通过基于内部转录间隔 2 的聚合酶链式反应对柬埔寨东北部人群中的 Opisthorchis viverrini 进行分子鉴定。

N La, M Leng, P Arunsan, P Pechdee, A Boonsuya, C Thanchonnang, N K Rattanapitoon, S K Rattanapitoon
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摘要

东南亚肝吸虫病(Opisthorchis viverrini)仍然流行,尤其是在泰国、老挝人民民主共和国、柬埔寨、越南和缅甸。然而,柬埔寨东北部桔井省缺乏有关肝吸虫感染率的数据。本研究旨在通过聚合酶链式反应(PCR),利用核糖体 DNA(rDNA)的内部转录间隔区 2(ITS2)检测粪便标本中的 O. viverrini DNA。数据分析描述了O. viverrini感染的流行率和百分比。采用二元逻辑回归分析来研究 O. viverrini 感染的相关流行率。在377份粪便样本中,共有6.89%的样本发现O. viverrini DNA呈阳性。结果发现,男性(8.92%)的O. viverrini感染率高于女性(5.45%),且更多地与年轻群体(13.40%)、文盲(8.74%)、从事其他职业(非特定职业)(11.63%)和居住在桔井省Snuol县Trapaing Srae村(9.94%)有关。20 岁以下年龄组与 O. viverrini 感染有明显联系,ORadj=0.601,95% CI=0.410-0.882,P=0.009,显著值为(P<0.05)。
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Molecular identification of Opisthorchis viverrini among the northeastern Cambodian population by internal transcribed spacer 2 based polymerase chain reaction.

The southeast Asian fluke Opisthorchis viverrini remains endemic, particularly in Thailand, Lao PDR, Cambodia, Vietnam, and Myanmar. However, there is a lack of data on the prevalence of liver fluke infection in Kratie Province in northeastern Cambodia. The present study aimed to detect O. viverrini DNA in fecal specimens by using the internal transcribed spacer 2 (ITS2) region of ribosomal DNA (rDNA) based on polymerase chain reaction (PCR). The prevalence and percentage of O. viverrini infection were described by data analysis. Bivariate binary logistic regression analysis was used to look at the related prevalence of O. viverrini infection. A total of 6.89% from 377 fecal samples were found positive of O. viverrini DNA. The prevalence of O. viverrini infection was found to be higher in men (8.92%) than in women (5.45%), and to be associated more frequently with younger age groups (13.40%), illiteracy (8.74%), participation in other careers (non-specific occupations) (11.63%), and residence in the Trapaing Srae village (9.94%) of the Snuol district, Kratie Province. Age groups under 20 years old were significantly linked with O. viverrini infection, with ORadj=0.601, 95% CI=0.410-0.882, p=0.009 and significant value established at (P<0.05). This study demonstrates that O. viverrini infection is distributed in rural areas located near freshwater reservoirs. Therefore, active surveillance, clinical examination of association with hepatobiliary, cholangiocarcinoma, and health education are needed.

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