没有被Ixodes咬或没有症状被咬,为什么还要担心?
Mykhaylo Andreychyn1, Maria Shkilna1, Oleksandr Tokarskyy2
1Department of Infectious Diseases and Epidemiology, Dermatology and Venereology, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine.
Central European journal of public health
|October 1, 2024
概括
林业工作者患莱姆病病 (LB) 的风险很高. 建议在特有地区进行定期测试,因为个人防护措施没有影响LB查结果.
科学领域:
- 职业健康 职业健康 职业健康
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 莱姆病 (LB) 对林业工作者构成重大职业风险.
- 了解风险因素和无症状感染对于疾病管理至关重要.
研究的目的:
- 分析林业工人中的LB风险.
- 为了评估保护性行为对博雷利亚查的影响.
- 为了确定咬后症状的发生和LB诊断.
主要方法:
- 一项涉及1070名林业工人的研究.
- 使用ELISA检测 Borrelia burgdorferi的IgM/IgG抗体的问卷和血清查.
- 对报告的咬和自我报告的保护行为进行分析.
主要成果:
- 39.6%被咬伤的工人和27.0%没有被召回的咬的工人检测出LB阳性.
- 咬史增加了LB阳性几率 (1.770×);驱虫剂和自我检查没有影响.
- LB阳性个体的皮肤变色几率较低;常见症状包括关节痛 (24.9%) 和肌痛 (7.6%).
结论:
- 建议在特有地区的风险人群进行定期的LB实验室检测.
- 排斥剂使用和自我检查等保护性行为并没有显著改变LB查结果.
- 许多感染者可能保持无症状或出现非特异性症状.
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