牙买加盘尾丝虫感染的血清流行病学。

IF 2.1 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Tropical Medicine Pub Date : 2024-11-09 eCollection Date: 2024-01-01 DOI:10.1155/2024/4578159
Anique Vanessa Chin, Tamara Thompson, Cobrini S Denton, John F Lindo
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引用次数: 0

摘要

盘尾丝虫是一种通过土壤传播的蠕虫,主要分布在热带和亚热带地区,被认为是一种被忽视的热带疾病。由于幼虫产量低,传统的显微镜方法缺乏灵敏度,特别是在流行率低的地区。血清学检测为研究牙买加等低流行地区的盘尾丝虫病流行病学提供了机会。本研究评估了牙买加特定亚群中盘尾丝虫病的血清流行情况。研究人员对 311 份存档血清样本进行了分析,这些样本曾在 2014 年至 2015 年间的一次发烧疫情中用于调查病毒感染。使用 AccuDiag Strongyloides IgG ELISA 试剂盒对随机抽取的匿名血清进行了盘尾丝虫 IgG 抗体检测。记录的数据包括年龄、性别、临床诊断和样本提交的地理位置,以确定人口统计学变量的趋势。盘尾丝虫血清阳性率为 15.43%。女性和男性的血清阳性率分别为 16.45% 和 14.47%(χ 2 = 0.2339,P=0.629)。中年人(31-50 岁)的感染率最高(26.53%;13/49)。盘尾丝虫血清流行率在农村地区卫生局明显最高(33.33%;14/42),在城市卫生局最低(9.71%;17/175)。农村地区卫生局似乎是接触盘尾丝虫最多的地方,全岛接触率为15.43%。本研究中使用的快速 ELISA 检测方法可用于检测绦虫 IgG 抗体,是阐明牙买加这种土壤传播寄生虫流行病学的综合方法的一部分。
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The Seroepidemiology of Strongyloides stercoralis Infection in Jamaica.

Strongyloides stercoralis is a soil-transmitted helminth which is distributed predominately throughout tropical and subtropical regions and is considered a neglected tropical disease. Due to low larval output, traditional microscopic methods lack sensitivity, especially in areas of low endemicity. Serological assays present an opportunity to study the epidemiology of S. stercoralis in areas of low endemicity such as Jamaica. The current study evaluated the seroprevalence of S. stercoralis in a selected subpopulation in Jamaica. An analysis was conducted on 311 archived serum samples previously submitted for investigating viral infections during a fever epidemic between 2014 and 2015. Randomly selected, anonymized sera were tested for the presence of S. stercoralis IgG antibodies using the AccuDiag Strongyloides IgG ELISA Kit. Data including age, sex, clinical diagnosis, and the geographic location of sample submission were recorded to delineate trends in demographic variables. The seropositivity rate of S. stercoralis was 15.43%. The rate among females and males was 16.45% and 14.47%, respectively (χ 2 = 0.2339, p=0.629). The highest rate was found in middle adulthood (31-50 years) (26.53%; 13/49). The seroprevalence of S. stercoralis was significantly highest in a rural Regional Health Authority (33.33%; 14/42) and least within an urban Health Authority (9.71%; 17/175). Exposure to S. stercoralis appears to be highest in the rural Regional Health Authorities with an island-wide exposure rate of 15.43%. The rapid ELISA testing method for the detection of IgG antibodies to S. stercoralis used in this study may be useful as part of a combined approach to elucidate the epidemiology of this soil-transmitted parasite in Jamaica.

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来源期刊
Journal of Tropical Medicine
Journal of Tropical Medicine Immunology and Microbiology-Parasitology
CiteScore
3.90
自引率
4.50%
发文量
0
审稿时长
14 weeks
期刊介绍: Journal of Tropical Medicine is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies on all aspects of tropical diseases. Articles on the pathology, diagnosis, and treatment of tropical diseases, parasites and their hosts, epidemiology, and public health issues will be considered. Journal of Tropical Medicine aims to facilitate the communication of advances addressing global health and mortality relating to tropical diseases.
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