SURVEY ON THE PREVALENCE OF LEPTOSPIRA INFECTIONS IN THE ITALIAN POPULATION

被引：39

作者：

CACCIAPUOTI, B

CICERONI, L

PINTO, A

APOLLINI, M

RONDINELLA, V

BONOMI, U

BENEDETTI, E

CINCO, M

DESSI, S

DETTORI, G

GRILLO, R

FALOMO, R

MANSUETO, S

MICELI, D

MARCUCCIO, L

MARCUCCIO, C

PIZZOCARO, P

SCHIVO, ML

VARALDO, E

LUPIDI, R

IOLI, A

MARZOLINI, A

ROSMINI, F

机构：

[1] National Center for Leptospirosis, Istituto Superiore di Sanitá, Rome, I-00161

[2] Microbiology and Immunology Service, Hospital Institution A. Pugliese, Catanzaro

[3] Microbiology Immunology and Virology Service, Hospital Institutes, Verona

[4] Department of Microbiology, University of Trieste Medical School, Trieste

[5] Department of Hygiene, University of Cagliari Medical School, Cagliari

[6] Department of Microbiology, Catholic University Medical School, Rome

[7] Clinical Pathology Service, Hospital Institution, Palmanova

[8] Department of Medical Pathology, University of Palermo Medical School, Palermo

[9] Department of Medical Microbiology, University of Bari Medical School, Bari

[10] Microbial Toxicological Medical Operative Unit, Pavia

[11] Department of Microbiology, University of Cagliari Medical School, Cagliari

[12] Department of Microbiology, University of Ancona Medical School, Ancona

[13] Department of Medical Parasitology, University of Messina Medical School, Messina

[14] Department of Epidemiology and Biostatistics, Istituto Superiore di Sanità, Rome

来源：

EUROPEAN JOURNAL OF EPIDEMIOLOGY | 1994年 / 10卷 / 02期

关键词：

LEPTOSPIRA SEROVAR-SPECIFIC ANTIBODIES; LEPTOSPIRA SEROVARS; LEPTOSPIROSIS SURVEY;

D O I：

10.1007/BF01730367

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

This investigation is the first nationwide survey on the circulation of leptospira infections in human beings in Italy. In nine out of twenty Italian regions, representative samples of the population were investigated for the presence of leptospira infections. Unexpectedly, leptospira infections were found to be widespread, the number of cases being much higher than the diagnosed clinical cases. There were found to be high, medium, and low risk areas. On the whole, the risk for the rural population was no higher than the risk for urban dwellers; leisure activities, contact with animals and residence on the plain versus residence in the hills were important risk factors. There was an unidentified risk factor in urbanites which was absent in the rural population. A changing pattern in infecting serovars was observed, with infections from serogroups Sejroe, Javanica and Australis prevailing over infections from the Icterohaemorrhagiae and Bataviae sero-groups, which were the main agents of human leptospirosis during the 1950s. The mechanisms of these changes, the need for epidemiological surveys and improved diagnostic methods of screening are discussed.

引用

页码：173 / 180

页数：8

共 31 条

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