中国血吸虫病防治杂志 ›› 2015, Vol. 27 ›› Issue (3): 263-.DOI: 10.16250/j.32.1374.2015049

• 论著 • 上一篇    下一篇

安徽省局部地区人群隐孢子虫感染情况调查

王庆权1|2|郭见多1|操治国1|汪奇志1|刘道华1|汪天平1*   

  1. 1 安徽省血吸虫病防治研究所 (合肥 230061); 2 安徽医科大学基础医学院
  • 出版日期:2015-06-16 发布日期:2015-06-16
  • 通讯作者: 汪天平
  • 作者简介:王庆权| 男| 硕士研究生。研究方向: 病原生物学
  • 基金资助:
    安徽省自然科学基金 (1408085MH194)

Investigation on human Cryptosporidium infection in local area of Anhui Province

WANG Qing-quan1| 2 | GUO Jian-duo1 |CAO Zhi-guo1 |WANG Qi-zhi 1 | LIU Dao-hua1 |WANG Tian-ping1*   

  1. 1 Anhui Provincial Institute of Schistosomiasis Control| Hefei 230061| China; 2 Basic Medical College of Anhui Medical University
  • Online:2015-06-16 Published:2015-06-16
  • Contact: WANG Tian?ping

摘要: 目的 目的 了解安徽省人群隐孢子虫感染状况, 探讨感染的危险因素, 为隐孢子虫病防治提供科学依据。方法 方法 选 择安徽省潜山县和灵璧县为调查点, 于2014年9月-2015年1月, 采用改良抗酸染色法和酶联免疫吸附试验 (ELISA) 法, 分别检查调查对象粪便中隐孢子虫卵囊和血清中隐孢子虫特异性抗体IgG, 以确定隐孢子虫感染情况; 同时对调查对象 进行问卷调查, 了解隐孢子虫感染的危险因素。结果 结果 共调查668人, 其中病原学检查635人, 阳性15人, 阳性率为 2.36%; 血清学检查642人, 阳性140人, 阳性率为21.81%; 有628人同时进行了病原学和血清学检查, 两种检查方法均为 阳性者12人 (潜山县4人, 灵璧县8人), 阳性率为1.94%。潜山县与灵璧县人群隐孢子虫感染率分别为1.24% (4/322) 和 2.71% (8/295), 差异无统计学意义 (P > 0.05)。单因素 χ2 分析发现, 隐孢子虫感染率在儿童及腹泻人群较高; 多因素Lo? gistics回归分析表明, 隐孢子虫感染率在饲养家禽人群及腹泻人群较高。结论 结论 安徽省局部地区人群隐孢子虫血清抗 体阳性率较高, 提示既往感染较为严重。人群隐孢子虫感染率与低龄、 腹泻和家庭饲养家禽有关, 在今后防治工作中值 得关注。

关键词: 隐孢子虫; ELISA; 改良抗酸染色法; 安徽省

Abstract: Objective Objective To investigate the status of Cryptosporidium infection in the population in the local area of Anhui Prov? ince,and discuss the risk factors of the infection,so as to provide the evidence for the prevention and treatment of cryptosporidi? osis. Methods Methods Qianshan County and Lingbi County of Anhui Province were selected as investigation spots,and the oocysts of Cryptosporidium in the feces of the investigation objects and the specific IgG antibody against Cryptosporidium in the serum were checked by using the pathogenic modified acid fast staining method and ELISA,respectively,so as to determine the status of Cryptosporidium infection in these investigation objects. At the same time,the questionnaire surveys were conducted in the inves? tigation objects so as to know about the risk factors of Cryptosporidium infection. Results Results A total of 668 people were investigat? ed in the two counties,635 people received etiological examinations,and 15 people were positive with the positive rate of 2.36%;642 people received serological examinations,and 140 people were positive with the positive rate of 21.81%;628 peo? ple received pathogenic and serological examinations at the same time,and the examination results of the both methods showed that 12 people were positive(there were 4 people in Qianshan County and 8 people in Lingbi County),and the positive rate was 1.94%. The rates of Cryptosporidium infection in the population of Qianshan County and Lingbi County were 1.24%(4/322)and 2.71%(8/295)respectively,and the difference had no statistical significance(P > 0.05) . The single factor analysis found that the rate of Cryptosporidium infection was higher in the children and diarrhea patients;the multivariate logistics regression analy? sis indicated that the rate of Cryptosporidium infection was higher in the people who bred poultry and the diarrhea patients. Con Con? ? clusions clusions The positive rate of serum antibody of Cryptosporidium in the population of the local area of Anhui Province is higher, which indicates that the previous infection is serious,and the rate of Cryptosporidium infection in human is relative to the age, diarrhea and whether there are poultries to be bred in the family,which is worthy of attention in the future prevention and treat? ment.

Key words: Cryptosporidium; ELISA; Modified acid fast staining method; Anhui Province

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