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1.
Open Vet J ; 13(8): 1044-1055, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-37701671

RESUMO

Background: Linguatula serrata is a pentastomid zoonotic parasite with worldwide distribution. Although some cases of L. serrata infection have been reported in dogs, the epidemiology of this parasite remains largely unknown in developed countries. In recent years, canine linguatulosis has been repeatedly linked to cases of imported infections. This study aims to focus attention on this uncommon parasite through the presentation of a case report and an overview of the literature. Case Description: A 1-year-old intact female Borzoi imported from Romania to Italy sneezed spontaneously a worm-like parasite specimen. Morphological and molecular diagnosis identified the parasite as a female of the zoonotic pentastomid L. serrata (so-called European tongue worm) that lives in the nasopharyngeal tract of canids. Eggs of Linguatula were detected in the feces. Molecular identification (99%-100% homology) was based on DNA extraction, polymerase chain reaction of a 700-bp fragment of the mitochondrial cytochrome c oxidase subunit I gene, and alignment with BLAST analysis. Due to the possibility of other adult or juvenile specimens of the parasite still occurring in the dog, a treatment attempt with a combination of febantel/pyrantel/praziquantel was made. No parasite eggs were detected in fecal samples after the drug was administered. Endoscopy confirmed the absence of adult parasites and slight pathological changes. A follow-up examination conducted 3 months after the treatment did not reveal any clinical and laboratory abnormalities. Conclusion: Linguatula serrata appears to be currently prevalent in some European countries, but there are no recent extensive studies on the prevalence of canine linguatulosis, so the parasite frequently remains undetected and unreported in dogs as the diagnosis is often overlooked. Parasites not commonly found such as L. serrata can become increasingly prevalent and may be detected in imported dogs. Therefore, veterinarians must be aware of the possible presence of uncommon and exotic pathogens in these dogs, be able to recognize the relevant clinical signs, and diagnose the infection quickly. This will improve the prognosis in individual dogs, reduces the risk of possible public health implications, and reduces the risk of uncommon and exotic pathogens establishing new endemic foci.


Assuntos
Canidae , Pentastomídeos , Feminino , Cães , Animais , Romênia/epidemiologia , Itália/epidemiologia , Fezes
2.
Trans R Soc Trop Med Hyg ; 117(1): 58-60, 2023 01 03.
Artigo em Inglês | MEDLINE | ID: mdl-35779279

RESUMO

BACKGROUND: Chagas disease represents a major public health concern in several Latin American countries, including Bolivia. METHODS: We present a longitudinal serosurvey for Trypanosoma cruzi antibodies among a cohort of 120 school-age children from rural communities in the Bolivian Chaco at three time points between 2017 and 2019. Serum samples extracted from dry blood spots collected on filter paper were tested for T. cruzi antibodies by enzyme-linked immunosorbent assay and rapid diagnostic test. RESULTS: T. cruzi antibodies were detected in 7/120 (5.8%), 8/120 (6.7%) and 11/120 (9.2%) samples in 2017, 2018 and 2019, respectively. An average incidence of 1.76 per 100 person-years was observed. CONCLUSIONS: Our findings support the persistence of vector-borne T. cruzi transmission in this area, highlighting the need for strengthening multidisciplinary efforts against Chagas disease.


Assuntos
Doença de Chagas , Trypanosoma cruzi , Humanos , Criança , Bolívia/epidemiologia , Doença de Chagas/epidemiologia , Ensaio de Imunoadsorção Enzimática , Anticorpos Antiprotozoários
3.
Trop Med Infect Dis ; 7(10)2022 Sep 29.
Artigo em Inglês | MEDLINE | ID: mdl-36288016

RESUMO

The Bolivian Chaco is a semiarid region with a low population density, situated in the southeast part of the Plurinational State of Bolivia. Here, despite the improvements of the last 15 years, poverty remains high in rural areas, where social vulnerability is widespread. The Guaraní ethnic group often lives in isolated communities with a low standard of hygiene and sanitation. This epidemiological scenario favors the spread of transmissible diseases, including several parasitic infections belonging to the neglected tropical diseases (NTDs) group. In this area, a long-standing research activity, built upon the synergism between local and foreign institutions, has been established since the late 1980s and helps to fill in the knowledge gap about the epidemiology dynamics of soil-transmitted helminths, vector-borne parasites, and other parasitic diseases. A 35-year history of cooperation programs in parasitology research has contributed to informing local health authorities of the NTD burden in the Bolivian Chaco and, ultimately, supports local healthcare providers in the management of parasitic diseases.

4.
Parasitol Res ; 120(9): 3113-3122, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34390382

RESUMO

This study investigated the distribution of nematode larvae of Anisakidae and Raphidascarididae (genera Anisakis and Hysterothylacium) in Trachurus trachurus (Linnaeus, 1758) in the Ligurian and central-northern Tyrrhenian Seas. The relationship between the number of parasites and the length and weight parameters of the fish was assessed, and the possible effect of the parasites on the condition factor was evaluated. A total of 190 T. trachurus specimens were collected in July 2019. Parasites were found in 70 individuals. A total of 161 visible larvae were collected in the viscera. Morphological analysis revealed the presence of Anisakis spp. in 55 fish and Hysterothylacium spp. in 15 fish, while 5 fish showed coinfection with both genera. The specimens subjected to PCR (n = 67) showed that 85% of the Anisakis larvae analyzed belonged to the species A. pegreffii, while the remaining 15% belonged to hybrids of A. pegreffii-A. simplex (s.s.). A total of 58% (n = 7) of the Hysterothylacium larvae analyzed belonged to the species H. fabri, while 42% belonged to the species H. aduncum. Our results support the hypothesis that infection with these parasites does not affect the condition of the fish host analyzed, and that body size and depth are major drivers in determining infection levels with Anisakid and Raphidascaridid nematodes.


Assuntos
Anisaquíase , Anisakis , Ascaridoidea , Doenças dos Peixes , Animais , Anisaquíase/epidemiologia , Anisaquíase/veterinária , Anisakis/genética , Doenças dos Peixes/epidemiologia , Peixes/parasitologia , Larva
5.
One Health ; 13: 100271, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34159246

RESUMO

We performed a cross-sectional parasitological survey to assess the prevalence of protozoa and helminth infection among 275 school-age children (SAC) living in rural and peri-urban areas located in different ecological zones of the Department of La Paz, Bolivia. Public health activities for the control of STH, based on the biannual administration of mebendazole to preschool and school children are implemented at national level since 1986. We found an overall prevalence of 82.2% for intestinal parasites, including protozoa (80%) and helminths (23.3%). Blastocystis and Entamoeba coli were the most prevalent protozoa (found in 44% and 20.7% of the SAC enrolled); as for helminths, Ascaris lumbricoides and Hymenolepis nana were diagnosed in 14.5% and 3.3% of the children, respectively, followed by Trichuris trichiura 1.4%, Enterobius vermicularis 1.4%, Strongyloides stercoralis 0.7% and hookworms 0.7%. Molecular characterization of Blastocystis positive samples evidenced three different subtypes (ST1, ST2, ST3) highlighting the risk of transmission also from animal reservoir. We found a significant difference in the distribution of intestinal parasitic infection (IPIs) by ecological zone (44/74. 59% in Andean highlands, 94/170, 88% in tropical lowlands and 88/94, 94% in the Yungas, p < 0.001). Access to potable water (OR 0.1 95%CI 0.02-0.5, p = 0.004) and the habit of boiling drinking water (OR 0.3, 95% CI 0.2-0.7, p = 0.004) showed an independent association with a lower risk of all IPIs and STHs, respectively. The very low prevalence of STH infections of moderate heavy intensity demonstrate that periodical deworming has been successful in reducing the morbidity due to these parasites, however the high prevalence of protozoa demonstrate that sanitation is still problematic and there is a relevant contamination of the environment with human faeces. Significant efforts are still needed to reduce IPIs transmission and to improve health and sanitation in this area.

6.
Parasite ; 28: 10, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33544075

RESUMO

The Italian wolf population in human-modified landscapes has increased greatly in the last few decades. Anthropisation increases the risk of transmission of many zoonotic infections and in this context, control of taeniid cestode species needs to be addressed from a One Health perspective. Predator-prey interactions are at the root of taeniid cestode transmission, and the wolf plays a key role in the maintenance and transmission of taeniids. To date, all available data on the taeniids of wolves in Italy refer to populations living in a wild habitat. Between 2018 and 2019, we investigated taeniids in a wolf pack living in a highly anthropic hilly agro-ecosystem. Thirty-eight faecal samples were collected and analysed, 4 of which were also genetically characterised for individual wolves and belonged to three different animals. Samples collected were analysed microscopically and by molecular analysis in order to identify the taeniid species. Taeniid eggs were detected in 34.2% (13/38) of samples. Within samples positive to taeniid eggs only Echinococcus granulosus s.s. and Taenia hydatigena were identified in 26.3% and 10.5% of the samples, respectively. On microscopic examination, Capillaria spp., Ancylostomatidae and Toxocara canis eggs, Crenosoma vulpis larvae, and coccidian oocysts were also found. The combination of low biodiversity of taeniid species with a high occurrence of E. granulosus s.s. recorded in this study could be the consequence of a deeper link occurring between wolves and livestock in human-modified landscapes than in wild settings.


TITLE: Cestodes Taeniidae dans une meute de loups vivant dans un agroécosystème vallonné hautement anthropique. ABSTRACT: La population de loups italiens dans les paysages modifiés par l'homme a considérablement augmenté au cours des dernières décennies. L'anthropisation augmente le risque de transmission de nombreuses infections zoonotiques et, dans ce contexte, le contrôle des espèces de cestodes Taeniidae doit être abordé dans une perspective One Health. Les interactions prédateurs-proies sont à la base de la transmission des Cestodes Taeniidae, et le loup joue un rôle clé dans le maintien et la transmission des Taeniidae. À ce jour, toutes les données disponibles sur les Taeniidae du loup en Italie se réfèrent aux populations vivant dans un habitat sauvage. Entre 2018 et 2019, les Taeniidae d'une meute de loups vivant dans un agro-écosystème vallonné hautement anthropique ont été étudiés. Trente-huit échantillons fécaux ont été collectés et analysés, dont quatre ont également été génétiquement caractérisés pour des loups individuels et appartenaient à trois animaux différents. Les échantillons prélevés ont été analysés au microscope et par analyse moléculaire afin d'identifier les espèces de Taeniidae. Des œufs de Taeniidae ont été détectés dans 34,2 % (13/38) des échantillons. Dans les échantillons positifs aux œufs de Taeniidae, seul Echinococcus granulosus s.s. et Taenia hydatigena ont été identifiés dans 26,3 % et 10,5 % des échantillons, respectivement. Lors de l'examen microscopique, des œufs de Capillaria spp., d'Ancylostomatidae et de Toxocara canis, des larves de Crenosoma vulpis et des oocystes de coccidie ont également été trouvés. La combinaison d'une faible biodiversité d'espèces de Taeniidae avec une forte occurrence d'E. granulosus s.s. rapportées dans cette étude pourrait être la conséquence d'un lien plus profond entre le loup et le bétail dans les paysages humains que dans les paysages sauvages.


Assuntos
Cestoides , Infecções por Cestoides , Doenças Parasitárias em Animais , Lobos , Animais , Cestoides/fisiologia , Infecções por Cestoides/epidemiologia , Infecções por Cestoides/parasitologia , Infecções por Cestoides/veterinária , Echinococcus granulosus , Ecossistema , Fezes/parasitologia , Itália , Doenças Parasitárias em Animais/epidemiologia , Doenças Parasitárias em Animais/parasitologia , Lobos/parasitologia
7.
Vet Parasitol Reg Stud Reports ; 20: 100404, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32448535

RESUMO

This paper reports the presence of various species of filarial nematodes in dogs in an area of central Italy at the border between two regions (Tuscany-Latium), which had previously been free of infection and for which there are no epidemiological data in the literature. Blood and serum samples from a total of 363 adult dogs were collected during in 2016/17 and 2018/19 in the provinces of Grosseto (Tuscany) and Viterbo (Latium). The dogs were of different breeds or mixed breeds, randomly selected, and living in public kennels or privately owned. Of the 363 samples tested, 55 dogs were positive to Knott's test for microfilariae (prevalence 15.1%; 95% confidence interval: 11.5-18.8%). Dirofilaria immitis was found in 25 cases (prevalence 6.9%; 95% CI 4.3-9.5%), D. repens in 27 (7.4%, 95% CI 4.7-10.1%) and Acanthocheilonema reconditum in 3 (0.8%, 95% CI 0.1-1.7%). Out of 55 dogs, only four were infested with both D. immitis and D. repens (1.1%, 95% CI 0.001-2.2%).


Assuntos
Acantoqueilonemíase/veterinária , Dirofilariose/epidemiologia , Doenças do Cão/epidemiologia , Filariose/veterinária , Acanthocheilonema/isolamento & purificação , Acantoqueilonemíase/epidemiologia , Acantoqueilonemíase/parasitologia , Animais , Dirofilaria immitis/isolamento & purificação , Dirofilariose/parasitologia , Doenças do Cão/parasitologia , Cães , Feminino , Filariose/epidemiologia , Filariose/parasitologia , Itália/epidemiologia , Masculino , Prevalência
8.
J Infect Dev Ctries ; 14(2): 199-206, 2020 02 29.
Artigo em Inglês | MEDLINE | ID: mdl-32146455

RESUMO

INTRODUCTION: Chagas disease (CD) remains a public health concern in several Latin American countries. At global level, Bolivia has the highest CD burden and the Chaco region, in the southeast of the country, is the most affected area. We report the results of four serosurveys for Trypanosoma cruzi antibodies, carried out approximately ten years apart from each other, during the lapse 1987-2013, in different localities of the Bolivian Chaco. METHODOLOGY: Four cross-sectional surveys were conducted in various localities, mostly rural, of the Bolivian Chaco, during the period 1987-2013. RESULTS: Although a reliable analysis of CD epidemiological trend is challenging, a partial reduction of anti-T. cruzi seroprevalence over the past four decades in the Bolivian Chaco may be assumed. In particular, in 1987 the exposure to T. cruzi in rural setting was universal since the first years of life, while it resulted gradually lower and age-dependent thereafter. Moreover, T. cruzi seroprevalence among women of reproductive age (15-45 years) has been persistently high in rural areas. CONCLUSIONS: T. cruzi transmission is still active and CD remains a concern throughout the Bolivian Chaco. More efforts are needed in order to achieve a sustainable interruption of vector-borne CD transmission in this area.


Assuntos
Anticorpos Antiprotozoários/sangue , Doença de Chagas/epidemiologia , Adolescente , Adulto , Idoso , Bolívia/epidemiologia , Doença de Chagas/sangue , Criança , Pré-Escolar , Estudos Transversais , Ensaio de Imunoadsorção Enzimática , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , População Rural , Estudos Soroepidemiológicos , Trypanosoma cruzi/imunologia , Adulto Jovem
9.
Am J Trop Med Hyg ; 102(4): 847-850, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-31989919

RESUMO

In the Bolivian Chaco, recent surveys documented a dramatic decrease in the prevalence of soil-transmitted helminth (STH) infections as compared with the 1980s after thirty years of preventive chemotherapy (PC). Concomitant immunological rearrangements are expected. Because nematode infections are associated with increased levels of circulating IgE and glycoprotein CD30 soluble form (sCD30), this study aims to evaluate changes in serological markers of T helper (Th)2-cells activity between 1987 (high STH prevalence) and 2013 (low STH prevalence) in rural communities in the Bolivian Chaco area. We collected 151 sera during two different surveys in 1987 (n = 65) and 2013 (n = 86) and measured the concentration of total IgE and sCD30 by immunoassays. We found a statistically significant age-independent decrease in the total IgE (P < 0.0001) and sCD30 (P < 0.0001) from 1987 to 2013. The significant decrease in serological Th2 markers (IgE and sCD30) between 1987 and 2013 is consistent with the drop in STH prevalence in this geographical area during the same period of time. Further studies might elucidate the clinical and epidemiological impact of these serological rearrangements.


Assuntos
Anticorpos Anti-Helmínticos/sangue , Helmintíase/epidemiologia , Imunoglobulina E/sangue , Antígeno Ki-1/sangue , Solo/parasitologia , Adulto , Bolívia/epidemiologia , Feminino , Helmintíase/transmissão , Humanos , Masculino
10.
J Insect Sci ; 19(6)2019 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-31765474

RESUMO

Increased concerns regarding the safety of many chemicals used as insecticides or repellents, together with the development of resistance by insects to various insecticides, have led to the search for new active natural ingredients. For what we believe is the first time, that is monitored the efficiency of neem oil (Azadirachta indica) as a repellent against adult Aedes albopictus directly in the field. To test the efficacy of repellency against adults, treatments were performed (5 ml/l) in six different locations. For each location, two closed gardens distance between them 200 m were chosen (one where the treatment was performed, consisting in spraying a mixture of water and Neem oil 5 g/l and one which was used as a control where only water with emulsifier was used). To monitor the treatment efficacy, six ovitraps were used (for each location three for the treated garden and three for the control garden). Data (n° mosquito eggs trapped in each ovitrap) were collected weekly for 6 mo (from May to October) for a total of 900 samplings. Daily temperature and daily rainfall were monitored throughout the trial. The treatment was most effective in June and July. Very high temperatures and high rainfall reduced the efficacy of neem oil over time.


Assuntos
Aedes , Glicerídeos , Repelentes de Insetos , Terpenos , Animais , Feminino , Masculino , Chuva , Temperatura
12.
Parasit Vectors ; 11(1): 632, 2018 Dec 12.
Artigo em Inglês | MEDLINE | ID: mdl-30541629

RESUMO

A cross-sectional study on Trypanosoma cruzi was carried out in 2013 to evaluate the role of dogs as possible source of infection for humans in two rural communities of the highly endemic Bolivian Chaco (Bartolo, Chuquisaca Department, n = 57 dogs; and Ivamirapinta, Santa Cruz Department, n = 48 dogs). Giemsa-stained thick and thin smears, rapid immunochromatographic test (ICT) (Chagas Quick test, Cypress Diagnostic, Belgium) and polymerase chain reaction for T. cruzi on dried blood spots were performed. All smears proved negative by microscopic examination, whereas 23/103 (22%) were positive by ICT and 5/105 (5%) blood samples contained T. cruzi DNA, evidencing the potential role of dogs in the domestic transmission of the parasite.


Assuntos
Doença de Chagas/veterinária , Doenças do Cão/parasitologia , Trypanosoma cruzi/isolamento & purificação , Animais , Animais Domésticos , Bolívia , Doença de Chagas/parasitologia , Estudos Transversais , Cães , Feminino , Humanos , Masculino , População Rural , Trypanosoma cruzi/classificação , Trypanosoma cruzi/genética , Zoonoses/parasitologia
13.
Am J Trop Med Hyg ; 99(6): 1598-1601, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30298806

RESUMO

Tropical anemia can have multiple causes, whether socioeconomic, dietary, or infectious. In the Bolivian Chaco, soil-transmitted helminthiases (STH), malaria, and Chagas disease are potential infectious causes of anemia among school-aged children (SAC). Following years of preventive chemotherapy with mebendazole, the prevalence of STH among SAC living in that area is now negligible, whereas protozoan infections are still highly prevalent (81%); Hymenolepis nana is the most frequent intestinal helminth (∼13%). We present results of hemoglobin (Hb) assessment and the association between parasitic infections and Hb levels of that SAC population. Overall, 511 SAC (girls:boys ratio 1:1, mean age 9.4 years [95% confidence interval {CI}: 9.3-9.5]) had Hb levels measured by using a point of care testing (HemoCue® Hb 301 System; HemoCue, Angelhome, Sweden). The prevalence of anemia was 23% (117/511), with mean and median Hb level = 12.2 g/dL (95% CI: 12.1-12.3; range 9.2-15.4 g/dL). By multivariate analysis, H. nana infection was associated with an increased risk of anemia (odds ratio 2.9, 95% CI: 1.5-5.7, P = 0.002). Two samples (0.5%) were positive for Trypanosoma cruzi and none for Plasmodium spp. by polymerase chain reaction of the 439 children tested. Anemia is still a concern among SAC living in the Bolivian Chaco. Our findings call for a greater attention to fecal-oral emerging pathogens, such as H. nana, and highlight the importance of water, sanitation, and hygiene improvements for disadvantaged population such as those living in the Bolivian Chaco.


Assuntos
Anemia/epidemiologia , Doença de Chagas/epidemiologia , Hemoglobinas/metabolismo , Himenolepíase/epidemiologia , Hymenolepis nana/isolamento & purificação , Trypanosoma cruzi/isolamento & purificação , Adolescente , Anemia/complicações , Anemia/diagnóstico , Anemia/parasitologia , Animais , Bolívia/epidemiologia , Doença de Chagas/complicações , Doença de Chagas/diagnóstico , Doença de Chagas/parasitologia , Criança , Estudos Transversais , Feminino , Humanos , Higiene/educação , Himenolepíase/complicações , Himenolepíase/diagnóstico , Himenolepíase/parasitologia , Hymenolepis nana/genética , Masculino , Prevalência , Instituições Acadêmicas , Solo/parasitologia , Trypanosoma cruzi/genética
14.
Int J Parasitol Parasites Wildl ; 7(3): 309-316, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30175043

RESUMO

The European distribution of Echinococcus multilocularis has been reported to be expanding east and north, whereas its southern limits are deemed stable. During a study on Echinococcus granulosus s.l. infections in wolves and dogs in the Italian Maritime Alps, we unexpectedly detected the presence of E. multilocularis eggs in four fecal samples from at least two shepherd dogs, and in five wolf fecal samples. This finding, in an area about 130 km south of the southernmost E. multilocularis report in the Alps, may suggest a rapid expansion southward. While infections in foxes are currently being investigated, these data seem to indicate the potential for a new E. multilocularis endemic area. If this will be confirmed, the implementation of surveillance programs in wild and domestic canids and preventative measures will become a priority.

15.
Trop Med Int Health ; 23(6): 616-621, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29660815

RESUMO

OBJECTIVE: Preventive chemotherapy is the WHO-recommended control method for soil-transmitted helminthiases. In the Bolivian Chaco, 6-monthly single-dose mebendazole delivery to school-age children achieved a dramatic decrease in soil-transmitted helminthiases prevalence between 1987 and 2013. Consequently, in September 2016, preventive chemotherapy delivery was interrupted in nine rural communities. In compliance with WHO recommendations, we intensified surveillance to monitor soil-transmitted helminthiases prevalence and detect potential changes that would require interventions. METHODS: We conducted two cross-sectional parasitology surveys 12 months apart (September 2016-2017) among school-age children living in the communities where preventive chemotherapy delivery had been halted. Study design, methods of sampling and sample analysis technique (direct microscopy, Kato-Katz technique) followed WHO recommendations, aiming to obtain data representative of the Bolivian Chaco ecological zone. RESULTS: We collected 426 samples in 2016 and 520 in 2017. Soil-transmitted helminthiasis prevalence was unremarkable: 0.7% (95% CI 0-1.5%) in 2016 and 0.8% (0-1.5%) in 2017. Conversely, the prevalence of tapeworms (13% in 2016, 12% in 2017) and intestinal protozoan infections (81% in 2016 and 75% in 2017) continued to be high. CONCLUSIONS: Our findings support the role of preventive chemotherapy in reducing soil-transmitted helminthiases transmission, as otherwise poor hygienic and health conditions persist in the Bolivian Chaco. A national survey, involving areas from all the ecological zones of Bolivia, is now warranted.


Assuntos
Anti-Helmínticos/uso terapêutico , Helmintíase/prevenção & controle , Mebendazol/uso terapêutico , Bolívia/epidemiologia , Quimioprevenção/métodos , Criança , Estudos Transversais , Feminino , Helmintíase/epidemiologia , Humanos , Masculino , Prevalência , Avaliação de Programas e Projetos de Saúde , População Rural/estatística & dados numéricos , Solo/parasitologia
16.
Trop Med Int Health ; 22(11): 1457-1462, 2017 11.
Artigo em Inglês | MEDLINE | ID: mdl-28929562

RESUMO

OBJECTIVES: The prevalence of Strongyloides stercoralis infections is grossly underestimated because infections go mostly undetected, although they can persist for a lifetime due to the auto-infective cycle. In the Bolivian Chaco, the prevalence of soil-transmitted nematodes dropped dramatically in the past 25 years, but the mebendazole used for preventive chemotherapy has no effect on S. stercoralis. Meanwhile, the prevalence of intestinal protozoan infections remains unchanged. We compared S. stercoralis seroprevalence in rural communities of the Bolivian Chaco from 1987 to 2013. METHODS: Sera collected during two previous serosurveys, conducted in the Chaco region in 1987 and 2013, were tested for S. stercoralis using a commercial assay (Bordier-ELISA, Bordier Affinity Products, Switzerland). RESULTS: Overall, 355 sera were analysed, 122 from the 1987 survey and 233 from the 2013 survey. Seropositivity for S. stercoralis was significantly more prevalent in 1987 (19/122, 16% in 1987 vs. 15/233, 6% in 2013, P = 0.006), accounted for by a drop from 17% to 3% in people under 26 years of age. Multivariate analysis showed a significant association between seropositivity for S. stercoralis and age in the 2013 population (OR 1.03 for each one-year increase, 95%CI 1.00-1.05, P = 0.04), but none in 1987. CONCLUSIONS: The significant reduction in S. stercoralis seroprevalence in Bolivian Chaco cannot be explained by preventive chemotherapy or improved social-sanitary conditions. As the drop is seen in younger generations, it is consistent with little transmission occurring. However, the risk of transmission still exists, as prevalence is persistently high in older individuals, who present a potential reservoir due to the lifelong nature of S. stercoralis infections.


Assuntos
Enteropatias Parasitárias/epidemiologia , População Rural , Strongyloides stercoralis/crescimento & desenvolvimento , Estrongiloidíase/epidemiologia , Adolescente , Adulto , Fatores Etários , Idoso , Animais , Bolívia/epidemiologia , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Enteropatias Parasitárias/transmissão , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Razão de Chances , Prevalência , Estudos Soroepidemiológicos , Solo/parasitologia , Estrongiloidíase/transmissão , Adulto Jovem
17.
J Infect Dev Ctries ; 10(9): 1012-1019, 2016 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-27694735

RESUMO

INTRODUCTION: In 2013 a coproparasitological survey was carried out in two rural communities of the Bolivian Chaco to determine the prevalence of intestinal parasitic infections (IPIs) and to investigate on possible infection drivers through a questionnaire interview. METHODOLOGY: Faecal samples were examined by microscopy. Samples positive for Entamoeba histolytica complex and Blastocystis were molecularly examined to identify the species/subtypes involved. RESULTS: The overall infection rate was 86%, identical in both communities and mostly due to protozoa. Soil-transmitted helminths were detected in <3% of children and adults. DISCUSSION: The protozoa detected, including Blastocystis subtypes, indicate faecal contamination of the environment by both humans (as confirmed by the presence of Hymenolepis nana) and animals. Nested-PCR identified E. histolytica, thus signalling the possible occurrence of invasive amoebosis. Lack of safe water, environmental contamination, poor sanitation and hygiene, shared by both communities, are the main drivers of IPIs. In addition, unlike gender and socioeconomic factors, childhood (only for some species), crowding and cohabitation with animals proved to be further significant protozoon infection risk factors. CONCLUSIONS: These results highlight the need for the promotion of access to clean water, improved sanitation and better hygiene, thus reducing the frequency of preventive chemotherapy for STHs while continuing to monitor the population for possible recrudescence.


Assuntos
Enteropatias Parasitárias/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Animais , Bolívia/epidemiologia , Criança , Pré-Escolar , Estudos Transversais , Fezes/parasitologia , Feminino , Humanos , Lactente , Masculino , Microscopia , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , População Rural , Inquéritos e Questionários , Adulto Jovem
18.
Emerg Infect Dis ; 22(8): 1445-7, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-27434696

RESUMO

To investigate human babesiosis in the Bolivian Chaco, in 2013 we tested blood samples from 271 healthy persons living in 2 rural communities in this region. Microscopy and PCR indicated that 3.3% of persons were positive for Babesia microti parasites (US lineage); seroprevalence was 45.7%. Appropriate screening should mitigate the risk for transfusion-associated babesiosis.


Assuntos
Babesiose/epidemiologia , Babesiose/parasitologia , Adolescente , Adulto , Idoso , Antígenos de Protozoários/sangue , Babesia microti/isolamento & purificação , Bolívia/epidemiologia , Criança , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Adulto Jovem
19.
Vet Ital ; 51(3): 199-203, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26455372

RESUMO

This study has been conducted in the district of Massaciuccoli (lake, marsh and reclaimed areas with drainage channels) in Tuscany region (Central Italy). The aim of the research was to detect the presence of parasites in fishes, in particular of Opisthorchis felineus, which causes an important zoonosis. Between 2010-2012, the health status of 381 fishes was monitored, morphometric characteristics were determined, and parasites were searched for and identified. Of the 381 examined fishes, 189 were free of parasites while 192 were infected, among them 91 presented multiple infections. Opisthorchis felineus was not found in any of the examined fishes.


Assuntos
Peixes/parasitologia , Opisthorchis/isolamento & purificação , Animais , Água Doce , Itália
20.
Int J Parasitol Parasites Wildl ; 4(2): 252-5, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26042204

RESUMO

Canids are definitive hosts of Taenia and Echinococcus species, which infect a variety of mammals as intermediate or accidental hosts including humans. Parasite transmission is based on domestic, semi-domestic and wildlife cycles; however, little is known of the epidemiological significance of wild large definitive hosts such as the wolf. In this study, 179 scats of wolves (Canis lupus italicus) collected throughout the Italian region of Liguria were analyzed for the detection of taeniid infection. Taeniid egg isolation was performed using a sieving/flotation technique, and the species level was identified by PCR (gene target: 12S rRNA and nad 1) followed by sequence analyses. Based on sequence homologies of ≥99%, Taenia hydatigena was identified in 19.6%, Taenia krabbei in 4.5%, Taenia ovis in 2.2%, Taenia crassiceps in 0.6%, Hydatigera taeniaeformis in 0.6% and Echinococcus granulosus in 5.6% of the samples. According to these results, Canis lupus italicus can be considered as involved in the wild (including cervids and rodents) and semi-domestic cycles (including sheep and goats) of taeniids in this area.

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