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Environmental Risk Factors of Hookworm and Strongyloides stercoralis infections among school children in rural areas Kutai Kertanegara Regency, Indonesia. 印度尼西亚Kutai Kertanegara县农村地区学龄儿童钩虫和粪类圆线虫感染的环境风险因素
Pub Date : 2021-01-01 DOI: 10.35248/2329-891X.21.9.265
Blego Sedionoto, Sueptrakool Wasessombat, N. Jeenduang, C. Punsawad, Witthaya Anamnart, Jitbanjong Tangpong
Background: Hookworm and S. stercoralis are still challenge in public health problem especially in developing countries where have environmental risk factors that are potential for transmitting of hookworm and S. stercoralis in Kutai Kertanegara Regency, East Kalimantan Province, Indonesia have high-risk factors of the prevalence of hookworm and S. stercoralis especially environmental risk factors. Methods: In this study was showed the infection rates, correlation analysis between risk factors, and prevalence of hookworm and S. stercoralis were used statistical analysis. A cross-sectional study was performed among 107 schoolchildren participants from rural schoolchildren of Kutai Kertanegara Regency, Indonesia. This study used two diagnostic methods: Kato Katz and Koga agar plate culture/KAP culture for diagnosing hookworm and Strongyloides infections. Pearson chi-square analysis was used to the study correlation between environmental risk factors with hookworm and S stercoralis infections. Results: Hookworm, and S stercoralis were found in this study; 37 (31.8) and 11 (10.3%) respectively. hookworm infection has been correlated significantly with school location (OR: 1.78 (95%CI: 0.87-3.71, p-value=0.006). While S. stercoralis infection has correlated significantly such as school location (OR: 1.28 (95%CI: 0.73-2.23, (p=0.027), Environmental risk others have not significantly correlated with hookworm infection among school children. While S stercoralis infection has correlated with environmental risk factors such as the texture of soil (OR: 5.50 (95%CI: 0.84-36.01, p-value: 0.010), wet soil surrounding houses (OR: 5.50 (0.84-36.02, p-value: 0.010). School location in surrounding rice field (OR: 5.50 (95%CI: 0.84-36.02, p-value: 0.012). Elevation in hill area (OR: 5.50 (95%CI: 0.84-36.02, p-value: 0.010). Conclusions: This study has explained the determinant of environmental risk factors and the prevalence of hookworm infection and S. stercoralis in schoolchildren. The risk factors should be used for preventing program of reduced prevalence of hookworm and S stercoralis infections in schoolcrildren, especially in rural areas.
背景:钩虫和粪虫仍是公共卫生问题的挑战,特别是在存在可能传播钩虫和粪虫的环境危险因素的发展中国家,印度尼西亚东加里曼丹省库泰克塔尼加拉县存在钩虫和粪虫流行的高危因素,特别是环境危险因素。方法:采用统计学方法对研究对象的感染率、危险因素与钩虫、粪虫流行率的相关性进行分析。本研究对印度尼西亚Kutai Kertanegara县的107名农村学童进行了横断面研究。本研究采用Kato Katz和Koga琼脂平板培养/KAP培养两种诊断方法诊断钩虫和圆线虫感染。采用Pearson卡方分析研究环境危险因素与钩虫、粪虫感染的相关性。结果:在本研究中发现了钩虫和粪虫;37人(31.8%),11人(10.3%)。钩虫感染与学校位置有显著相关性(OR: 1.78 (95%CI: 0.87 ~ 3.71, p值=0.006)。粪虫感染与学校地点(OR: 1.28 (95%CI: 0.73-2.23, p=0.027)等因素有显著相关性,而环境风险因素与学龄儿童钩虫感染无显著相关性。粪虫感染与土壤质地(OR: 5.50 (95%CI: 0.84 ~ 36.01, p值:0.010)、房屋周围潮湿土壤(OR: 5.50 (0.84 ~ 36.02, p值:0.010)等环境危险因素相关。学校位置在稻田周围(OR: 5.50 (95%CI: 0.84 ~ 36.02, p值:0.012)。山地海拔(OR: 5.50 (95%CI: 0.84-36.02, p值:0.010)。结论:本研究解释了环境危险因素与学童钩虫感染和粪球菌流行的决定因素。这些危险因素应被用于减少学龄儿童,特别是农村地区钩虫和粪虫感染流行的预防规划。
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引用次数: 2
CROSS SECTIONAL STUDY ON BOVINE TUBERCULOSIS AT GHMBI MUNICIPAL ABATTOIR ghmbi市屠宰场牛结核病的横断面研究
Pub Date : 2021-01-01 DOI: 10.35248/2329-891X.21.9.266
Yohannes Mardasa
Across sectional study to determine the prevalence of bovine tuberculosis at Ghmbi municipal abattoir was carried out on 400 heads of cattle from October 2008 to April 2009.Post mortem examination was used as a tool to establish the prevalence and culture and Ziehl-Neelsen staining to characterize mycobacterium. Tuberculous lesion was observed in a total of 31 animals and this give an overall prevalence of 7 .75 %.The tubercle lesion was detected in 21 (67.7%) mediastinal , 4 (12.9%) trachibronchial , 3 ( 9.67%) mesenteric and 1 (3.2%) hepatic lymph nodes and 2 (6.45%) lung tissues. The highest detection rate was recorded in mediastinal and the lowest in hepatic lymph node. In this study a total of 2 lung tissues and 29 lymph node samples were collected and cultured to isolate mycobacterium, of these 4 (12.90%) samples were found positive for mycobacterium.The risk factors such as sex, age, and body condition were assessed in relation to the occurrence of bovine tuberculosis and found significantly (p<0.05) associated with the occurrence of this disease. In conclusion, the present study shows the potential risk of the disease for both animals and human beings live in the study area, and being female, old and medium body condition animal is more risk to be infected with bovine tuberculosis.
2008年10月至2009年4月,在Ghmbi市屠宰场对400头牛进行了横断面研究,以确定牛结核病的流行情况。用尸体检验作为工具来确定分枝杆菌的流行和培养,并用Ziehl-Neelsen染色来表征分枝杆菌。在31只动物中观察到结核病变,总体患病率为7.75%。纵隔21例(67.7%),支气管4例(12.9%),肠系膜3例(9.67%),肝淋巴结1例(3.2%),肺组织2例(6.45%)。纵隔检出率最高,肝淋巴结检出率最低。本研究共采集2例肺组织和29例淋巴结标本进行分枝杆菌分离培养,其中分枝杆菌阳性4例(12.90%)。评估了性别、年龄和身体状况等危险因素与牛结核病发生的关系,发现与该疾病的发生显著相关(p<0.05)。综上所述,本研究表明,在研究区生活的动物和人类都存在潜在的疾病风险,其中雌性、老年和中等体况动物感染牛结核病的风险更大。
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引用次数: 0
Cerebral Malaria Associated with Acute Renal Failure in a Sudanese Patient: Case Report 脑疟疾与急性肾衰竭在苏丹患者:病例报告
Pub Date : 2021-01-01 DOI: 10.35248/2329-891X.21.9.279
A. Elhadi, M. Ali
Malaria is a common health problem especially in the tropics. Cerebral malaria is a worse complication of the disease with unknown pathophysiology. In this scenario, a Sudanese housewife was brought to the emergency room after a sudden fall in the ground, she was in coma. Investigations revealed sever falciparum malaria, thrombocytopenia and features of acute renal injury. Quinine was prescribed in addition to antithrombotic, diuretics and supportive medications. In the following day she developed aspiration pneumonia and a fourth generation antibiotic was prescribed. One day later she looked very ill, jaundiced with features of Disseminated Intravascular Coagulation (DIC). Her general condition was not improving, and then she was arrested and died. Multiple organs failure associated with sever malaria was considered as the cause of death.
疟疾是一种常见的健康问题,特别是在热带地区。脑型疟疾是该病的一种更严重的并发症,其病理生理机制尚不清楚。在这个场景中,一名苏丹家庭主妇在突然跌倒在地后被送往急诊室,她处于昏迷状态。调查发现严重的恶性疟疾,血小板减少症和急性肾损伤的特征。除了抗血栓、利尿剂和支持性药物外,还开了奎宁。第二天,她患上了吸入性肺炎,医生开了第四代抗生素。一天后,她看起来病得很重,黄疸伴有弥散性血管内凝血(DIC)的特征。她的一般情况没有改善,然后她被逮捕并死亡。与严重疟疾有关的多器官衰竭被认为是死亡原因。
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引用次数: 0
Impact of COVID-19 Pandemic on Women Health- An Overview COVID-19大流行对妇女健康的影响-概述
Pub Date : 2021-01-01 DOI: 10.35248/2329-891X.21.9.281
Marley Andrie
Covid or COVID-19 pandemic, what broke out in late 2019 in the Wuhan city of China has straightforwardly and in a roundabout way influenced every single circle of life across the world. Till date it has influenced more than 3.9 million individuals with a loss of life of 270,740 the world over. Adapting to a pandemic medicinally is hard, however more troublesome is to emerged from the dread and frenzy it has causes furthermore, can cause to the people in question. Be that as it may, the dread brought about by conceivably falling casualties to the illness would itself be able to be a staggering encounter as it works up individuals' feelings and sensitivities. Ladies are for the most part the casualties of such sensitivities. There has not been any sexual orientation investigation of the pandemic by any administration of wellbeing association or any appraisals of expected casualties in readiness stages. The COVID-19 has interfered with our lifestyle and has further upset people, families and networks putting them under pressure of wellbeing and monetary weights.
2019年底在中国武汉市爆发的新冠肺炎疫情,直接而间接地影响了世界各地的每一个生活圈子。迄今为止,它已影响到全世界390多万人,造成270,740人死亡。从医学上适应大流行是困难的,然而更麻烦的是从它所引起的恐惧和狂热中走出来,而且,它可能给有关人民造成影响。尽管如此,这种疾病带来的恐惧本身可能是一种令人震惊的遭遇,因为它会激起个人的感情和敏感性。女性在很大程度上是这种敏感的受害者。没有任何福利协会的管理部门对大流行病进行任何性取向调查,也没有对准备阶段的预期伤亡人数进行任何评估。COVID-19干扰了我们的生活方式,并进一步扰乱了个人、家庭和网络,使他们面临幸福和金钱压力。
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引用次数: 0
Malaria as a public health problem and SWOT analysis of program approach-A Case Study from Baran District Rajasthan 疟疾作为公共卫生问题及规划方法的SWOT分析——以拉贾斯坦邦巴兰地区为例
Pub Date : 2021-01-01 DOI: 10.35248/2329-891X.21.9.264
Niranjan Singh Rathor
Objective: To describe the magnitude of Malaria as public health problem in a backward district in Rajasthan and highlight the strengths, weaknesses, opportunities and threats of interventions followed by district health authorities. Findings: Malaria is a significant problem of public level in Baran district as evident with the reported morbidity and mortality data in district HMIS Reports. The various associated factors exaggerate the problem in District. The existing program has certain strengths, weaknesses, opportunities and threats. Conclusion: Perception of Malaria as mere medical problem leads to adopt and over relying on technical fixes. The social, economic, political, cultural and ecological inter-linkages of Public Health with epidemiological lens help to understand the problem with public health approach. The existing approach needs strengthening with additional modifications.
目的:描述拉贾斯坦邦一个落后地区疟疾作为公共卫生问题的严重程度,并强调地区卫生当局采取的干预措施的优势、劣势、机会和威胁。研究结果:疟疾是巴兰地区公共层面的一个重大问题,这一点从地区卫生管理信息系统报告中报告的发病率和死亡率数据可见一斑。各种相关因素加剧了该区的问题。现有的方案有一定的优势,劣势,机会和威胁。结论:将疟疾视为单纯的医学问题导致采用和过度依赖技术手段。公共卫生与流行病学的社会、经济、政治、文化和生态的相互联系有助于理解公共卫生方法的问题。现有办法需要加强,并作进一步修改。
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引用次数: 0
Magnitude of Anemia and Socio Demographic Factors Associated With It Among Adults Age 15-49 Years In Ethiopia: A Population Based Study Using The 2016 Demographic and Health Survey Data 埃塞俄比亚15-49岁成年人贫血程度和与之相关的社会人口因素:使用2016年人口与健康调查数据的基于人口的研究
Pub Date : 2021-01-01 DOI: 10.35248/2329-891X.21.9.275
Kaleab Tesfaye Tegegne, Abiyu Ayalew Assefa, E. Tegegne, Mekibib Kassa Tessema
Background: According to World Health Organization (WHO); anemia considered as a major public threat when prevalence was greater than 40%, a moderate public threat from 20-40%, and as a mild threat from 5-20%. This study aims to assess the prevalence of anemia and its associated socio demographic factors among adults age 15-49 years in Ethiopia. Methods: Demographic and Health Surveys in 2016, in Ethiopia were analyzed in SPSS, using multivariate logistic regression. Socio demographic variables were selected based on their availability in the dataset. Results: Of the total sample of 27289 of men and women 15-49 years at the time of survey, 19.8 % (n = 5078) anemia. Men and women 15-49 years living in rural areas 0.029 (AOR 0.029 ; 95% CI:0.018-0.048) ,men and women age living in afar region 0.821 (AOR 0.821; 95% CI: 0.725--0.929) , men and women who are in lowest wealth quintile 1.255 (AOR 1.255; 95% CI: 1.091-1.445) and an increase in one-year in age 9.952 (95% CI 6.2 to 16.1) were found significant predictors of anemia. Conclusions: The magnitude of anemia in the current study was found to be a mild public health problem. Rural residence, low wealth quartile and old age were predictors of anemia among adults Age 15-49 years. There is significant urban-rural difference in anemia prevalence, indicating the need for targeting specific areas for intervention.
背景:根据世界卫生组织(WHO);当患病率超过40%时,贫血被视为主要公共威胁,20-40%为中度公共威胁,5-20%为轻度威胁。本研究旨在评估埃塞俄比亚15-49岁成年人中贫血的患病率及其相关的社会人口因素。方法:采用SPSS软件对2016年埃塞俄比亚人口与健康调查数据进行多元logistic回归分析。社会人口变量是根据其在数据集中的可用性来选择的。结果:调查时15-49岁男性和女性共27289例,其中19.8% (n = 5078)贫血。生活在农村地区的15-49岁男女分别为0.029 (AOR为0.029;95% CI:0.018-0.048),居住在远方地区的男女年龄分别为0.821 (AOR 0.821;95% CI: 0.725—0.929),最低财富五分位数的男性和女性为1.255 (AOR为1.255;95% CI: 1.091-1.445)和年龄增加一年9.952 (95% CI: 6.2 - 16.1)被发现是贫血的重要预测因子。结论:在目前的研究中,贫血的程度被发现是一个轻微的公共卫生问题。农村居住、低财富四分位数和年龄是15-49岁成年人贫血的预测因素。在贫血患病率方面存在显著的城乡差异,这表明需要针对特定地区进行干预。
{"title":"Magnitude of Anemia and Socio Demographic Factors Associated With It Among Adults Age 15-49 Years In Ethiopia: A Population Based Study Using The 2016 Demographic and Health Survey Data","authors":"Kaleab Tesfaye Tegegne, Abiyu Ayalew Assefa, E. Tegegne, Mekibib Kassa Tessema","doi":"10.35248/2329-891X.21.9.275","DOIUrl":"https://doi.org/10.35248/2329-891X.21.9.275","url":null,"abstract":"Background: According to World Health Organization (WHO); anemia considered as a major public threat when prevalence was greater than 40%, a moderate public threat from 20-40%, and as a mild threat from 5-20%. This study aims to assess the prevalence of anemia and its associated socio demographic factors among adults age 15-49 years in Ethiopia. Methods: Demographic and Health Surveys in 2016, in Ethiopia were analyzed in SPSS, using multivariate logistic regression. Socio demographic variables were selected based on their availability in the dataset. Results: Of the total sample of 27289 of men and women 15-49 years at the time of survey, 19.8 % (n = 5078) anemia. Men and women 15-49 years living in rural areas 0.029 (AOR 0.029 ; 95% CI:0.018-0.048) ,men and women age living in afar region 0.821 (AOR 0.821; 95% CI: 0.725--0.929) , men and women who are in lowest wealth quintile 1.255 (AOR 1.255; 95% CI: 1.091-1.445) and an increase in one-year in age 9.952 (95% CI 6.2 to 16.1) were found significant predictors of anemia. Conclusions: The magnitude of anemia in the current study was found to be a mild public health problem. Rural residence, low wealth quartile and old age were predictors of anemia among adults Age 15-49 years. There is significant urban-rural difference in anemia prevalence, indicating the need for targeting specific areas for intervention.","PeriodicalId":74002,"journal":{"name":"Journal of tropical diseases & public health","volume":"9 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70010997","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
Sickle Cell Disease (SCD) and COVID-19 – A Case Series 镰状细胞病(SCD)和COVID-19 -病例系列
Pub Date : 2020-12-14 DOI: 10.21203/rs.3.rs-127636/v1
Awaji Q. Al-Naami, L. Khan, Faisal I. Zaidan, H. Halawi, Laila E. Asiri, T. Sumaili, Amal A. Qaisi, Turki M. Darweesh, Ibrahim A. Al-Neami
The ongoing pandemic of COVID-19 that started in the Hubei province of China in late December 2019, caused by severe acute respiratory syndrome corona virus-2 (SARS CoV-2). Globally millions affected by the disease so far. The risk of COVID-19 severity and its complications increases with age and other comorbidities. The course of SARS-CoV-2 infection or its related complications has yet to be established in patients with sickle cell disease (SCD), once more evidence is available. It is clear from the available data that the course of COVID-19 in patients with SCD is mild to moderate, seldom severe, and rarely fatal. Herein we report three known cases of SCD with confirmed COVID-19, in whom the course of the disease was mild to moderate and uncomplicated with uneventful recoveries.
2019年12月下旬在中国湖北省开始的COVID-19大流行,由严重急性呼吸综合征冠状病毒-2 (SARS - CoV-2)引起。到目前为止,全球有数百万人受到这种疾病的影响。COVID-19严重程度及其并发症的风险随着年龄和其他合并症而增加。镰状细胞病(SCD)患者的SARS-CoV-2感染过程或相关并发症尚未确定,尽管有更多证据可用。从现有数据可以清楚地看出,SCD患者的COVID-19病程为轻至中度,很少严重,很少致命。在此,我们报告三例已知的SCD合并COVID-19确诊病例,其中病程轻至中度,不复杂,恢复平稳。
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引用次数: 1
Corona Viral Epidemic: A Review 冠状病毒流行:综述
Pub Date : 2020-01-01 DOI: 10.35248/2329-891X.20.8.347
Ramakrishna Vadrevu
Viruses are both living and non-living organisms; living when found inside the host cell as they proliferate and grow, whereas, on occasions when they do not find any host cell, they are inactive or in a dormant stage. The virus can replicate itself and their genetic material mostly consists of either DNA or RNA. Different viral species spread in different ways. For example, plant virus spreads from plant to plant by insects and other organisms, some viruses are spread by body fluids of humans: influenza virus spread by aerosol droplets when people sneeze or cough. HIV is transmitted through body fluids; Dengue is propagated by mosquito bite. SARS virus is a respiratory disease that is spread by animals and humans.
病毒既是生物也是非生物;当它们被发现在宿主细胞内增殖和生长时,它们就活了,而当它们没有找到任何宿主细胞时,它们就不活动或处于休眠阶段。病毒可以自我复制,其遗传物质主要由DNA或RNA组成。不同的病毒种类以不同的方式传播。例如,植物病毒通过昆虫和其他生物在植物之间传播,有些病毒通过人的体液传播:流感病毒通过人们打喷嚏或咳嗽时的气溶胶飞沫传播。艾滋病毒通过体液传播;登革热是通过蚊子叮咬传播的。SARS病毒是一种通过动物和人类传播的呼吸系统疾病。
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引用次数: 1
Sero Burden of Toxoplasma gondii and Associated Risk Factors among HIV Infected Persons in Armed Forces Referral and Teaching Hospital, Addis Ababa,Ethiopia 埃塞俄比亚亚的斯亚贝巴武装部队转诊和教学医院艾滋病毒感染者的刚地弓形虫血清负担及相关危险因素
Pub Date : 2020-01-01 DOI: 10.35248/2329-891X.20.8.341
F. Mohammed, Mulusew Alemneh Sinishaw, N. Nurahmed, Shemsu Kedir Juhar, KassuDesta
Background: Toxoplasmosis is a zoonotic disease, worldwide distribution caused by an obligate intracellular coccidian parasite, known as Toxoplasma gondii. T. gondii can lead to serious diseases in immuno-compromised patients such as HIV/AIDS patients. In most cases, central nervous system involvement can lead to encephalitis, which is one of the most important reasons for death among patients with HIV due to reactivation of tissue cysts that remained latent after the primary infection. This study was conducted to assess the sero burden of Toxoplasma gondii infection and identify associated risk factors among HIV infected individuals in Armed Forces Referral and Teaching Hospital, Addis Ababa, Ethiopia. Methods: A cross-sectional study was conducted from March to May 2016. After getting an informed consent a pretested questionnaire was used to gather socio-demographic information and data on factors predisposing to T. gondii infection using convenience sampling methods. Serum samples from each volunteered patients were screened for the presence of anti-T. gondii IgG and IgM antibodies by using ELISA test kit (CTKBIOTECH, USA). Data were entered and analyzed using SPSS version 15.0. The chi-square test was used to observe any difference between variables. p-values were determined and taken as a level of significance when they found less than 0.05. Results: The study recruited a total of 174 HIV infected patients, of whom 99 (56.9%) were males. The study also included different age strata ranging from 18-68 years. Most of the sampled subjects were found in the age group of 31-40 years old. About 154 (88.5%), were seropositive for anti-T. gondii IgG antibody and 3 (1.7%) seropositivity for anti-T. gondii IgM antibodies. None were positive for IgM antibody alone. Of all the variables included in the study, only the presence of the cat depicted an association with sero-burden of anti-Toxoplasma gondii IgG antibody (p=0.038). Conclusion: This study revealed a high sero burden of chronic toxoplasmosis in HIV/AIDS patients. HIV/AIDS patients having a domestic cat at their home were at higher risk of T. gondii infection. It would be important to increase public awareness about different routes of transmission of T. gondii. Besides, routine screening for Toxoplasma should be undertaken for all HIV-infected patients to minimize complications related to reactivation.
背景:弓形虫病是一种人畜共患疾病,由一种专性细胞内球虫寄生虫引起,在世界范围内分布。弓形虫可导致免疫功能低下的患者(如艾滋病毒/艾滋病患者)患上严重疾病。在大多数情况下,中枢神经系统受累可导致脑炎,这是HIV患者死亡的最重要原因之一,因为在初次感染后仍然潜伏的组织囊肿重新激活。本研究旨在评估埃塞俄比亚亚的斯亚贝巴武装部队转诊和教学医院艾滋病毒感染者的血清弓形虫感染负担,并确定相关危险因素。方法:于2016年3月至5月进行横断面研究。在获得知情同意后,使用预测问卷收集社会人口学信息,并采用方便抽样方法收集易感染弓形虫的因素数据。对每位志愿者的血清样本进行了抗t抗体的筛选。采用ELISA检测试剂盒(CTKBIOTECH, USA)检测弓形虫IgG和IgM抗体。数据输入和分析使用SPSS 15.0版本。采用卡方检验观察变量间的差异。当p值小于0.05时,确定p值并将其作为显著性水平。结果:本研究共招募174例HIV感染者,其中男性99例(56.9%)。该研究还包括了18-68岁的不同年龄层。大多数样本对象的年龄在31-40岁之间。血清抗t阳性154例(88.5%)。弓形虫IgG抗体和3(1.7%)血清抗t抗体阳性。弓形虫IgM抗体无单独IgM抗体阳性。在研究中包含的所有变量中,只有猫的存在与抗刚地弓形虫IgG抗体的血清负荷相关(p=0.038)。结论:慢性弓形虫病在HIV/AIDS患者中具有较高的血清负担。家中有猫的HIV/AIDS患者感染弓形虫的风险更高。提高公众对弓形虫不同传播途径的认识十分重要。此外,应对所有艾滋病毒感染者进行常规弓形虫筛查,以尽量减少与再激活相关的并发症。
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引用次数: 1
Phenotypic and Genotypic Characterization of Salmonella Isolated from Asymptomatic Carriers in the Suburb of Dakar 达喀尔郊区无症状携带者分离沙门氏菌的表型和基因型分析
Pub Date : 2020-01-01 DOI: 10.35248/2329-891X.20.8.346
Niang Aissatou Ahmet, Sambe Ba Bissoume, S. Abdoulaye, D. Amadou, F. Khota, Wane Abdoul Aziz, Bercion Raymond, K. Roughyatou, Sow Ahmad Iyane, G. Amy
Salmonellosis is a major public health problem, especially with the emergence of multi-resistant Salmonella. The healthy carrier, an important factor of dissemination of Salmonella in the environment ensures inter-human transmission, especially in children. In Senegal, studies on (carrying Salmonella are lacking. Thus, this work was (was conducted) to determine the (carrying rate of Salmonella), characterize phenotypically and genotypically Salmonella strains isolated from healthy carriers in Dakar. This is a prospective study of five community sites (Jeddah Thiaroye Kao, Guinaw Rail South, North Pikine, Pikine East Guinaw North Rail) between January 2013 and April 2014. Phenotypic and molecular analysis PCR detection simplex virulence genes and typing by Multi-Locus Sequence Typing were performed at the Experimental Bacteriology Unit of the Institut Pasteur in Dakar. Sixteen Salmonella of one thousand eight hundred and eighty-eight (1888) stool specimens were identified to be a carrier rate of 0.84% for a variety of serotypes (Brancaster, Chester, Give, Poona, Agona, Johannesburg, Istanbul, Enteritidis, Corvalis). If all the Salmonella strains were sensitive to beta-lactams, 25% were resistant to at least one antibiotic (nalidixic acid, trimethoprim-sulfamethoxazole and tetracycline). All isolates show all virulence genes (invA, orfL, Pipd, SpiC, Misl). Meanwhile, the SpvR virulence gene was detected in one isolate associated with Serovar enteritidis. This reflects the pathogenicity degree of Salmonella strains and therefore their ability to cause human disease. The Multi-Locus Sequence Typing (MLST) technique has revealed that phenotypically identical serotypes had no allelic variation. This suggests that these clones were widely distributed geographically and are probably outstanding in a wide range of hosts. Two new ST were found with Chester and Brancaster. Considering the characteristics of isolated Salmonella in this study and the impact of carriers on public health, monitoring of healthy carriers is needed.
沙门氏菌病是一个重大的公共卫生问题,特别是随着多重耐药沙门氏菌的出现。健康携带者是沙门氏菌在环境中传播的重要因素,保证了沙门氏菌的人际传播,尤其是在儿童中传播。在塞内加尔,缺乏关于携带沙门氏菌的研究。因此,开展这项工作是为了确定沙门氏菌的携带率,并对从达喀尔健康携带者中分离的沙门氏菌菌株进行表型和基因表型表征。这是一项2013年1月至2014年4月期间对五个社区站点(吉达Thiaroye Kao,几内亚铁路南,北Pikine, Pikine东几内亚北铁路)进行的前瞻性研究。在达喀尔巴斯德研究所实验细菌学单位进行表型和分子分析,采用PCR检测单纯毒力基因并采用多位点序列分型进行分型。1888份(1888份)粪便标本中检出16份沙门氏菌,带菌率为0.84%,不同血清型(Brancaster、Chester、Give、Poona、Agona、Johannesburg、Istanbul、Enteritidis、Corvalis)。如果所有沙门氏菌菌株都对-内酰胺敏感,则25%对至少一种抗生素(萘啶酸、甲氧苄啶-磺胺甲恶唑和四环素)耐药。所有分离株均显示所有毒力基因(invA、orfL、Pipd、SpiC、Misl)。同时,在一株肠炎血清型相关分离株中检测到SpvR毒力基因。这反映了沙门氏菌菌株的致病性程度,因此也反映了它们引起人类疾病的能力。多位点序列分型(MLST)技术显示表型相同的血清型没有等位基因变异。这表明这些克隆在地理上分布广泛,可能在广泛的宿主中表现突出。与Chester和Brancaster一起发现了两个新的ST。考虑到本研究分离沙门氏菌的特点和携带者对公共卫生的影响,需要对健康携带者进行监测。
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引用次数: 1
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Journal of tropical diseases & public health
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