Cyclospora cayetanensis Infection in Developed Countries: Potential Endemic Foci?

Cyclospora cayetanensis Infection in Developed Countries: Potential Endemic Foci?
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DOI:
10.3390/microorganisms11030540
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发表时间:
2023-02-21
期刊:
影响因子:
4.5
通讯作者:
Santin M
Santin M
中科院分区:
生物学3区
文献类型:
--
作者:
Chacin-Bonilla L;Santin M

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环孢子虫感染已成为全球一个重大的公共卫生问题。发达国家通常被认为是非感染流行区。然而,在发达国家,与国内种植的农产品相关的环孢子虫散发病例以及非旅行相关的疫情正变得越来越常见。在这些国家的新鲜农产品、地表水、废水、灌溉用水和土壤中都检测到了环孢子虫,这表明该寄生虫在卫生条件先进的地区可能比之前认为的更为常见,也说明了暴露风险以及本土/本地感染的潜在风险。有证据表明在发达国家可能存在流行病灶,特别是在卫生条件较差的社区,并且引发了传播问题,需要进一步研究以更好地确定感染风险、环孢子虫在这些地区可能的分布范围,并指导针对这种感染的干预措施。本观点的主要目的是评估环孢子虫病在发达国家的存在情况,这是食品安全中一个非常重要且持续存在的问题。
Cyclospora cayetanensis infection has emerged as a significant public health concern worldwide. Developed countries are generally considered non-endemic for infection. However, sporadic cases and non-travel-related outbreaks of C. cayetanensis infections associated with domestically grown produce are becoming more common in developed countries. Cyclospora cayetanensis has been detected in fresh produce, surface water, wastewater, irrigation water, and soil in these countries, suggesting that the parasite may be more common in areas with advanced sanitation than previously thought and illustrating the potential risk for exposure and indigenous/autochthonous infections. The evidence suggests the possibility of foci of endemicity in developed countries, particularly in communities where sanitary conditions are compromised, and raises transmission issues that require further research to better define the risks for infection, how widespread C. cayetanensis may be in these areas, and to guide interventions against this infection. The main purpose of the present opinion was to evaluate the presence of cyclosporiasis in developed countries, which is a very important and ongoing issue in food safety.
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