Western Romania

  • 文章类型: Journal Article
    原生动物寄生虫,弓形虫,与几种精神疾病有关,包括精神分裂症.这项研究的目的是评估诊断为精神分裂症的患者中弓形虫IgG抗体的患病率和与血清阳性率相关的危险因素。这项血清流行病学研究评估了196名参与者,分为两组。研究组由98名精神分裂症患者组成,并与98名健康献血者相匹配。使用问卷收集与弓形虫血清阳性率相关的潜在危险因素的信息。结果显示精神分裂症患者弓形虫IgG抗体的血清阳性率较高(69.39%,68/98)与健康对照组(51.02%,50/98)(OR:2.18;95%CI:1.21-3.9;p=0.01)。精神分裂症患者食用生肉或未煮熟的肉(80.65%,25/31)(OR:3.75;95%CI:1.25-11.21,p=0.02)和受教育程度较低的人(77.59%,45/58)(OR:3.5;95%CI:1.59-7.54,p=0.002)与对照组相比,弓形虫血清阳性率增加。我们的发现表明,与健康献血者相比,精神分裂症患者的弓形虫IgG血清阳性率较高。与弓形虫血清阳性率相关的因素是食用生肉或未煮熟的肉和较低的教育程度。这项研究提供了有关诊断为精神分裂症的罗马尼亚患者弓形虫病潜在危险因素的第一批数据,并可能为将来的研究和预防策略的制定奠定基础。
    The protozoan parasite, Toxoplasma gondii, has been linked to several psychiatric disorders, including schizophrenia. The aim of this study was to assess the prevalence of T. gondii IgG antibodies and risk factors associated with seroprevalence in patients diagnosed with schizophrenia. This seroepidemiological study assessed 196 participants, divided into two groups. The study group consisted of 98 schizophrenic patients and was matched with 98 healthy blood donors. A questionnaire was used to gather information regarding potential risk factors associated with T. gondii seroprevalence. Results revealed a higher seroprevalence of T. gondii IgG antibodies in schizophrenic patients (69.39%, 68/98) when compared to healthy controls (51.02%, 50/98) (OR: 2.18; 95% CI: 1.21-3.9; p = 0.01). Patients with schizophrenia who consumed raw or undercooked meat (80.65%, 25/31) (OR: 3.75; 95% CI: 1.25-11.21, p = 0.02) and those with a lower educational level (77.59%, 45/58) (OR: 3.5; 95% CI: 1.59-7.54, p = 0.002) presented increased T. gondii seropositivity rates versus their control counterparts. Our findings indicate a high T. gondii IgG seroprevalence in patients diagnosed with schizophrenia compared to healthy blood donors. Factors associated with T. gondii seroprevalence were consumption of raw or uncooked meat and a lower educational attainment. This study provided the first data regarding the potential risk factors for toxoplasmosis in Romanian patients diagnosed with schizophrenia and may serve as a foundation for future research and the development of preventive strategies.
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  • 文章类型: Journal Article
    感染球虫寄生虫弓形虫与几种精神障碍的风险增加有关。我们对464名连续精神病患者进行了病例对照研究,并评估了弓形虫IgG抗体的患病率以及与感染相关的潜在危险因素。使用化学发光测定法测定弓形虫特异性抗体。使用问卷评估危险因素与弓形虫血清阳性之间的潜在相关性。在325例患者中发现了IgG抗体(70.04%)。我们观察到老年个体中弓形虫IgG抗体阳性的可能性更高,居住在农村地区的病人,和女性。我们还注意到弓形虫感染与某些危险因素之间的关联,比如与土壤接触的活动,低收入水平,和有限的教育程度。我们的发现表明,罗马尼亚西部的精神病患者中弓形虫感染率很高,并提供了有关该人群中与弓形虫相关的潜在危险因素的新信息。这项研究可以作为未来研究和预防策略制定的基础。
    Infection with the coccidian parasite Toxoplasma gondii was associated with an increased risk of several mental disorders. We conducted a case-control study of 464 consecutive psychiatric patients and assessed the prevalence of IgG antibodies against T. gondii and the potential risk factors associated with infection. T. gondii-specific antibodies were determined using a chemiluminescence assay. A questionnaire was utilized to assess the potential correlation between risk factors and Toxoplasma gondii seropositivity. IgG antibodies were found in 325 (70.04%) of the patients. We observed a higher likelihood of positive IgG antibodies against Toxoplasma gondii in older individuals, patients residing in rural areas, and females. We also noted associations between Toxoplasma gondii infection and certain risk factors, like activities that involve contact with soil, low-income levels, and limited educational attainment. Our findings indicate a high prevalence of T. gondii infection among psychiatric patients from Western Romania and provide new information regarding the potential risk factors associated with T. gondii in this population group. This study may serve as a foundation for future research and the development of preventive strategies.
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  • 文章类型: Journal Article
    旋毛虫病,一种严重的,有时是致命的人类疾病,是食用含有旋毛虫属感染幼虫的生肉或不适当煮熟的肉的结果。这项观察性队列回顾性研究的目的是比较流行病学,实验室,罗马尼亚西部儿童和成人旋毛虫病的临床和治疗方面。我们调查了2010年1月17日至2020年12月31日期间被诊断为旋毛虫病并住院的患者的医疗记录。根据传染病医院电子数据库确定了一百三十三个病人,位于罗马尼亚西部的四个县。共有19例(14.28%)为儿童,114例(85.71%)为成人。在儿童中,最常见的症状是消化,占78.94%,其次是57.89%的发烧,眼睑或面部水肿占57.89%,肌痛占52.63%,而87.71%的成年人主要表现为肌痛,其次是发烧的77.19%,消化系统症状占68.42%,眼睑或面部水肿占66.66%。大多数患者的感染源是猪肉制品(89.47%)。我们的结果表明,在研究期间,儿童和成人的感染率总体呈下降趋势。绝大多数病例是严重的,都需要住院治疗。应改善和维持人口教育以及公共卫生战略,以充分预防罗马尼亚西部的旋毛虫病。
    Trichinellosis, a serious and sometimes fatal human disease, is a consequence of consuming raw or improperly cooked meat containing the infective larvae of Trichinella spp. The aim of this observational cohort retrospective study is to compare the epidemiological, laboratory, clinical and therapeutic aspects of trichinellosis in children and adults from Western Romania. We investigated the medical records of patients who were diagnosed with trichinellosis and hospitalized between 17 January 2010 and 31 December 2020. One hundred thirty-three patients were identified according to the electronic databases of infectious disease hospitals, located in four counties from Western Romania. A total of 19 patients (14.28%) were children and 114 patients (85.71%) were adults. In children, the most frequent symptoms were digestive in 78.94%, followed by fever in 57.89%, eyelid or facial edema in 57.89% and myalgia in 52.63% of cases, while adults presented mainly myalgia in 87.71%, followed by fever in 77.19%, digestive symptoms in 68.42% and eyelid or facial edema in 66.66% of cases. The source of infection was pork meat products in the majority of patients (89.47%). Our results revealed a general declining trend in infection rates for both children and adults during the studied period. The vast majority of cases were severe and all required hospitalization. Education of the population along with public health strategies should be improved and maintained to fully prevent trichinellosis in Western Romania.
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  • 文章类型: Journal Article
    Trichinellosis is a public health problem and an economic issue in porcine animal production and food safety. The aim of this retrospective study was to evaluate the current epidemiologic, laboratory, clinical and therapeutic aspects of human trichinellosis in Western Romania. We retrospectively investigated the medical records of patients hospitalized in infectious diseases hospitals from three counties in Western Romania, between January 1st, 2012 and December 31st, 2016. A total of 83 patients diagnosed with trichinellosis were included in the study. Pork meat was the food source of infection in 76 (91.6%) patients and wild boar meat in 4 (4.8%). Patients were aged between 2 and 78 years; 48 (57.8%) were males and 27 (32.5%) came from an urban area. The most frequent symptoms included myalgia in 66 (79.5%) patients, fever in 55 (66.3%), eyelid edema in 40 (48.2%) and asthenia in 35 (42.2%). Two patients died and the others had favorable outcome. Although the number of reported cases has decreased in the past years, trichinellosis remains an important public health problem in Western Romania. Educational programs for both swine breeders and consumers are imperative, and implementation of strict hygienic measures aimed to control infection transmission are strongly recommended.
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