Leptospirosis in the western Indian Ocean islands: what is known so far?
Leptospirosis in the western Indian Ocean islands: what is known so far?
复制标题
DOI：
10.1186/1297-9716-44-80
复制
发表时间：
2013-09-09
影响因子：
4.4
通讯作者：
Bourhy P
中科院分区：
文献类型：
--
作者：
Desvars A;Michault A;Bourhy P
在过去的十年中，钩端螺旋体病已成为一种主要的人畜共患病，并在世界范围内分布。这种疾病是由钩端螺旋体属的细菌引起的。西印度洋包括100多个热带或亚赤道岛屿，在这些岛屿上，钩端螺旋体病构成一个主要的公共卫生问题。人类疾病的临床症状通常与流感样综合征相似，但报告了该疾病的急性形式，该地区的死亡率仍然很高。在动物中，临床形式主要是无症状的，但钩端螺旋体病降低了牲畜的生育能力，导致经济损失。关于西印度洋岛屿人类和动物钩端螺旋体病的现有数据多种多样：在留尼汪岛、马约特岛和塞舌尔对人类钩端螺旋体病进行了广泛研究，而在马达加斯加、科摩罗、毛里求斯或罗德里格斯岛从未描述过人类临床疾病，这主要是因为缺乏适当的医疗和诊断结构。老鼠被认为是所有岛屿上细菌的主要储存宿主，但最近来自留尼汪岛的数据表明，几乎所有哺乳动物都可能是污染源。人类钩端螺旋体病的发病率具有高度的季节性，与雨季有关，这有利于细菌的环境维持和传播。钩端螺旋体病的流行病学完全取决于岛屿，与哺乳动物物种的数量、引入的哺乳动物物种的起源、人与动物之间的关系、环境以及文化和社会经济因素有关。
In the past decade, leptospirosis has emerged as a major zoonosis with a worldwide distribution. The disease is caused by bacteria of the genus Leptospira. The western Indian Ocean includes more than one hundred tropical or subequatorial islands where leptospirosis constitutes a major public health problem. The clinical signs of the human disease are generally similar to an influenza-like syndrome, but acute forms of the disease are reported and mortality remains significant in this region. In animals, clinical forms are mainly asymptomatic but leptospirosis reduces the fertility of livestock, resulting in economic losses. The data available about human and animal leptospirosis in the western Indian Ocean islands are diverse: human leptospirosis has been extensively studied in Reunion Island, Mayotte, and the Seychelles, whereas the human clinical disease has never been described in Madagascar, Comoros, Mauritius, or Rodrigues, mainly because of the deficiency in appropriate medical and diagnostic structures. The rat is recognized as the major reservoir host for the bacteria on all islands, but recent data from Reunion Island indicates that almost all mammals can be a source of contamination. The incidence of leptospirosis in humans is highly seasonal, and linked to the rainy season, which is favorable for the environmental maintenance and transmission of the bacteria. The epidemiology of leptospirosis is fully island-dependent, related to the number of mammalian species, the origins of the introduced mammalian species, the relationships between humans and fauna, and environmental as well as cultural and socio-economic factors.
登录
查看更多内容
影响因子：
2.6
作者：
Boqvist, S;Chau, BL;Magnusson, U
通讯作者：
Magnusson, U
影响因子：
2.3
作者：
Bezirtzoglou, Christos;Dekas, Konstantinos;Charvalos, Ekatherina
通讯作者：
Charvalos, Ekatherina
DOI：
10.4269/ajtmh.2012.12-0102
发表时间：
2012-07-01
影响因子：
3.3
作者：
Desvars, Amelie;Naze, Florence;Bourhy, Pascale
通讯作者：
Bourhy, Pascale
影响因子：
1.7
作者：
dos Santos, Jandra Pacheco;Correia Lima-Ribeiro, Anna Monteiro;Fernandes Tavares, Tatiane Cristina
通讯作者：
Fernandes Tavares, Tatiane Cristina
影响因子：
2.6
作者：
Barragan, Veronica A.;Eugenia Mejia, Maria;Trueba, Gabriel A.
通讯作者：
Trueba, Gabriel A.