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[Investigation of the population diversity of intermediate host snails and crabs of Paragonimus along Jiulong River, Zhangjiang River and Dongxi River basins in southern Fujian Province]. [闽南九龙江、漳江和东溪流域副鳞目中间宿主螺蟹种群多样性调查]。
Q3 Medicine Pub Date : 2024-03-28 DOI: 10.16250/j.32.1374.2023144
W Wu, J Luo, M Huang, M Cai, Y Cheng

Objective: To investigate the population distribution of intermediate host snails and crabs of Paragonimus along the Jiulongjiang River, Zhangjiang River, and Dongxi River basins in Bopingling Mountain, southern Fujian Province, so as to provide baseline data for researches on parasitic disease prevention and control and enlargement of samples in the parasitic resource bank.

Methods: A total of 23 villages in 8 counties (districts) along the Jiulong River, Zhangjiang River, and Dongxi River basins in Zhangzhou City, Fujian Province were selected as survey sites during the period from November 2020 through March 2023, and snail and freshwater crabs were sampled from 1 to 3 streams and ditches neighboring residential areas in each village. Morphological identification of snails was performed according to the external morphological characteristics of collected snail shells, and the unidentified snail species sampled from the natural foci of paragonimiasis in Yunxiao County were subjected to se-quence analysis of the mitochondrial cytochrome oxidase 1 (CO1) gene. The crab species was identified by observing the morphological characteristics of the terminal segment of the first pleopod of male crabs, and Paragonimus cercariae and metacercariae were detected in collected snails.

Results: The shells of the unidentified snails sampled from the natural foci of paragonimiasis in Yunxiao County were approximately 50 mm in height and 18 mm in width, thick and solid, long tower cone-shaped, and had 8 to 10 whorls. CO1 gene sequence analysis identified the snail species as Sulcospira hainanensis. A total of 6 freshwater snail species belonging to 5 genera within 3 families, identified 23 survey sites, including Semisulcospira libertina, Paludomus zhangchouensis and S. hainanensis that belonged to the Family Pleurceridae, Tricula fujianensis and T. huaanensis that belonged to the subfamily Triculinae, Family Pomatiopsidae, and Melanoides tuberculata (Family Thiaridae), and 11 species of freshwater crabs belonging to 5 genera within 2 families were identified, including Sinopotamon genus of S. jianglense, S. pinheense, and S. zhangzhouense, Huananpotamon genus of H. planopodum and H. zhangzhouense, Nanhaipotamon genus of N. huaanense and N. longhaiense, and Minpotamon genus of M. nasicum and M. auritum that belonged to the Family Potamidae, and Somanniathelphusa genus of S. huaanensis and S. zhangpuensis (Family Parathelphusidae). In addition, the prevalence of P. westermani cercariae infections was 0.08% (2/2 317) in P. zhangchouensis from Danyan Village in Changtai District and 0.09% (1/1 039) in S. hainanensis from Jinkeng Village in Yunxiao County, and the prevalence of P. westermani<

目的方法:选择福建省漳州市九龙江、漳江、东溪流域的8个县(区)的23个村为调查点,调查九龙江、漳江、东溪流域寄生虫中间宿主螺蟹的种群分布情况,为寄生虫病防治研究和扩大寄生虫资源库样本提供基础数据:方法:选取福建省漳州市九龙江、漳江、东溪河流域沿岸8个县(区)共23个村作为调查点,于2020年11月至2023年3月期间,在每个村的居民点附近的1至3条溪沟中采集螺类和淡水蟹样本。根据采集螺壳的外部形态特征对螺类进行形态学鉴定,并对云霄县自然疫源地采集的未鉴定螺类进行线粒体细胞色素氧化酶1(CO1)基因序列分析。通过观察雄蟹第一胸足末节的形态特征来确定蟹的种类,并在采集的螺蛳中检测到副鞘蚴和元鞘蚴:结果:在云霄县副银环虫自然疫源地采集到的不明螺类的螺壳高约 50 毫米,宽约 18 毫米,厚而坚实,呈长塔锥形,有 8 至 10 个螺轮。通过 CO1 基因序列分析,确定该螺种为海南螺(Sulcospira hainanensis)。23 个调查地点共发现 3 科 5 属 6 种淡水螺类,包括隶属于褶螺科的半螺、张潮螺和海南螺,以及隶属于褶螺科的福建褶螺和华南褶螺。此外,还鉴定了 2 科 5 属 11 种淡水蟹,其中包括江陵蟹属 Sinopotamon、漳州蟹属 S. P. P.jianglense、S. pinheense 和 S. zhangzhouense 的 Sinopotamon 属,H. planopodum 和 H. zhangzhouense 的 Huananpotamon 属,N. huaanense 和 N. longhaiense 的 Nanhaipotamon 属,以及 M. nasicum 和 M. auritum 的 Minpotamon 属。(Potamidae),以及 S. huaanensis 和 S. zhangpuensis 的 Somanniathelphusa 属(Parathelphusidae)。此外,长泰县大堰村的漳浦鼠和云霄县金坑村的海南鼠分别感染了 0.08% (2/2 317)和 0.09% (1/1 039)的 P. westermani 氏蛔虫,而云霄县金坑村的漳浦鼠和云霄县金坑村的海南鼠分别感染了 0.09% (1/1 039)和 0.08% (2/2 317)的 P. westermani 元蛔虫。长泰县大堰村的江龙虫和云霄县金坑村的张洲虫的感染率分别为 25.81%(8/31)和 26.31%(5/19):结论:闽南平顶山九龙江、漳江、东溪流域的中间宿主螺蟹种群存在多样性,首次确认漳州螺和海南螺为西施金线虫的第一中间宿主;闽南平顶山九龙江、漳江、东溪流域的中间宿主螺蟹种群存在多样性,首次确认漳州螺和海南螺为西施金线虫的第一中间宿主;漳州螺和海南螺为西施金线虫的第一中间宿主。
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引用次数: 0
[Prevalence and molecular detection of human Cryptosporidium infections: a review]. [人类隐孢子虫感染的流行与分子检测:综述]。
Q3 Medicine Pub Date : 2024-03-27 DOI: 10.16250/j.32.1374.2023159
Y Liu, H Liu, K Li, Y Liu

Cryptosporidium is an important intestinal parasite that is mainly transmitted through the fecal-oral route. Human infection may occur following ingestion of water and food contaminated by Cryptosporidium oocysts, and children and immunocompromised individuals are at a high risk of infections. The main symptoms of Cryptosporidium infections include diarrhea, vomiting, malnutrition, and even death. Because of high sensitivity and rapid procedures, molecular tests are helpful for the diagnosis of cryptosporidiosis and may reduce the public health risk of cryptosporidiosis. This review summarizes the advances in the latest prevalence and molecular detection of human Cryptosporidium infections during recent years.

隐孢子虫是一种重要的肠道寄生虫,主要通过粪口途径传播。人在摄入被隐孢子虫卵囊污染的水和食物后可能会感染隐孢子虫,儿童和免疫力低下的人感染隐孢子虫的风险很高。隐孢子虫感染的主要症状包括腹泻、呕吐、营养不良,甚至死亡。分子检测具有灵敏度高、检测过程迅速等特点,有助于隐孢子虫病的诊断,并可降低隐孢子虫病的公共卫生风险。本综述总结了近年来人类隐孢子虫感染的最新流行和分子检测进展。
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引用次数: 0
[Investigation of Anisakis infections in coastal marine fishes and awareness of anisakiasis control knowledge among residents in Yantai City in 2021]. [2021 年烟台市近海鱼类恙虫病感染情况调查及居民对恙虫病防治知识的了解]。
Q3 Medicine Pub Date : 2024-03-27 DOI: 10.16250/j.32.1374.2023135
Y Chen, D Li, L Wang, C Bu, Y Li, Y Wang, Y Xu, G Yan, B Zhang

Objective: To investigate the prevalence of Anisakis infections in coastal marine fishes and awareness of anisakiasis control knowledge among local residents in Yantai City, Shandong Province in 2021, so as to provide insights into formulation of anisakiasis control interventions.

Methods: Marine fishes were purchased from Shunxin Port, Yantai City, Shandong Province in November 2021, and the presence of Anisakis was detected in different species of fishes and different fish sites. The correlations between body length and weight of marine fish and intensity of Anisakis infections were examined using Spearman's rank correlation analysis, and the dietary habits and anisakiasis control knowledge were investigated using questionnaire surveys among local residents.

Results: A total of 201 marine fishes belonging to 20 species were dissected, and Anisakis was detected in 77 marine fishes (38.31%) belonging to 11 species (55.00%), with a mean infection intensity of 45.04 parasites per fish (3 468/77). Spearman's rank correlation analysis revealed that the body length (rs = 0.74, P < 0.05) and weight (rs = 0.79, P < 0.01) of the monkfish correlated positively with the intensity of Anisakis infections, and the body length (rs = 0.68, P < 0.05) of the flatfish correlated positively with the intensity of Anisakis infections, while no correlations were examined between the body length or weight of other marine fishes and the intensity of Anisakis infections. Of all respondents, 53.38% men and 56.67% women did not know anisakiasis control knowledge at all, and there was a significant difference in the proportion of respondents using separate chopping boards for raw and cooked food from different villages (χ2 = 17.89, P < 0.01), while there was an age-specific proportion of respondents with habitats of eating raw or semi-raw seafood (χ2 = 28.27, P < 0.01).

Conclusions: The prevalence and intensity of Anisakis infections were high in coastal marine fishes in Yantai City in 2021, and the awareness of anisakiasis control knowledge was low among local residents. Intensified health education pertaining to anisakiasis control knowledge is recommended to reduce the risk of Anisakis infections.

目的调查2021年山东省烟台市沿海海鱼肛吸虫感染率及当地居民对肛吸虫防治知识的了解程度,为制定肛吸虫防治干预措施提供参考:方法:2021年11月从山东省烟台市顺鑫港购入海水鱼,对不同种类的鱼和不同地点的鱼类进行肛吸虫检测。采用斯皮尔曼秩相关分析法检验了海鱼体长、体重与恙虫病感染强度的相关性,并对当地居民的饮食习惯和恙虫病防治知识进行了问卷调查:共解剖了 20 个品种的 201 尾海水鱼,在 11 个品种(55.00%)的 77 尾海水鱼(38.31%)中检出了笛鲷,平均每尾鱼感染 45.04 头寄生虫(3 468/77)。斯皮尔曼等级相关分析表明,鮟鱇鱼的体长(rs = 0.74,P < 0.05)和体重(rs = 0.79,P < 0.01)与笛鲷感染强度呈正相关,比目鱼的体长(rs = 0.68,P < 0.05)与笛鲷感染强度呈正相关,而其他海水鱼的体长或体重与笛鲷感染强度之间没有相关性。在所有受访者中,53.38%的男性和 56.67%的女性完全不了解恙虫病防治知识,不同村庄的受访者生熟食分开砧板的比例有显著差异(χ2 = 17.89,P < 0.01),而有生吃或半生吃海鲜习惯的受访者的年龄比例有显著差异(χ2 = 28.27,P < 0.01):结论:2021 年烟台市沿海海鱼肛吸虫感染率高、强度大,当地居民对肛吸虫防治知识知晓率低。建议加强恙虫病防治知识的健康教育,降低恙虫病感染风险。
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引用次数: 0
[Auxiliary diagnosis of visceral leishmaniasis with metagenomic next-generation sequencing: a case report]. [利用元基因组下一代测序辅助诊断内脏利什曼病:一份病例报告]。
Q3 Medicine Pub Date : 2024-03-25 DOI: 10.16250/j.32.1374.2023212
W Li, X Wang, L Ma, X Dou, R Zhao, Y Wang

This case report summarizes the experience from diagnosis and treatment of a patient with repeated high fever, hepatosplenomegaly and pancytopenia. Following exclusion of bacterial, viral, fungal infections and hematological diseases, metagenomic next-generation sequencing of the patient's peripheral blood revealed Leishmania infantum infection, and rK39 rapid diagnostic test showed positive for anti-Leishmania antibody, while microscopic examination of bone marrow smears identified Leishmania amastigotes. Therefore, the case was definitively diagnosed as visceral leishmaniasis, and given anti-infective treatment with sodium antimony gluconate and hormone, hepatoprotection, elevation of white blood cell counts and personalized nursing. Then, the case was cured and discharged from hospital. Metagenomic next-generation sequencing is of great value in etiological detection of fever patients with unknown causes, which deserves widespread clinical applications.

本病例报告总结了一名反复高烧、肝脾肿大和全血细胞减少患者的诊断和治疗经验。在排除细菌、病毒、真菌感染和血液系统疾病后,对患者外周血进行元基因组下一代测序发现其感染了幼年利什曼病,rK39 快速诊断检测显示其抗利什曼病抗体呈阳性,而骨髓涂片的显微镜检查则发现了利什曼病异形体。因此,该病例被明确诊断为内脏利什曼病,并给予葡萄糖酸锑钠和激素、保肝、升高白细胞计数和个性化护理等抗感染治疗。随后,该病例痊愈出院。元基因组新一代测序在不明原因发热患者的病原学检测中具有重要价值,值得临床广泛应用。
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引用次数: 0
[Investigation of tick - borne Rickettsia in selected areas of Liupanshui City, Guizhou Province in 2023]. [2023年贵州省六盘水市部分地区蜱传立克次体调查]。
Q3 Medicine Pub Date : 2024-03-25 DOI: 10.16250/j.32.1374.2023167
D Li, Y Li, Y Yu, X Ouyang, X Xiong, S Jin, J Jiao

Objective: To investigate the prevalence of tick-borne rickettsial infections in selected areas of Liupanshui City, Guizhou Province, 2023, so as to provide insights into the management of tick-borne rickettsioses in the city.

Methods: Ticks were captured from the body surface of bovines and sheep in Gaoxing Village, Dashan Township, Liupanshui City, Guizhou Province during the period between April and June, 2023, and tick species were identified using morphological and molecular biological techniques. In addition, tick-borne Rickettsia was identified using a nested PCR assay, including spotted fever group rickettsiae (SFGR), Coxiella spp., Anaplasma spp., Ehrlichia spp., and Orientia spp., and positive amplified fragments were sequenced and aligned with known sequences accessed in the GenBank database.

Results: A total of 200 ticks were collected and all tick species were identified as Rhipicephalus microplus. Nestle PCR assay combined with sequencing identified ticks carrying Candidatus Rickettsia jingxinensis (40.50%), Coxiella burnetii (1.50%), and Coxiella-like endosymbionts (27.00%), and Anaplasma spp., Ehrlichia spp. or Orientsia spp. was not detected.

Conclusions: R. microplus carried Candidatus R. jingxinensis, C. burnetii, and Coxiella-like endosymbionts in selected areas of Liupanshui City, Guizhou Province. Intensified monitoring of tickborne rickettsial infections is needed in livestock and humans to reduce the damages caused by rickettsioses.

目的调查2023年贵州省六盘水市部分地区蜱传立克次体感染的流行情况,为该市蜱传立克次体病的防治提供参考:方法:在2023年4月至6月期间,在贵州省六盘水市大山镇高星村牛羊体表捕获蜱虫,利用形态学和分子生物学技术鉴定蜱虫种类。此外,还采用巢式PCR方法鉴定了蜱传立克次体,包括斑热群立克次体(SFGR)、柯克西氏菌属、阿那普拉斯菌属、埃立克氏菌属和东方氏菌属,并对阳性扩增片段进行了测序,与GenBank数据库中的已知序列进行了比对:结果:共收集到 200 只蜱虫,所有蜱虫种类均被鉴定为 Rhipicephalus microplus。巢式 PCR 检测与测序相结合,确定蜱携带京新立克次体(40.50%)、烧伤科克西氏菌(1.50%)和类科克西氏菌内生体(27.00%),未检测到阿纳普拉斯原虫属、埃立克原虫属或东方虫属:结论:贵州省六盘水市部分地区的小尾寒羊携带京新蜱、烧伤蜱和类克氏内生体。需要加强对家畜和人类蜱传立克次体感染的监测,以减少立克次体病造成的损失。
{"title":"[Investigation of tick - borne <i>Rickettsia</i> in selected areas of Liupanshui City, Guizhou Province in 2023].","authors":"D Li, Y Li, Y Yu, X Ouyang, X Xiong, S Jin, J Jiao","doi":"10.16250/j.32.1374.2023167","DOIUrl":"https://doi.org/10.16250/j.32.1374.2023167","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the prevalence of tick-borne rickettsial infections in selected areas of Liupanshui City, Guizhou Province, 2023, so as to provide insights into the management of tick-borne rickettsioses in the city.</p><p><strong>Methods: </strong>Ticks were captured from the body surface of bovines and sheep in Gaoxing Village, Dashan Township, Liupanshui City, Guizhou Province during the period between April and June, 2023, and tick species were identified using morphological and molecular biological techniques. In addition, tick-borne <i>Rickettsia</i> was identified using a nested PCR assay, including spotted fever group rickettsiae (SFGR), <i>Coxiella</i> spp., <i>Anaplasma</i> spp., <i>Ehrlichia</i> spp., and <i>Orientia</i> spp., and positive amplified fragments were sequenced and aligned with known sequences accessed in the GenBank database.</p><p><strong>Results: </strong>A total of 200 ticks were collected and all tick species were identified as <i>Rhipicephalus microplus</i>. Nestle PCR assay combined with sequencing identified ticks carrying <i>Candidatus Rickettsia jingxinensis</i> (40.50%), <i>Coxiella burnetii</i> (1.50%), and <i>Coxiella</i>-like endosymbionts (27.00%), and <i>Anaplasma</i> spp., <i>Ehrlichia</i> spp. or <i>Orientsia</i> spp. was not detected.</p><p><strong>Conclusions: </strong><i>R. microplus</i> carried <i>Candidatus R. jingxinensis</i>, <i>C. burnetii</i>, and <i>Coxiella</i>-like endosymbionts in selected areas of Liupanshui City, Guizhou Province. Intensified monitoring of tickborne rickettsial infections is needed in livestock and humans to reduce the damages caused by rickettsioses.</p>","PeriodicalId":38874,"journal":{"name":"Chinese Journal of Schistosomiasis Control","volume":"36 2","pages":"154-158"},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Progress of researches on the antiparasitic activity of antimicrobial peptide LL-37]. [抗菌肽 LL-37 的抗寄生虫活性研究进展]。
Q3 Medicine Pub Date : 2024-03-25 DOI: 10.16250/j.32.1374.2023157
J Lou, X He

Parasitic diseases caused by protozoan and helminth infections are still widespread across the world, notably in tropical and subtropical areas, which threaten the children and adult health. Long-term use of anti-parasitic drugs may result in reduced drug susceptibility and even drug resistance. Antimicrobial peptides have been demonstrated to inhibit parasite growth and development, which has potential antiparasitic values. LL-37, the only human antimicrobial peptide in the cathelicidin family, has been widely investigated. This paper reviews the progress of researches on the antiparasitic activity of LL-37, and discusses the prospects of LL-37 in the research of parasites.

由原生动物和蠕虫感染引起的寄生虫病在全世界,特别是热带和亚热带地区仍然很普遍,威胁着儿童和成人的健康。长期使用抗寄生虫药物可能会导致药物敏感性降低,甚至产生抗药性。抗菌肽已被证实能抑制寄生虫的生长和发育,具有潜在的抗寄生虫价值。LL-37是猫蓟素家族中唯一的人类抗菌肽,已被广泛研究。本文回顾了 LL-37 的抗寄生虫活性研究进展,并探讨了 LL-37 在寄生虫研究中的应用前景。
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引用次数: 0
[Histone deacetylase and histone acetyltransferase inhibitors as antischistosomal agents: a review]. [组蛋白去乙酰化酶和组蛋白乙酰转移酶抑制剂作为抗异染色体药物:综述]。
Q3 Medicine Pub Date : 2024-03-25 DOI: 10.16250/j.32.1374.2023178
Y Wang, J Xu, C Xia

Schistosomiasis is a neglected zoonotic parasitic disease. Currently, praziquantel is the drug of choice for the treatment of schistosomiasis, and is the only effective chemical for treatment of schistosomiasis japonica. Since its introduction in the 1970s, praziquantel has been used for large-scale chemotherapy of schistosomiasis for over 40 years. However, there have been reports pertaining to the resistance to praziquantel in schistosomes. Therefore, development of novel antischistosomal agents as alternatives of praziquantel, is of great need. Histone deacetylases and histone acetyltransferases have been recently reported to play critical roles in the growth, development and reproduction of schistosomes, and are considered as potential drug targets for the treatment of schistosomiasis. This review summarizes the latest advances of histone deacetylase and histone acetyltransferase inhibitors in the research on antischistosomal drugs, so as to provide insights into research and development of novelantischistosomal agents.

血吸虫病是一种被忽视的人畜共患寄生虫病。目前,吡喹酮是治疗血吸虫病的首选药物,也是治疗日本血吸虫病的唯一有效化学药物。自 20 世纪 70 年代问世以来,吡喹酮用于血吸虫病的大规模化疗已有 40 多年的历史。然而,有报道称血吸虫对吡喹酮产生抗药性。因此,亟需开发新型抗血吸虫药物,作为吡喹酮的替代品。最近有报道称,组蛋白去乙酰化酶和组蛋白乙酰转移酶在血吸虫的生长、发育和繁殖过程中发挥着关键作用,被认为是治疗血吸虫病的潜在药物靶点。本综述总结了组蛋白去乙酰化酶和组蛋白乙酰转移酶抑制剂在抗血吸虫药物研究中的最新进展,以期为新型抗血吸虫药物的研究和开发提供启示。
{"title":"[Histone deacetylase and histone acetyltransferase inhibitors as antischistosomal agents: a review].","authors":"Y Wang, J Xu, C Xia","doi":"10.16250/j.32.1374.2023178","DOIUrl":"10.16250/j.32.1374.2023178","url":null,"abstract":"<p><p>Schistosomiasis is a neglected zoonotic parasitic disease. Currently, praziquantel is the drug of choice for the treatment of schistosomiasis, and is the only effective chemical for treatment of schistosomiasis japonica. Since its introduction in the 1970s, praziquantel has been used for large-scale chemotherapy of schistosomiasis for over 40 years. However, there have been reports pertaining to the resistance to praziquantel in schistosomes. Therefore, development of novel antischistosomal agents as alternatives of praziquantel, is of great need. Histone deacetylases and histone acetyltransferases have been recently reported to play critical roles in the growth, development and reproduction of schistosomes, and are considered as potential drug targets for the treatment of schistosomiasis. This review summarizes the latest advances of histone deacetylase and histone acetyltransferase inhibitors in the research on antischistosomal drugs, so as to provide insights into research and development of novelantischistosomal agents.</p>","PeriodicalId":38874,"journal":{"name":"Chinese Journal of Schistosomiasis Control","volume":"36 2","pages":"207-214"},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Surveillance of echinococcosis in Bayingolin Mongol Autonomous Prefecture, Xinjiang Uygur Autonomous Region from 2017 to 2022]. [2017-2022年新疆维吾尔自治区巴音郭楞蒙古自治州棘球蚴病监测]。
Q3 Medicine Pub Date : 2024-03-21 DOI: 10.16250/j.32.1374.2023169
Y Zhang, J Wu, S Adili, S Wang, H Zhang, G Shi, J Zhao

Objective: To analyze the echinococcosis surveillance results in Bayingolin Mongol Autonomous Prefecture, Xinjiang Uygur Autonomous Region from 2017 to 2022, so as to provide insights into formulation of echinococcosis control measures in the prefecture.

Methods: Villagers were randomly sampled using a multistage sampling method from class I and II echinococcosis endemic counties in Bayingolin Mongolian Autonomous Prefecture from 2017 to 2022 for detection of human echinococcosis, while all patients undergoing ultrasound examinations in medical institutions in class III endemic counties received active echinococcosis screening. In addition, livestock in centralized slaughterhouses or slaughtering sites were screened for echinococcosis using the palpation and necropsy method, and fresh domestic dog feces samples were collected from randomly selected dog owners in each administrative village for detection of Echinococcus copro-antigen in domestic dogs. The trends in detection of human and livestock echinococcosis, detection of newly diagnosed human echinococcosis cases and detection of Echinococcus coproantigen in domestic dogs were analyzed in Bayingolin Mongol Autonomous Prefecture from 2017 to 2022.

Results: The mean detection rate of human echinococcosis was 0.13% (540/407 803) in Bayingolin Mongol Autonomous Prefecture from 2017 to 2022, which appeared a tendency towards a decline over years (χ2trend = 1 217.21, P < 0.001), and the highest detection of newly diagnosed echinococcosis cases was seen in Hejing County (0.28%, 191/67 865). The detection of livestock echinococcosis appeared a tendency towards a decline over years from 2017 to 2022 (χ2trend = 147.02, P < 0.001), with the highest detection rate seen in Hejing County (3.44%, 86/2 500), and the detection of Echinococcus copro-antigen in domestic dogs appeared a tendency towards a decline over years from 2017 to 2022 (χ2trend = 302.46, P < 0.001), with the highest detection rate in Qiemo County (2.74%, 118/4 313).

Conclusions: The detection of human and livestock echinococcosis and dog feces antigens Echinococcus copro-antigen in domestic dogs all appeared a tendency towards a decline in Bayingolin Mongol Autonomous Prefecture, Xinjiang Uygur Autonomous Region from 2017 to 2022; however, there is still a high echinococcosis transmission risk in local areas. Sustainable integrated echinococcosis control is required in Bayingolin Mongol Autonomous Prefecture.

目的分析新疆维吾尔自治区巴音郭楞蒙古自治州2017-2022年棘球蚴病监测结果,为该州制定棘球蚴病防治措施提供参考:2017年至2022年,在巴音郭楞蒙古自治州Ⅰ、Ⅱ级棘球蚴病流行县采用多阶段抽样方法随机抽取村民进行人棘球蚴病检测,同时对Ⅲ级流行县医疗机构所有接受超声检查的患者进行棘球蚴病主动筛查。此外,对集中屠宰场或屠宰点的牲畜采用触诊和尸体解剖法进行棘球蚴病筛查,并在每个行政村随机抽取养犬户采集新鲜家犬粪便样本,检测家犬棘球蚴共抗原。分析了巴音郭楞蒙古自治州2017年至2022年人、畜棘球蚴病检出率、新诊断人棘球蚴病病例检出率和家犬棘球蚴共抗原检出率的变化趋势:2017-2022年巴音郭楞蒙古自治州人棘球蚴病平均检出率为0.13%(540/407 803),呈逐年下降趋势(χ2trend=1 217.21,P<0.001),新诊断棘球蚴病病例检出率最高的是和静县(0.28%,191/67 865)。2017~2022年,家畜棘球蚴病检出率出现逐年下降趋势(χ2trend=147.02,P<0.001),检出率最高的是和静县(3.44%,86/2 500),家犬棘球蚴共抗原检出率从2017年至2022年出现逐年下降趋势(χ2trend=302.46,P<0.001),祁茂县检出率最高(2.74%,118/4 313).结论:家犬棘球蚴共抗原检出率从2017年至2022年出现逐年下降趋势(χ2trend=302.46,P<0.001),祁茂县检出率最高(2.74%,118/4 313):2017-2022年,新疆维吾尔自治区巴音郭楞蒙古自治州人、畜棘球蚴病和家犬粪便抗原棘球蚴共抗原检出率均呈下降趋势,但局部地区仍存在较高的棘球蚴病传播风险。巴音郭楞蒙古自治州需要持续开展棘球蚴病综合防治工作。
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引用次数: 0
[Capacity building in schistosomiasis control institutions in China: a cross-sectional study]. [中国血吸虫病防治机构的能力建设:一项横断面研究]。
Q3 Medicine Pub Date : 2024-03-18 DOI: 10.16250/j.32.1374.2023208
J He, S Li, W Deng, C Cao, S Li, J Xu

Objective: To understand the current status of capacity building in schistosomiasis control institutes in schistosomiasis-endemic provinces (municipality, autonomous region) of China.

Methods: The responsibilities and construction requirements of various schistosomiasis control institutions were surveyed by expert discussions, and field interviews and visits during the period between May and June, 2023, and the questionnaire for capacity maintenance and consolidation in schistosomiasis control institutions was designed. An online questionnaire survey was conducted in county-, municipal-, and provincial-level institutions that undertook schistosomiasis control and surveillance activities through the Wenjuanxing program. The distribution of schistosomiasis control institutions, the status of institutions, departments and staff undertaking schistosomiasis control activities and the translation of scientific researches on schistosomiasis control in China were analyzed. The laboratories accredited by China National Accreditation Service for Conformity Assessment (CNAS) were considered to be capable for testing associated with schistosomiasis control, and the testing capability of schistosomiasis control institutions was analyzed.

Results: A total of 486 valid questionnaires were recovered from 486 schistosomiasis control institutions in 12 endemic provinces (municipality, autonomous region) of China, including 12 provincial-level institutions (2.5%), 77 municipal-level institutions (15.8%) and 397 county-level institutions (81.7%). Of all schistosomiasis control institutions, 376 (77.4%) were centers for disease control and prevention or public health centers, 102 (21.0%) were institutions for schistosomiasis, endemic disease and parasitic disease control, and 8 (1.6%) were hospitals, healthcare centers or others. There were 37 713 active employees in the 486 schistosomiasis control institutions, including 5 675 employees related to schistosomiasis control, and the proportions of employees associated with schistosomiasis control among all active employees were 5.9% (231/3 897), 5.5% (566/10 134), and 20.6% (4 878/23 682) in provincial-, municipal-, and county-level institutions, respectively. There were 3 826 full-time employees working in schistosomiasis control activities, with 30.5% (1 166/3 826), 34.6% (1 324) and 34.9% (1 336/3 826) at ages of 40 years and below, 41 to 50 years and over 50 years, and there were 1 571 (41.0%) full-time schistosomiasis control employees with duration of schistosomiasis control activities for over 25 years, and 1 358 (35.5%) employees with junior professional titles and 1 290 with intermediate professional titles (35.5%), while 712 (18.6%) full-time employees working in schistosomiasis control activities had no professional titles. The three core schistosomiasis control activities included snail control (26.3%, 374/1 420), epidemics surveillance and m

目的:了解中国血吸虫病流行省(市、自治区)血吸虫病防治机构的能力建设现状:了解中国血吸虫病流行省(市、自治区)血吸虫病防治机构能力建设现状:在 2023 年 5 月至 6 月期间,通过专家座谈、实地访谈和考察等方式,对各血吸虫病防治机构的职责和建设要求进行了调查,并设计了血吸虫病防治机构能力维护与巩固调查问卷。通过文娟星项目,对承担血吸虫病防治和监测活动的县、市、省级机构进行了在线问卷调查。分析了中国血吸虫病防治机构的分布、承担血吸虫病防治活动的机构、部门和人员的情况以及血吸虫病防治科研成果的转化情况。对中国合格评定国家认可委员会(CNAS)认可的具有血吸虫病防治相关检测能力的实验室进行了认定,并对血吸虫病防治机构的检测能力进行了分析:从中国 12 个血吸虫病流行省(市、自治区)的 486 个血吸虫病防治机构共回收 486 份有效问卷,其中省级机构 12 份(2.5%),市级机构 77 份(15.8%),县级机构 397 份(81.7%)。在所有血吸虫病防治机构中,疾病预防控制中心或公共卫生中心 376 个(占 77.4%),血吸虫病、地方病和寄生虫病防治机构 102 个(占 21.0%),医院、卫生院或其他机构 8 个(占 1.6%)。486个血吸虫病防治机构共有在职职工37713人,其中血吸虫病防治相关职工5675人,省、市、县级机构血吸虫病防治相关职工占在职职工总数的比例分别为5.9%(231/3 897)、5.5%(566/10 134)和20.6%(4 878/23 682)。从事血吸虫病防治工作的专职人员3 826人,年龄在40岁及以下、41岁至50岁和50岁以上的分别占30.5%(1 166/3 826人)、34.6%(1 324人)和34.9%(1 336/3 826人),从事血吸虫病防治工作的专职人员1 571人(41.从事血吸虫病防治工作25年以上的血吸虫病防治专职人员有1 571人(41.0%),初级职称人员有1 358人(35.5%),中级职称人员有1 290人(35.5%),无职称的血吸虫病防治专职人员有712人(18.6%)。血吸虫病防治机构的三项核心血吸虫病防治活动包括钉螺防治(26.3%,374/1 420)、疫情监测与管理(25.4%,361/1 420)和健康教育(18.8%,267/1 420)。卡托-卡茨法、尼龙纱布蜃蛛孵化试验和间接血凝试验(IHA)是最常用的血吸虫病检测技术、而有能力或实验条件进行酶联免疫吸附试验(ELISA)、浸棒染料免疫测定(DDIA)、点免疫金过滤试验(DIG-FA)、环介导等温扩增(LAMP)和聚合酶链反应(PCR)试验的实验室不足 50%。2018-2022年期间,血吸虫病防治机构共承担血吸虫病防治科研项目211项,总经费1859.6万元,发表论文619篇,参与制定血吸虫病防治相关标准13项,申请血吸虫病防治相关专利113项,其中授权101项,科研成果商业化4项:我国血吸虫病防治机构中独立的血吸虫病专业防治机构比例较低,存在实验室检测能力不强、人员老化、低职称比例高等问题。建议加大对血吸虫病防治工作的投入力度,加强血吸虫病防治机构的能力建设和人才培养,为我国高质量消除血吸虫病提供有力支撑。
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引用次数: 0
[Expression of neutrophil extracellular traps and phagocytic functions among patients with hepatic alveolar echinococcosis]. [肝泡棘球蚴病患者中性粒细胞胞外捕获器的表达和吞噬功能]。
Q3 Medicine Pub Date : 2024-02-26 DOI: 10.16250/j.32.1374.2023172
Z Renzeng, H Fan, K Yang, Z Wang, Y Zhang, Y Lu, H Wang

Objective: To investigate the expression of neutrophil extracellular traps (NETs) and phagocytic function in the peripheral blood of patients with hepatic alveolar echinococcosis (HAE), and to examine their correlations with clinical inflamma tory indicators and liver functions.

Methods: A total of 50 patients with HAE admitted to Department of Hepatobiliary and Pancreatic Surgery, The Affiliated Hospital of Qinghai University from August 2022 to June 2023 were enrolled, while 50 age- and gender-matched healthy individuals from the Centre for Healthy Examinations of the hospital during the same period served as controls. The levels of NETs markers neutrophil myeloperoxidase (MPO) and neutrophil elastase (NE) were measured using enzyme-linked immunosorbent assay (ELISA). Peripheral blood neutrophils were isolated using density gradient centrifugation, stimulated in vitro using phorbol 12-myristate 13 acetate (PMA), and the levels of MPO and citrullination histone H3 (CitH3) released by neutrophils were quantified using flow cytometry. The phagocytic functions of neutrophils were examined using flow cytometry. In addition, the correlations of MPO and NE levels with clinical inflammatory indicators and liver biochemical indicators were examined using Spearman correlation analysis among HAE patients.

Results: The peripheral blood plasma MPO[(417.15 ± 76.08) ng/mL vs. (255.70 ± 80.84) ng/mL; t = 10.28, P < 0.05], NE[(23.16 ± 6.75) ng/mL vs. (11.92 ± 3.17) ng/mL; t = 10.65, P < 0.05]and CitH3 levels[(33.93 ± 18.93) ng/mL vs. (19.52 ± 13.89) ng/mL; t = 4.34, P < 0.05]were all significantly higher among HAE patients than among healthy controls, and a lower phagocytosis rate of neutrophils was detected among HAE patients than among healthy controls[(70.85 ± 7.32)% vs. (94.04 ± 3.90)%; t = 20.18, P < 0.05], and the ability to produce NETs by neutrophils was higher among HAE patients than among healthy controls following in vitro PMA stimulation. Pearson correlation analysis showed that the phagocytosis rate of neutrophils correlated negatively with platelet-to-lymphocyte ratio (PLR), neutrophil-to-lymphocyte ratio (NLR), interleukin-6 (IL-6) level and C-reactive protein (CRP) level (rs = -0.515 to -0.392, all P values < 0.05), and the MPO and NE levels positively correlated with inflammatory markers NLR, PLR, CRP and IL-6 (rs = 0.333 to 0.445, all P values < 0.05) and clinical liver biochemical indicators aspartic transaminase, alanine aminotransferase, direct bilirubin and total bilirubin among HAE patients (rs = 0.290 to 0.628, all P values < 0.001).

Conclusions: Excessive formation of NETs is found among HAE patients, which affects the phagocytic ability of neutrophils and results in elevated levels of inflammatory indicato

研究目的研究肝泡型棘球蚴病(HAE)患者外周血中中性粒细胞胞外捕获物(NETs)的表达及吞噬功能,并探讨其与临床炎症指标及肝功能的相关性:方法:选取青海大学附属医院肝胆胰外科2022年8月至2023年6月收治的50例HAE患者作为研究对象,同时选取该院体检中心同期收治的50例年龄、性别匹配的健康人作为对照。采用酶联免疫吸附试验(ELISA)测量NETs标志物中性粒细胞髓过氧化物酶(MPO)和中性粒细胞弹性蛋白酶(NE)的水平。使用密度梯度离心法分离外周血中性粒细胞,使用硫醇-12-肉豆蔻酸 13 乙酸酯(PMA)体外刺激中性粒细胞,使用流式细胞术量化中性粒细胞释放的 MPO 和瓜氨酸化组蛋白 H3(CitH3)的水平。使用流式细胞术检测了中性粒细胞的吞噬功能。此外,还利用斯皮尔曼相关分析法检测了HAE患者MPO和NE水平与临床炎症指标和肝脏生化指标的相关性:外周血血浆MPO[(417.15 ± 76.08) ng/mL vs. (255.70 ± 80.84) ng/mL; t = 10.28, P < 0.05],NE[(23.16 ± 6.75) ng/mL vs. (11.92 ± 3.17) ng/mL; t = 10.28, P < 0.05]。(11.92 ± 3.17) ng/mL; t = 10.65, P < 0.05]和CitH3水平[(33.93 ± 18.93) ng/mL vs. (19.52 ± 13.89) ng/mL; t = 4.34, P < 0.HAE患者中性粒细胞吞噬率低于健康对照组[(70.85 ± 7.32)% vs. (94.04 ± 3.90)%;t = 20.18,P < 0.05],体外PMA刺激后中性粒细胞产生NET的能力高于健康对照组。皮尔逊相关分析显示,中性粒细胞的吞噬率与血小板-淋巴细胞比值(PLR)、中性粒细胞-淋巴细胞比值(NLR)、白细胞介素-6(IL-6)水平和C反应蛋白(CRP)水平呈负相关(rs = -0.515至-0.392,所有P值均<0.05),MPO和NE水平与炎症指标NLR、PLR、CRP和IL-6呈正相关(rs = 0.333至0.445,所有P值均<0.05),HAE患者的临床肝脏生化指标天冬氨酸转氨酶、丙氨酸转氨酶、直接胆红素和总胆红素呈正相关(rs = 0.290至0.628,所有P值均<0.001):结论:HAE患者体内NETs形成过多,影响了中性粒细胞的吞噬能力,导致炎症指标水平升高。NETs标记物可能是有希望用于肝病早期诊断、监测和严重程度评估的新型生物标记物。
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引用次数: 0
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中国血吸虫病防治杂志
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