Foodborne Parasites Dominate Current Parasitic Infections in Hunan Province, China.

Foodborne Parasites Dominate Current Parasitic Infections in Hunan Province, China.
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食源性寄生虫是中国湖南省目前寄生虫感染的主要原因。

DOI:
10.3389/fcimb.2021.774980
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发表时间:
2021
影响因子:
5.7
通讯作者:
Jiang L
Jiang L
中科院分区:
医学2区
文献类型:
--
作者:
Liu X;Wu M;Liu Y;Li J;Yang D;Jiang L

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近60年来,中国在防治人类寄生虫病方面取得了很大进展,但寄生虫病仍然是世界上最严重的公共卫生问题之一。由于各省的地理环境和人们的饮食习惯,寄生虫病的具体流行率各不相同。本研究将2016年1月1日至2020年12月31日期间临床医生或自己怀疑有寄生虫感染的4428例患者推荐至我们实验室进行进一步检测。通过病原学和免疫学方法共检测了5246份样本,包括粪便、血液和其他体液。15.20%(673/ 4428)的疑似患者感染了至少一种寄生虫,湖南省疑似患者总体阳性率为15.10%(594/ 3933)。共检获寄生虫18种,分别为线虫(4种)、吸虫(5种)、绦虫(4种)、原生动物(2种)、医用节肢动物(3种),其中湖南省外输入寄生虫3种。食源性寄生虫共有9种,占感染某一种寄生虫患者的89.92%(464/516)。湖南省常见的寄生虫有复角蚴、威氏并殖吸虫、华支睾吸虫、囊虫、刚地弓形虫和日本血吸虫。在本研究中,我们发现土传线虫感染的发生率明显下降。然而,食源性寄生虫逐渐成为主要的寄生虫感染,多重感染也越来越普遍。因此,今后我们不仅要继续开展土源性线虫的防治工作,而且要把重点放在食源性寄生虫的防治上。
Great progress has been made in the prevention and treatment of human parasitic diseases in China over the past six decades, but parasitic diseases are still one of the most serious public health problems in the world. The specific prevalence of parasitic diseases varies in different provinces due to their geographical environment and the dietary habits of people. In this study, a total of 4,428 patients suspected to have parasitic infection by clinicians or themselves from January 1, 2016, to December 31, 2020 were recommended to our laboratory for further testing. In total, 5,246 samples including fecal, blood, and other body fluids were detected by etiological and immunological methods. Approximately 15.20% (673/4,428) of all suspected patients were infected by at least one species of parasite, and the overall positive rate of suspected patients from Hunan Province was 15.10% (594/3,933). A total of 18 species of parasites, namely, nematodes (4 species), trematodes (5 species), cestodes (4 species), protozoa (2 species), and medical arthropods (3 species), and 3 of them were imported parasites outside of Hunan Province. There are 9 species of foodborne parasites, accounting for 89.92% (464/516) of patients infected by one species of parasite. Common parasites in Hunan Province include plerocercoid, Paragonimus westermani, Clonorchis sinensis, cysticercus, Toxoplasma gondii, and Schistosoma japonicum. In this study, we found that the incidence of soilborne nematode infections has decreased significantly. However, foodborne parasites gradually become the main parasitic infections as well as multiple infections are becoming more common. Therefore, we should not only continue the prevention and control of soil-derived nematodes but also focus on the prevention and control of foodborne parasites in the future.
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