Knowledge, attitudes, and practices regarding the leishmaniases among inhabitants from a Paraguayan district in the border area between Argentina, Brazil, and Paraguay

Knowledge, attitudes, and practices regarding the leishmaniases among inhabitants from a Paraguayan district in the border area between Argentina, Brazil, and Paraguay
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DOI:
10.1007/s10389-018-0908-6
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发表时间:
2018-12-01
影响因子:
1.8
通讯作者:
Ruoti, Monica
Ruoti, Monica
中科院分区:
其他
文献类型:
--
作者:
Gimenez-Ayala, Andrea;Gonzalez-Britez, Nilsa;Ruoti, Monica

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利什曼病是由利什曼原虫属寄生虫引起的,其地理分布、宿主和媒介不同。知识,态度和做法(KAP)的人口是重要的,以了解他们与疾病的关系。本研究的目的是表征KAP关于利什曼病在居民的三重边境地区阿根廷-巴西-巴拉圭在特定的街区,感染的狗被发现和白蛉被捕获,确定一个transmission focus.MethodsThis是一个观察性的,描述性的设计定量横向调查的基础上。62项调查适用于位于危险地区的家庭。在家庭进行了调查,在旧金山弗朗西斯科和圣罗莎社区的感染水库(狗)的存在被证实和卢。longipalpis以前已确定和capture.Results71%的受访者表示,他们听说过这种疾病。关于疾病的类型、传播方式和症状的知识很少。态度和做法与宠物狗密切相关,并注意到人类和犬类病例之间的混淆。有一个主要的缺陷,负责知识转移到population.ConclusionThese结果表明,有必要在这些弱势群体进行教育干预,以改善条件,预防和控制利什曼病的三重边境的人流量非常激烈,爆发的机会目前非常高。
AimsLeishmaniasis is caused by parasites of the genus Leishmania sp. that differ in their geographical distribution, hosts, and vectors. Knowledge, attitudes, and practices (KAP) of the population are important to understand their relation to the disease. The aim of this study was to characterize KAP with regard to the leishmaniases in inhabitants of the triple border area Argentina-Brazil-Paraguay in specific neighborhoods where infected dogs were found and phlebotomine were captured, identifying a transmission focus.MethodsThis is an observational, descriptive design based on a quantitative transversal survey. Sixty-two surveys were applied in homes located in areas at risk. Surveys were carried out in households in the San Francisco and Santa Rosa neighborhoods where the presence of infected reservoirs (dogs) was confirmed and Lu. longipalpis had been previously identified and captured.ResultsSeventy-one percent of respondents stated that they had heard about the disease. Knowledge about types, mode of transmission, and symptoms of the disease was rare. Attitudes and practices were closely related to pet dogs, and confusion between human and canine cases was noticed. There was a major flaw in the public services responsible for the transfer of knowledge to the population.ConclusionThese results suggest the necessity of conducting an educational intervention in these vulnerable populations, to improve conditions for prevention and control of leishmaniasis in the triple border where the flux of people is very intense and the chances of outbreaks are currently very high.