在印度奥迪沙邦特别易受伤害的部落群体中感染疹伤寒
Debaprasad Parai1, Matrujyoti Pattnaik2, Arashmika Dash1
1Dept. of Microbiology and One Health, ICMR-Regional Medical Research Centre, Bhubaneswar 751023, India.
Journal of infection and public health
|November 5, 2025
概括
灌木伤寒影响了印度奥迪沙州近一半特别易受伤害的部落群 (PVTGs). 关键的风险因素包括生活条件和职业习惯,突出了针对性健康干预的必要性.
科学领域:
- 流行病学 流行病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 湿疹伤寒对健康造成重大负担,特别是在服务不足的人群中.
- 印度特别脆弱的部落群 (PVTGs) 经常面临独特的环境和社会经济风险.
- 有效的控制策略需要了解这些社区内的疾病患病率和相关风险因素.
研究的目的:
- 为了确定印度奥迪沙州PVTG中灌木伤寒感染的血清流行率.
- 在这个人群中确定与灌木伤寒感染相关的关键风险因素.
- 为制定有针对性的管理和控制策略提供信息.
主要方法:
- 在奥迪沙州的9个PVTG占主导地位的地区进行了基于社区的跨部门调查.
- 在1485个血清样本中,使用ELISA分析了草伤寒免疫球蛋白G (IgG) 和免疫球蛋白M (IgM) 抗体.
- 采用多变量后勤回归来识别与灌木伤寒相关的风险因素.
主要成果:
- 湿疹伤寒IgG抗体的加权血清流行率为48.95%,IgM抗体的加权血清流行率为18.19%.
- 重要风险因素包括坐在泥的地板上 (aOR: 2.00),非混凝土屋顶材料 (aOR: 1.35),农业实践 (aOR: 1.32),森林采集 (aOR: 1.53),儿童保育 (aOR: 1.63) 和较大的家庭规模 (aOR: 1.27).
结论:
- 这项研究提供了该地区PVTG社区灌木伤寒的第一个血清流行数据.
- 环境和职业因素在PVTG中显著影响灌木伤寒风险.
- 建议包括加强公共卫生政策和宣传计划,以改善这些社区的健康结果.
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