摘要
目的了解湘西自治州人群和动物曼氏裂头蚴感染情况。方法收集和分析2010—2018年湘西自治州疾控中心寄生虫病室曼氏裂头蚴IgG抗体检测病人的临床个案、治疗记录等资料,并对中间宿主和保虫宿主进行流行病学调查。结果 2010—2018年共检测677人,其中男性348人,阳性36人;女性329人,阳性20人,性别间阳性率差异有统计学意义(χ~2=4.06,P<0.05)。年龄最大的84岁,最小的6岁,40岁以上病例占73.21%;不同年龄组、民族、职业之间的阳性率差异均无统计学意义(P>0.05)。感染方式主要为剖食青蛙、蝌蚪,占87.50%。解剖青蛙303只,蛙肌肉内检出曼氏裂头蚴42只,感染率为13.86%。野外采集猫粪和狗粪镜检,曼氏迭宫绦虫感染率分别为21.74%和5.49%。56例病人经外科手术及吡喹酮、阿苯达唑等药物治疗,除部分脑型病例外,其他临床型的病例均治愈,未出现明显的副反应。结论曼氏裂头蚴病是湘西州临床常见的食源性寄生虫病,人、青蛙及猫狗均有曼氏裂头蚴/曼氏迭宫绦虫感染,当地人们不良饮食习惯是感染曼氏裂头蚴的主要原因。
Objective To understand the infection status of Sparganum mansoni in human and animal hosts in Xiangxi Autonomous Prefecture.Methods To collect and analyze the clinical cases and treatment records of patients with Sparganum mansoni IgG antibody detection in parasite ward of Xiangxi Autonomous Prefecture CDC from 2010 to 2018,and epidemiological survey was conducted on the intermediate host and the host.Results Between 2010 and 2018,a total of 677 people(348 males and 329 females)underwent test of Sparganum mansoni infection.The results showed that 36 males and 20 female were positive for the antibody against Sparganum mansoni,and the gender ratio was different(χ2=4.06,P<0.05).The oldest patient was 84 years old and the youngest one was 6 years old,and patients aged over 40 years accounted for 73.21%.The difference was insignificant in different age group,ethnic group and occupations(P>0.05).The most common infection was associated with intake of raw frogs and tadpoles,which accounted for 87.50%.Forty-two pieces of Sparganum mansoni were detected in the frog muscles of 303 frogs dissected,with an infection rate of 13.86%.Field microscopic examination of cat and canine feces revealed that the infection rate of Spirometra mansoni was 21.74%and 5.49%,respectively.Fifty-six patients were treated with surgery and praziquantel,albendazole and other drugs.Except for some brain types,other clinical types were cured.No obvious side effects occurred.Conclusion Spargnosis has become a common food-borne parasitic disease in Xiangxi Autonomous Prefecture.Infection with Spirometra Spagranum mansoni is prevalent in humans,frogs,cats and dogs,and human infection is associated with poor food habit in local population.
作者
张开仁
王锐
谷冠军
龚锡文
瞿宾雁
ZHANG Kai-ren;WANG Rui;GU Guan-jun;GONG Xi-wen;QÜBin-yan(Center for Disease Control and Prevention,Xiangxi Tujia and Miao Autonomous Prefecture,Jishou 416000,Hunan Province China)
出处
《热带病与寄生虫学》
CAS
2021年第2期82-85,共4页
Journal of Tropical Diseases and Parasitology
关键词
曼氏裂头蚴
感染调查
抗体检测
湘西自治州
Sparganum mansoni
Infection investigation
Antibody detection
Xiangxi Autonomous Prefecture