RESUMO
OBJECTIVES: To evaluate the potential of iron-oxide dismutase excreted (SODeCRU) by T. cruzi as the antigen fraction in the serodiagnosis of Chagas disease and compile new epidemiological data on the seroprevalence of this disease in the suburban population of the city of Santiago de Querétaro (Mexico). DESIGN AND METHODS: 258 human sera were analyzed by the techniques of ELISA and Western blot and using the homogenate and the SODeCRU. RESULTS: A total of 31 sera were positive against ELISA/SODeCRU (12.4%), while 30 sera proved positive by WB/SODeCRU (11.6%). The comparison between the technique of ELISA and WB showed a sensitivity of 93%, and a specificity of 99%. The positive predictive value was 93% and the negative predictive value was 99%, with a Kappa (κ) value of 1. CONCLUSIONS: These preliminary data reveal the degree of infection of nonrural areas of Mexico and demonstrated that SODeCRU is an antigen useful to diagnose Chagas disease.
Assuntos
Doença de Chagas/sangue , Doença de Chagas/epidemiologia , Trypanosoma cruzi/metabolismo , Adulto , Idoso , Idoso de 80 Anos ou mais , Anticorpos Antiprotozoários/sangue , Western Blotting , Doença de Chagas/parasitologia , Ensaio de Imunoadsorção Enzimática/métodos , Feminino , Humanos , Masculino , México , Pessoa de Meia-Idade , Reação em Cadeia da Polimerase , Valor Preditivo dos Testes , Projetos de Pesquisa , Sensibilidade e Especificidade , Estudos Soroepidemiológicos , Testes Sorológicos , População Suburbana , TemperaturaRESUMO
Chagas disease is present in Mexico but data on the presence of its vectors are not known for all the states. We conducted an epidemiological study to ascertain the presence of bedbugs in 23 communities of seven municipalities in the state of Querétaro, Mexico. Sampling was performed within and outside dwellings, using the technique of one person searching per hour per house. Four triatomine species were found: Triatoma mexicana (94%), Tri. dimidiata (3%), Tri. gerstaeckeri (2%) and Tri. pallidipennis (1%). Triatoma mexicana was found in six of the seven municipalities but has previously been found only in the state of Hidalgo, where it is considered the most important vector species of Trypanosoma cruzi. This is the first time that the presence of Tri. gerstaeckeri or Tri. dimidiata has been reported in the state of Querétaro. Tolimán municipality had the highest entomological indices: infestation index 73%; infection index 34.5%; crowding index 9.2%; density index 6.7%; and colonization index 20.6%. Although the prevalence and colonization indices were low, the infestation and infection indices indicate that different Triatoma species are becoming established in Querétaro. This work represents the first entomological study in this Mexican state and suggests that some triatomine vectors are extraordinarily mobile.