食源性寄生虫的流行病学状况提供了新的视角,强调有必要提高人们对水、卫生和饮食习惯与这种被忽视的病症的重要性的认识。
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引用次数: 0
Over a century of progress on Trichinella research in pigs at the United States Department of Agriculture: Challenges and solutions 美国农业部一个多世纪以来在猪旋毛虫研究方面取得的进展:挑战与解决方案
IF 2.9 Q2 PARASITOLOGY Pub Date : 2024-07-26 DOI: 10.1016/j.fawpar.2024.e00239
Jitender P. Dubey, Peter C. Thompson, Valsin Fournet, Dolores E. Hill , Dante Zarlenga , H. Ray Gamble , Benjamin M. Rosenthal

Trichinellosis, caused by 13 species/subspecies/genotypes in the nematode genus Trichinella, is a worldwide zoonosis. In the United States, trichinellosis was of historical and economic significance because of European restrictions on the import of U.S. pork. Before the advent of effective protective measures, most cases of trichinellosis were derived from consumption of undercooked or inadequately processed, infected pork. Research conducted at the United States Department of Agriculture (USDA) since 1891, and policies established by USDA regulatory agencies, have helped to reduce Trichinella infections in commercially raised domestic pigs to negligible levels. Here, we review the history of this scientific progress, placing special emphasis on research conducted at the USDA's Beltsville Agricultural Research Center.

旋毛虫病由旋毛虫属线虫中的 13 个种/亚种/基因型引起,是一种世界性人畜共患病。在美国,由于欧洲对进口美国猪肉的限制,旋毛虫病具有重要的历史和经济意义。在有效的保护措施出现之前,大多数旋毛虫病病例都是因食用未煮熟或未充分加工的受感染猪肉而引起的。自 1891 年以来,美国农业部(USDA)开展的研究以及美国农业部监管机构制定的政策帮助将商业化饲养的家猪中的旋毛虫感染率降至可忽略不计的水平。在此,我们回顾了这一科学进步的历史,并特别强调了在美国农业部贝尔茨维尔农业研究中心进行的研究。
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引用次数: 0
Viability of Metagonimus romanicus (Ciurea, 1915) metacercariae after physico-chemical treatments 经物理化学处理后的 Metagonimus romanicus (Ciurea, 1915) metacercariae 的活力
IF 2.9 Q2 PARASITOLOGY Pub Date : 2024-07-25 DOI: 10.1016/j.fawpar.2024.e00236
Martina Gyöngy , Boglárka Sellyei , István Czeglédi , Csaba Székely , Gábor Cech

Digenean (Heterophyidae) trematodes include several zoonotic species such as the genus Metagonimus (Katsurada, 1912). Metagonimus romanicus (Ciurea, 1915) is a species widely distributed in Europe, whose metacercariae can be found on cyprinoids from the River Danube in Hungary. The aim of the study was to measure the viability of Metagonimus romanicus metacercariae by physical (freezing, heating, desiccation) and chemical (acetic acid and NaCl solutions) treatments. The methods were chosen as a model for procedures commonly used in traditional food preservation (such as freezing, salting, pickling and smoking) to measure the survival rate of metacercariae under different conditions. Most physical treatments (freezing of metacercariae at −20 °C, keeping them at 40 °C and 60 °C and desiccation) and chemical treatments (2.5%, 5%, 10% acetic acid solution and 5% and 10% NaCl solution) killed the metacercariae in a relatively short time (from 30 min to 6 days depending on the treatment) so their effects eliminated the risk of zoonotic infection. On the other hand, the metacercariae survived at room temperature and at 4 °C up to one month. Therefore, storing unprepared fish in domestic refrigerators cannot prevent infection with metacercariae in humans.

地衣吸虫(Heterophyidae)包括几种人畜共患病种,如Metagonimus属(Katsurada,1912年)。Metagonimus romanicus(Ciurea,1915 年)是广泛分布于欧洲的一个物种,在匈牙利多瑙河的鲤科鱼类身上可以发现其盘尾丝虫。这项研究的目的是通过物理(冷冻、加热、干燥)和化学(醋酸和氯化钠溶液)处理来测量罗马驼鳉元蛔虫的存活率。这些方法被选为传统食品保存中常用的程序(如冷冻、盐渍、腌制和熏制)的模型,以测量不同条件下元孢子虫的存活率。大多数物理处理方法(-20 °C冷冻、40 °C和60 °C保存以及干燥)和化学处理方法(2.5%、5%、10%醋酸溶液以及5%和10%氯化钠溶液)都能在较短时间内(30分钟至6天不等,视处理方法而定)杀死盘尾丝虫,因此其效果消除了人畜共患感染的风险。另一方面,在室温和 4 °C条件下,盘尾丝虫的存活时间可长达一个月。因此,将未经处理的鱼存放在家用冰箱中并不能防止人类感染蛔虫。
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引用次数: 0
Fasciola hepatica: Updates on egg morphology, host range, and distribution 肝腹水:关于虫卵形态、寄主范围和分布的最新信息
IF 2.9 Q2 PARASITOLOGY Pub Date : 2024-07-22 DOI: 10.1016/j.fawpar.2024.e00237
Olga Loginova , Boris Efeykin , Anna Krutikova , Ivan Mizin , Sergei Spiridonov

During a survey for helminths in reindeer (Rangifer tarandus) across the Palearctic region, eggs were found in zoo reindeer feces. These were identified as eggs of Fasciola hepatica based on their morphology, morphometrics, location, and analysis of their partial sequence of ITS rDNA region. Some of the eggs had an appendage, previously unreported. Additionally, adults of F. hepatica were studied. Eggs derived from their uteri were also appendaged. Diagnostic morphological traits of F. hepatica eggs (abopercular appendage, knob, egg shell thickening, and egg shape) are discussed in this article. Three dimensional models of F. hepatica eggs were created to demonstrate the eggs features as best as possible. Since fecal examination remains gold standard in diagnosing fasciolosis in humans and animals worldwide, our findings may contribute to improved diagnostics. This research has also shown that reindeer can be a final host for F. hepatica. We also discuss whether the Novaya Zemlya archipelago might be the northernmost site of fasciolosis.

在对整个古北区的驯鹿(Rangifer tarandus)进行蠕虫调查期间,在动物园的驯鹿粪便中发现了虫卵。根据这些虫卵的形态、形态计量学、位置和 ITS rDNA 部分序列分析,确定它们是肝包虫病虫卵。其中一些虫卵带有附肢,这是以前从未报道过的。此外,还对肝蝇的成虫进行了研究。从其子宫中产出的卵也有附肢。本文讨论了肝蝇卵的诊断形态特征(腹膜附属物、节、卵壳增厚和卵形)。我们制作了肝包虫虫卵的三维模型,以尽可能展示虫卵的特征。由于粪便检查仍是诊断全球人类和动物法氏囊病的金标准,我们的研究结果可能有助于改进诊断方法。这项研究还表明,驯鹿可能是肝包虫病的最终宿主。我们还讨论了新泽姆利亚群岛是否可能是法氏囊炎的最北端。
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引用次数: 0
Surveillance for Trichinella infection in U.S. pigs raised under controlled management documents negligible risk for public health 对美国受控管理饲养的猪的旋毛虫感染进行监测,结果表明对公共健康的风险可以忽略不计
IF 2.9 Q2 PARASITOLOGY Pub Date : 2024-07-22 DOI: 10.1016/j.fawpar.2024.e00238
H. Ray Gamble , Dolores E. Hill , Valsin Fournet , Brandon Adams , Diane Hawkins-Cooper , Jorrell Fredericks , Jovan Aquino , Sonia Agu , Nadya Chehab , Ako Ankrah , Maria C. Antognoli , Marta D. Remmenga , Scott Kramer , Lori Gustafson , Benjamin M. Rosenthal

Biosecurity measures preventing exposure of pigs to rodents, wildlife, and contaminated feed or waste products reduce the risk of zoonotic Trichinella infection in pork. To understand the benefits of such measures in the United States, we conducted the first comprehensive survey of pigs produced under the Pork Quality Assurance Plus production standard, surveying 3,208,643 pork samples from twelve processing locations tested over a period of 54 months. We detected no Trichinella sp. positives in any of these pork samples, providing a 95% confidence in a Trichinella sp. prevalence of <1 in 1,000,000 for the processors represented by the study. These results are consistent with international guidelines for having a negligible risk to public health. Results obtained here should generalize to all PQA+ sources, as Trichinella sp. exposure risk is based on production guidelines that extend to the larger PQA+ population.

生物安全措施可防止猪接触啮齿动物、野生动物和受污染的饲料或废品,从而降低猪肉感染人畜共患病旋毛虫的风险。为了解此类措施在美国的益处,我们对按照猪肉质量保证强化生产标准生产的猪进行了首次全面调查,调查了来自 12 个加工地点的 3,208,643 份猪肉样本,检测时间长达 54 个月。我们在这些猪肉样本中均未检测到毛旋毛虫阳性,因此这项调查所代表的加工商的毛旋毛虫感染率为百万分之 1,可信度为 95%。这些结果符合国际准则,即对公众健康的风险可忽略不计。由于旋毛虫暴露风险是基于生产准则得出的,而生产准则也适用于更大范围的 PQA+ 群体,因此此处得出的结果应适用于所有 PQA+ 来源。
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引用次数: 0
Global epidemiology and species/genotype distribution of Cryptosporidium in camels: A systematic review and meta-analysis 骆驼隐孢子虫的全球流行病学和物种/基因型分布:系统回顾与荟萃分析
IF 2.9 Q2 PARASITOLOGY Pub Date : 2024-07-11 DOI: 10.1016/j.fawpar.2024.e00235
Farzad Mahdavi , Farajolah Maleki , Mohammad Reza Mohammadi , Ali Asghari , Behnam Mohammadi-Ghalehbin

This review analyzed reported data of Cryptosporidium prevalence in camels and the species/genotype distribution. Four databases (PubMed, Web of Science, Scopus, Google Scholar) were screened, and studies published by April 1, 2024, were included. Total estimates and 95% CIs were calculated using a random-effects model. The weighted prevalence of Cryptosporidium spp. in 7372 camels examined from 12 different countries was estimated at 13.8% with a 95% CI of 10.3–18.4%. The sensitivity analysis based on excluding the individual studies did not result in significant statistical changes in the final weighted prevalence. Subgroup prevalence of Cryptosporidium spp. in camels was analyzed by publication year, continent, WHO region, country, camel type, sample size, diagnostic method, age, and gender. A significant publication bias (P < 0.05) was reported in the present study. Limitations encountered in this study encompassed: insufficient study diversity, reliance on single study results, inadequate molecular and serological studies in comparison to microscopic studies, etc., all of which could impact the findings. The study identified eight Cryptosporidium spp. in camels: C. parvum, C. andersoni, C. bovis, C. muris, C. ratti, C. occultus, C. ubiquitum, and C. hominis. The first three species had pooled prevalence rates of 65.5%, 66%, and 19.2%, respectively. Each of the remaining five species was documented using a single dataset/study. Moreover, genotypes IIdA19G1, IIaA15G1R1, If-like-A15G2, IIdA15G1, IIaA15G2R1, IIaA17G2R1, and IIaA18G2R1 (C. parvum), genotype IV (C. ratti), genotype XIIa (C. ubiquitum), and genotype IkA19G1 (C. hominis) have been identified in camels globally. The findings suggest that camels can act as a source of infection for a variety of Cryptosporidium species/genotypes, and can therefore play a key role in disseminating this protozoan to humans and animals.

本综述分析了骆驼隐孢子虫感染率的报告数据以及物种/基因型分布。筛选了四个数据库(PubMed、Web of Science、Scopus、Google Scholar),并纳入了 2024 年 4 月 1 日前发表的研究。采用随机效应模型计算了总估计值和 95% CI。来自 12 个不同国家的 7372 只骆驼的隐孢子虫属加权感染率估计为 13.8%,95% CI 为 10.3-18.4%。在排除个别研究的基础上进行的敏感性分析并未导致最终加权流行率发生显著的统计学变化。按发表年份、大陆、世卫组织地区、国家、骆驼类型、样本大小、诊断方法、年龄和性别对骆驼中隐孢子虫属的亚组流行率进行了分析。据报告,本研究存在明显的发表偏倚(P < 0.05)。本研究的局限性包括:研究多样性不足、依赖单一研究结果、分子和血清学研究与显微镜研究相比不足等,所有这些都可能影响研究结果。该研究在骆驼中发现了 8 种隐孢子虫属:C.parvum、C.andersoni、C.bovis、C.muris、C.ratti、C.occultus、C.ubiquitum 和 C.hominis。前三个物种的总流行率分别为 65.5%、66% 和 19.2%。其余五个物种中的每一个都是通过单一数据集/研究记录的。此外,基因型 IIdA19G1、IIaA15G1R1、If-like-A15G2、IIdA15G1、IIaA15G2R1、IIaA17G2R1 和 IIaA18G2R1(C. parvum)、基因型 IV(C. ratti)、基因型 XIIa(C. ubiquitum)和基因型 IkA19G1(C. hominis)已在全球骆驼中发现。研究结果表明,骆驼可作为多种隐孢子虫物种/基因型的感染源,因此在向人类和动物传播这种原生动物方面可发挥关键作用。
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引用次数: 0
Prevalence of Taenia solium cysticercosis in domestic pigs following albendazole deworming intervention in rural communities of Mbulu district, Tanzania 坦桑尼亚姆布卢地区农村社区阿苯达唑驱虫干预后家猪蛔虫囊尾蚴病的流行情况
IF 2.9 Q2 PARASITOLOGY Pub Date : 2024-07-02 DOI: 10.1016/j.fawpar.2024.e00234
Vedasto Bandi , Bernard Ngowi , Emmanuel Mpolya , Andrew Martin Kilale , John-Mary Vianney

Taeniosis and cysticercosis are infections caused by cestodes, Taenia solium is among them. T.solium neurocysticercosis accounts for 30% of acquired epilepsy in human in developing countries. This study was carried out to determine the prevalence of cysticercosis among domestic pigs in Mbulu district following deworming intervention. The study was conducted among three rural communities monitoring community intervention in Mbulu district between March 2020 and September 2021. Live pigs were diagnosed by lingual examination for the presence of T. solium cysticerci, and pig-rearing practices were recorded. Logistic regression was performed to determine the role of risk factors on pig infection outcome. We conveniently sampled 510 pigs; 267 (52.4%) were sampled in the year 2020 and 243 (47.6%) in 2021. All pigs were examined by lingual examination for the presence of pork tapeworm larvae, and 43 (8.4%) pigs were found to be infected. Twenty-one (48.8%) of the infected pigs were males and 22 (51.2%) were females, and the overall annual prevalence of tapeworm larvae was 9% and 7.8% for 2020 and 2021, respectively. The pigs were twice more likely to be found infected during the rainy season compared to the dry season in 2020 (OR = 2.27, 95%CI of 1.16–7.22). The reported pig-rearing practices were free-range, penned, and tethered, 141 (52.8%), 64 (24%), and 62 (23.2%), respectively. Of the 94 visited households in 2020, 78 (83%) reported drinking water without boiling, and 59 (62.8%) household leaders reported having heard about taeniosis/cysticercosis. The prevalence of cysticercosis among domestic pigs in this study was high, with seasonal variations. Despite the ongoing national school deworming and community deworming program, there was no significant change in the prevalence of cysticercosis over two consecutive years. The reported pig infections imply fecal-oral transmission with humans tapeworm eggs released from infected humans. Most households reported consuming unboiled drinking water that might be contaminated. Integrating pig vaccination and deworming, health education and school or community deworming along with improved pig management practice and general community water sanitation hygiene (WASH) are recommended to reduce the burden of pork tapeworm in the study communities.

大肠杆菌病和囊尾蚴病是由绦虫引起的感染,大肠杆菌是其中之一。在发展中国家,神经囊尾蚴病占人类后天性癫痫的30%。这项研究旨在确定驱虫干预后姆布卢地区家猪囊尾蚴病的发病率。这项研究于2020年3月至2021年9月期间在姆布卢地区的三个农村社区进行,以监测社区干预措施的实施情况。通过舌检诊断活猪是否存在梭形虫囊尾蚴,并记录养猪方法。为确定风险因素对猪感染结果的影响,我们进行了逻辑回归。我们方便地对 510 头猪进行了采样,其中 267 头(52.4%)在 2020 年采样,243 头(47.6%)在 2021 年采样。所有猪只均接受了猪带绦虫幼虫的舌诊检查,发现 43 头(8.4%)猪只受到感染。21 头(48.8%)受感染的猪为雄性,22 头(51.2%)为雌性,2020 年和 2021 年绦虫幼虫的年总体流行率分别为 9% 和 7.8%。与旱季相比,2020 年雨季猪只感染绦虫的几率高出一倍(OR = 2.27,95%CI 为 1.16-7.22)。报告的养猪方式有散养、圈养和拴养,分别为 141 头(52.8%)、64 头(24%)和 62 头(23.2%)。在 2020 年访问的 94 户家庭中,78 户(83%)报告说饮用水未经煮沸,59 户(62.8%)的户主报告说听说过大肠杆菌病/囊尾蚴病。在这项研究中,家猪囊尾蚴病的发病率很高,且存在季节性变化。尽管国家正在开展学校驱虫和社区驱虫计划,但囊尾蚴病的流行率在连续两年内没有显著变化。所报告的猪感染病例意味着人类绦虫卵通过粪口传播。大多数家庭报告饮用了可能受到污染的未经煮沸的饮用水。建议将猪疫苗接种和驱虫、健康教育和学校或社区驱虫结合起来,同时改进猪的管理方法和社区水卫生设施(WASH),以减轻研究社区猪肉绦虫病的负担。
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引用次数: 0
Editorial Board Page 编辑委员会页面
IF 2.5 Q2 PARASITOLOGY Pub Date : 2024-06-01 DOI: 10.1016/S2405-6766(24)00013-1
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引用次数: 0
Insights into the genetic diversity of Angiostrongylus spp. causing human angiostrongyliasis and implications for molecular identification and diagnosis 对引起人类血管瘤病的 Angiostrongylus spp.遗传多样性的认识及其对分子鉴定和诊断的影响
IF 2.5 Q2 PARASITOLOGY Pub Date : 2024-05-22 DOI: 10.1016/j.fawpar.2024.e00230
Abigail Hui En Chan, Chanisara Kaenkaew, Wallop Pakdee, Urusa Thaenkham

Angiostrongylus cantonensis and Angiostrongylus costaricensis are known human pathogens responsible for eosinophilic angiostrongyliasis and abdominal angiostrongyliasis, respectively. Humans are accidental hosts, where infection occurs through the consumption of the infective larva stage 3 in intermediate or paratenic hosts. The proven method for abdominal angiostrongyliasis diagnosis is the histological examination through tissue biopsy, while the diagnosis of eosinophilic angiostrongyliasis is the detection of larva in the cerebrospinal fluid. As there is molecular evidence of cryptic species within A. cantonensis and A. costaricensis lineages, along with morphological similarities within both lineages, accurate species identification and disease diagnosis may be challenging. Moreover, species within the lineages share similar intermediate and definitive hosts and geographic distribution. For example, both A. cantonensis and Angiostrongylus malaysiensis (a closely related species in A. cantonensis lineage) overlap in their geographic distribution in Southeast Asia. Additionally, variations in the molecular makeup of A. costaricensis and A. cantonensis lineages may impact the pathogenicity, infectivity, and disease severity of angiostrongyliasis. Understanding of the genetic diversity of both lineages is a cornerstone for improved diagnosis and disease intervention, especially in a changing global environment. To shed light and provide insights into the genetic diversity of the Angiostrongylus lineages causing human angiostrongyliasis, we aim to present an up-to-date review of the studies conducted and genetic markers used for A. costaricensis and A. cantonensis lineages. The implications for accurate molecular identification and diagnosis of human angiostrongyliasis are also discussed.

广东嗜酸性血管软骨病和腹腔血管软骨病的已知人类病原体分别是广东嗜酸性血管软骨病和腹腔血管软骨病。人类是偶然宿主,通过食用中间宿主或准宿主的感染性幼虫 3 期而感染。诊断腹腔血管瘤病的行之有效的方法是通过组织活检进行组织学检查,而诊断嗜酸性血管瘤病的方法是在脑脊液中检测幼虫。由于有分子证据表明 A. cantonensis 和 A. costaricensis 系内存在隐性物种,而且两个系内形态相似,因此准确的物种鉴定和疾病诊断可能具有挑战性。此外,这两个种系中的物种具有相似的中间宿主和最终宿主以及地理分布。例如,坎顿弧菌(A. cantonensis)和马来弧菌(A. cantonensis 系中的近缘种)在东南亚的地理分布就有重叠。此外,A. costaricensis 和 A. cantonensis 系的分子构成差异可能会影响血管丝虫病的致病性、传染性和疾病严重程度。了解这两个品系的遗传多样性是改进诊断和疾病干预的基石,尤其是在不断变化的全球环境中。为了揭示引起人类血管银屑病的血管银屑病菌系的遗传多样性并提供深入见解,我们旨在对针对 A. costaricensis 和 A. cantonensis 菌系开展的研究和使用的遗传标记进行最新综述。此外,我们还讨论了精确分子鉴定和诊断人类血管圆线虫病的意义。
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Food and Waterborne Parasitology
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