调查研究

浙江省舟山市定海区白泉镇钩端螺旋体主要宿主动物监测与人群抗体监测

展开
  • 1. 舟山市定海区疾病预防控制中心卫生监测科, 浙江 舟山 316000;
    2. 岱山县疾病预防 控制中心传染病防制与控制科, 浙江 舟山 316200
张森,男,主管医师,主要从事病媒生物监测与防制工作,E-mail:22276420@qq.com

收稿日期: 2024-04-12

  网络出版日期: 2024-12-20

基金资助

舟山市医药卫生科技计划项目(2022YA12);舟山科技计划项目(2024C31025)

Surveillance of main host animals of Leptospira and its antibodies in human population in Baiquan Town, Dinghai District, Zhoushan, Zhejiang Province, China

Expand
  • 1. Health Monitoring Department, Dinghai Center for Disease Control and Prevention of Zhoushan City, Zhoushan, Zhejiang 316000, China;
    2. Department of Infectious Disease Control and Prevention, Daishan Center for Disease Control and Prevention, Zhoushan, Zhejiang 316200, China

Received date: 2024-04-12

  Online published: 2024-12-20

Supported by

Medical and Health Technology Project of Zhoushan (No. 2022YA12);Science and Technology Plan Project of Zhoushan (No. 2024C31025)

摘要

目的 了解浙江省舟山市定海区白泉镇主要宿主动物与当地居民钩端螺旋体(钩体)的感染情况,评估钩端螺旋体病(钩体病)的潜在流行风险,为舟山海岛地区钩体病的防控提供依据。方法 用夹夜法和笼诱法进行宿主动物的生态学监测,并采集肾脏标本,对宿主动物进行种属鉴定,分析宿主动物密度和种群构成;用反转录实时荧光定量PCR(RT-qPCR)法检测宿主动物肾脏标本及人群血清钩体核酸,对核酸阳性样本的23S rRNA基因进行,χ2检验或Fisher确切概率法用于比较组间差异反转录PCR(RT-PCR)扩增、测序,用于基因分型和同源性分析;用酶联免疫吸附法检测人群血清钩体抗体IgM、IgG。结果 2023年共捕获主要宿主动物(小兽)234只,密度为7.50%,优势种群为褐家鼠(74.07%);59只小兽肾脏组织钩体核酸检测阳性,阳性检出率为25.21%;19份肾组织样本23S rRNA基因测序成功,博氏基因种13份,问号基因种6份;516份常住居民血清钩体核酸阴性,IgG抗体阳性33份,阳性率6.40%,IgM阳性12份,阳性率2.33%。结论 浙江省舟山市白泉镇具有主要宿主动物密度高且钩体带菌率高、人群免疫率低的特点,该地属亚热带季风气候,8月降雨量大,钩体病潜在流行风险较高。

本文引用格式

张森, 呼明星, 谭启龙, 王忠发, 翁永夫 . 浙江省舟山市定海区白泉镇钩端螺旋体主要宿主动物监测与人群抗体监测[J]. 中国媒介生物学及控制杂志, 2024 , 35(6) : 734 -739 . DOI: 10.11853/j.issn.1003.8280.2024.06.020

Abstract

Objective To investigate the infection of Leptospira in the main host animals and local residents in Baiquan Town, Dinghai District, Zhoushan, Zhejiang Province, China, and assess the potential epidemic risk of leptospirosis, so as to provide a basis for the prevention and control of leptospirosis in Zhoushan islands. Methods Ecological surveillance of host animals was conducted using night clamping and cage trapping methods and kidney samples were collected. The host animals were identified and analyzed for population density and species composition. Quantitative reverse transcription PCR was used to detect the nucleic acids of Leptospira in host kidney and human serum samples. Positive samples were subjected to reverse transcription PCR targeting the 23S rRNA gene for amplification and sequencing to conduct genotyping and homology analysis. ELISA was used to detect IgM and IgG antibodies of Leptospira in human serum. Chi-square test or Fisher's exact test was used to analyze differences between groups. Results In 2023, a total of 234 main hosts (small mammals) were captured in Baiquan Town, with a density of 7.50% capture rate and a dominant species of Rattus norvegicus (74.07%). The kidney tissues of 59 small mammals were positive for Leptospira nucleic acids, with a positive rate of 25.21%. The kidney tissues of 19 samples were successfully sequenced for 23S rRNA gene, with 13 L.borgpetersenii and 6 L.interrogans. None of the 516 human serum samples were positive for Leptospira nucleic acids, 33 (6.40%) samples were positive for IgG, and 12 samples (2.33%) were positive for IgM. Conclusions Baiquan Town is characterized by high density of main host animals, high Leptospira infection rate, and low population immunity rate. In addition, Baiquan Town has a subtropical monsoon climate with heavy rainfall in August, and the potential risk of leptospirosis epidemics is high.

参考文献

[1] Crecelius EM, Burnett MW. Leptospirosis[J]. J Spec Oper Med, 2020, 20(4):121-122. DOI:10.55460/8YBJ-0DLP.
[2] Liu LJ, Wang YC, Ying Z, et al. An epidemiological investigation of a suspected leptospirosis epidemic in Zhoushan, Zhejiang Province, China[J]. Chin J Vector Biol Control, 2023, 34(4):518-522. DOI:10.11853/j.issn.1003.8280.2023.04.014.(in Chinese) 刘雷杰, 王宇超, 应峥, 等. 浙江省舟山市一起疑似钩端螺旋体病疫情及其流行病学调查[J]. 中国媒介生物学及控制杂志, 2023, 34(4):518-522. DOI:10.11853/j.issn.1003.8280.2023.04.014.
[3] Wang YL, Qin JH, Zhang CC, et al. An outbreak of leptospirosis in Lezhi County, China in 2010 may possibly be linked to rainfall[J]. Biomed Environ Sci, 2014, 27(1):56-59. DOI:10.3967/bes2014.016.
[4] Zhang CC, Zhang TL, Xu JM, et al. Epidemiological survey and identification of pathogenic Leptospira isolated from rats in Jiangxi Province during 2016-2018[J]. Chin J Zoonoses, 2019, 35(12):1080-1084. DOI:10.3969/j.issn.1002-2694.2019.00.185.(in Chinese) 张翠彩, 张汀兰, 徐建民, 等. 2016-2018年江西省钩端螺旋体病鼠类动物流行病学调查与分离菌株鉴定[J]. 中国人兽共患病学报, 2019, 35(12):1080-1084. DOI:10.3969/j.issn.1002-2694.2019.00.185.
[5] Zhu GQ, Chen LD, Shu JW, et al. Case analysis and pathogenic identification of leptospirosis[J]. Chin J Clin Infect Dis, 2023, 16(1):59-62, 66. DOI:10.3760/cma.j.issn.1674-2397.2023.01.008.(in Chinese) 朱光琦, 陈琳迪, 舒纪为, 等. 致病性钩端螺旋体病例分析及病原学鉴定[J]. 中华临床感染病杂志, 2023, 16(1):59-62, 66. DOI:10.3760/cma.j.issn.1674-2397.2023.01.008.
[6] National Institute for Communicable Disease Control and Prevention. Chinese Center for Disease Control and Prevention. National vector etiology surveillance program (Trial)[Z]. Beijing:Chinese Center for Disease Control and Prevention, 2020. (in Chinese) 中国疾病预防控制中心传染病预防控制所. 全国病媒生物病原学监测方案(试行)[Z]. 北京:中国疾病预防控制中心, 2020.
[7] Wang R, Ma M, Wang ZF, et al. Evaluation of an improved PCR assay in detection of pathogenic Leptospira[J]. Chin J Vector Biol Control, 2023, 34(1):77-81. DOI:10.11853/j.issn.1003.8280.2023.01.014.(in Chinese) 王蓉, 马敏, 王忠发, 等. 一种高效检测致病性钩端螺旋体PCR改良方法及效果评价[J]. 中国媒介生物学及控制杂志, 2023, 34(1):77-81. DOI:10.11853/j.issn.1003.8280.2023.01.014.
[8] Ministry of Health of the People's Republic of China. WS 290-2008Diagnostic criteria for leptospirosis[S]. Beijing:People's Medical Publishing House, 2008. (in Chinese) 中华人民共和国卫生部. WS 290-2008钩端螺旋体病诊断标准[S]. 北京:人民卫生出版社, 2008.
[9] General Administration of Quality Supervision, Inspection and Quarantine of the People's Republic of China. SN/T 3741.1-2013Detection for pathogens of rodents at frontier ports-Part 1:Detection for pathogenicLeptospira[S]. Beijing:Standards Press of China, 2014. (in Chinese) 中华人民共和国国家质量监督检验检疫总局. SN/T 3741.1-2013国境口岸鼠类携带病原体检测方法 第1部分:致病性钩端螺旋体PCR检测方法[S]. 北京:中国标准出版社, 2014.
[10] Zhang CC, Xu JM, Qiu HY, et al. Molecular and serological characterization of pathogenic Leptospira in Jiangxi Province, China[J]. Chin J Zoonoses, 2018, 34(12):1074-1078. DOI:10.3969/j.issn.1002-2694.2018.00.206.(in Chinese) 张翠彩, 徐建民, 邱海燕, 等. 江西省致病性钩端螺旋体血清学和分子流行病学研究[J]. 中国人兽共患病学报, 2018, 34(12):1074-1078. DOI:10.3969/j.issn.1002-2694.2018.00.206.
[11] Wei R, Yin JX. Summary of leptospirosis prevalence and influencing factors[J]. Chin J Zoonoses, 2024, 40(3):219-223. DOI:10.3969/j.issn.1002-2694.2024.00.034.(in Chinese) 韦蓉, 尹家祥. 钩端螺旋体病流行过程及其影响因素概述[J]. 中国人兽共患病学报, 2024, 40(3):219-223. DOI:10.3969/j.issn.1002-2694.2024.00.034.
[12] Qiu HY, Xiao MX, Zhang CC. Epidemiological surveillance and typing of Leptospira strains in rodents in Hunan Province during 2020-2022[J]. Chin J Zoonoses, 2024, 40(3):203-207. DOI:10.3969/j.issn.1002-2694.2024.00.042.(in Chinese) 邱海燕, 肖明霞, 张翠彩. 2020-2022年湖南省鼠类钩端螺旋体病监测与菌株分型[J]. 中国人兽共患病学报, 2024, 40(3):203-207. DOI:10.3969/j.issn.1002-2694.2024.00.042.
[13] Shi Y, Geng MJ, Zhou S, et al. Epidemiological characteristics of leptospirosis in China from 2010 to 2022[J]. Chin J Schistosomiasis Control, 2024, 36(2):130-136. DOI:10.16250/j.32.1374.2024033.(in Chinese) 师悦, 耿梦杰, 周升, 等. 2010-2022年我国钩端螺旋体病流行病学特征[J]. 中国血吸虫病防治杂志, 2024, 36(2):130-136. DOI:10.16250/j.32.1374.2024033.
[14] National Vector Surveillance System. National surveillance report on rodent-borne pathogens of disease vectors in 2021[J]. Chin J Vector Biol Control, 2023, 34(1):1-8. DOI:10.11853/j.issn.1003.8280.2023.01.001.(in Chinese) 全国重要病媒生物监测网. 2021年全国病媒生物鼠传病原监测报告[J]. 中国媒介生物学及控制杂志, 2023, 34(1):1-8. DOI:10.11853/j.issn.1003.8280.2023.01.001.
[15] Wang CD, Huang L, Yu AJ, et al. A survey of rat-shape animals and its Ectozoa at Laotangshan of Zhoushan Port[J]. Chin J Front Health Quar, 2007, 30(3):163-166. DOI:10.3969/j.issn.1004-9770.2007.03.011.(in Chinese) 王采典, 黄雷, 余阿久, 等. 舟山口岸老塘山港区小兽及其体表寄生虫调查[J]. 中国国境卫生检疫杂志, 2007, 30(3):163-166. DOI:10.3969/j.issn.1004-9770.2007.03.011.
[16] Zheng DY, Zhu L, Liang WQ, et al. Rodent and pathogen surveillance results in Zunyi, Guizhou Province, China, 2022[J]. Chin J Vector Biol Control, 2023, 34(4):501-507. DOI:10.11853/j.issn.1003.8280.2023.04.011.(in Chinese) 郑德阳, 朱琳, 梁文琴, 等. 贵州省遵义市2022年度鼠类及其病原学监测结果分析[J]. 中国媒介生物学及控制杂志, 2023, 34(4):501-507. DOI:10.11853/j.issn.1003.8280.2023.04.011.
[17] Zhao YS, Wu YY, Zhou HH, et al. Investigation of natural infection of four pathogens in rodents in rural area of Taizhou, Zhejiang[J]. Dis Surveill, 2021, 36(9):894-897. DOI:10.3784/jbjc.202105310292.(in Chinese) 赵怡双, 吴瑜燕, 周海慧, 等. 浙江省台州市农村地区小兽自然感染4种病原体的调查[J]. 疾病监测, 2021, 36(9):894-897. DOI:10.3784/jbjc.202105310292.
[18] Sun B, Zhu P, Zhang SJ, et al. Investigation of rodent density and pathogens infection status in Nantong City in 2020[J]. J Med Pest Control, 2023, 39(4):403-406. DOI:10.7629/yxdwfz202304022.(in Chinese) 孙斌, 朱平, 章士军, 等. 2020年南通市鼠类密度及病原体感染状况调查[J]. 医学动物防制, 2023, 39(4):403-406. DOI:10.7629/yxdwfz202304022.
[19] Liu WJ, Xiao FZ, Han TW, et al. Investigation of Leptospira infection in rodents in central Fujian[J]. China Trop Med, 2022, 22(1):42-45. DOI:10.13604/j.cnki.46-1064/r.2022.01.09.(in Chinese) 刘维俊, 肖方震, 韩腾伟, 等. 福建省中部地区鼠类钩端螺旋体感染调查[J]. 中国热带医学, 2022, 22(1):42-45. DOI:10.13604/j.cnki.46-1064/r.2022.01.09.
[20] Zhang GB, Ying LH, Zhang XY, et al. Analysis of the results of serological surveillance on 3 kinds of rat-borne diseases[J]. Chin J Health Lab Technol, 2015, 25(21):3700-3702. (in Chinese) 章国宝, 应丽红, 章小雨, 等. 3种鼠传疾病的血清学监测结果分析[J]. 中国卫生检验杂志, 2015, 25(21):3700-3702.
[21] Sun XK, Deng YL, Huang JY, et al. Serum epidemiological analysis of leptospirosis in Qingyuan City, Guangdong Province[J]. Chin J Zoonoses, 2011, 27(2):161-164. DOI:10.3969/j.issn.1002-2694.2011.02.022.(in Chinese) 孙小康, 邓远玲, 黄金英, 等. 广东省清远市钩端螺旋体病血清流行病学分析[J]. 中国人兽共患病学报, 2011, 27(2):161-164. DOI:10.3969/j.issn.1002-2694.2011.02.022.
[22] Yang QJ, Yang XD, Yang H, et al. Surveillance results for Leptospira antibody level in healthy population in Yunnan, 2014-2018[J]. Dis Surveill, 2023, 38(11):1363-1366. DOI:10.3784/jbjc.202206150269.(in Chinese) 杨秋菊, 杨向东, 杨慧, 等. 2014-2018年云南省健康人群钩端螺旋体抗体水平监测结果分析[J]. 疾病监测, 2023, 38(11):1363-1366. DOI:10.3784/jbjc.202206150269.
[23] Liu WJ, He JC, Xiao FZ, et al. Investigation and analysis of Leptospira infection in rodents in Wuping County from 2018 to 2020[J]. Anhui J Prev Med, 2022, 28(5):368-371. DOI:10.19837/j.cnki.ahyf.2022.05.006.(in Chinese) 刘维俊, 何嘉春, 肖方震, 等. 武平县2018-2020年鼠类感染钩端螺旋体监测结果分析[J]. 安徽预防医学杂志, 2022, 28(5):368-371. DOI:10.19837/j.cnki.ahyf.2022.05.006.
[24] Shi XG, Jiang LP, Sun JM, et al. An analysis on leptospirosis surveillance of ten years in Zhejiang Province[J]. Zhejiang J Prev Med, 2016, 28(6):550-552, 556. DOI:10.19485/j.cnki.issn1007-0931.2016.06.003.(in Chinese) 施旭光, 姜理平, 孙继民, 等. 浙江省钩端螺旋体病10年监测结果分析[J]. 浙江预防医学, 2016, 28(6):550-552, 556. DOI:10.19485/j.cnki.issn1007-0931.2016.06.003.
[25] Shi MH, Jiang XG.The progress in epidemiology of leptospirosis in China over the past 50 years[J]. Chin J Epidemiol, 2000, 21(3):228-230. DOI:10.3760/j.issn:0254-6450.2000.03.018.(in Chinese) 时曼华, 蒋秀高. 五十年来中国钩端螺旋体病流行病学研究进展[J]. 中华流行病学杂志, 2000, 21(3):228-230. DOI:10.3760/j.issn:0254-6450.2000.03.018.
文章导航

/