RESUMO
A cross-sectional survey for seropositivity to cysticercosis of pigs in the Yucatan Peninsula, Mexico, was carried out in 1996 together with a standardized questionnaire on predetermined individual pig and household risk factors for porcine infection. Serum samples from 697 pigs were analysed by immunoblot for antibodies to Taenia solium cysticercosis and questionnaires from 227 households in 18 villages were collected. All the data were analysed using multivariate analytical techniques taking household clustering into account. The overall porcine seroprevalence in the area was found to be 29%. The most important risk factors for seropositivity in pigs were presence versus absence of a toilet (adjusted odds ratio [adj. OR] 2.37, P = 0.005), crowded households (adj. OR 1.75, P = 0.034) and both corralling (adj. OR 2.14, P = 0.017) and letting pigs loose (adj. OR 2.32, P = 0.035) versus tying them up. There was evidence of clustering at household level and that possible risk factors at municipal or village level may also interact with higher risk management practices such as allowing pigs to run loose.
Assuntos
Cisticercose/veterinária , Doenças dos Suínos/etiologia , Criação de Animais Domésticos , Animais , Estudos Transversais , Cisticercose/epidemiologia , Cisticercose/etiologia , Características da Família , México/epidemiologia , Prevalência , Análise de Regressão , Características de Residência , Fatores de Risco , Suínos , Doenças dos Suínos/epidemiologiaRESUMO
A Western blot assay for identification of 26 kDa and/or 8 kDa antigens in a crude saline extract (CSE) of Taenia solium metacestodes, previously developed for human cysticercosis, was evaluated for use with pigs. The test population used for assay standardisation consisted of 45 cysticercotic pigs (5 pigs positive by necropsy and 40 selected by tongue palpation and LL-Gp immunoblot but not confirmed by necropsy), 48 pigs with heterologous infections and 40 negative controls from endemic and non-endemic areas. The test detected 93% of the cysticercotic group and was 100% specific. In a field study this antigen preparation was compared by immunoblot with antibody recognition for Gp13-50 antigens in a lentil-lectin semi-purified glycoprotein extract of T. solium (LL-Gp). The seroprevalence to CSE antigen was slightly lower (26/75) when compared to LL-Gp (29/75) and this represented a non-significant difference. The CSE Western blot assay was used to assess seroprevalence of T. solium cysticercosis in pig populations in the state of Yucatan, Mexico. A total of 1099 pigs sampled at random from 25 villages revealed a seroprevalence of 23% (253/1099). Seroprevalence in intensively reared, farmed pigs was 2% (7/228). In comparison with farmed pigs, the seroprevalence was 33% (172/513) in free-roaming backyard pigs (OR=13.86, CI=4.0747.22, p<10(-6)) and 25% (74/98) in semi-confined backyard pigs (OR=14.03, CI=5.60-35.16, p<10(-6)). There was no significant difference in seroprevalence by sex (p=0.23). Seroprevalence decreased with age (chi(2)-test for linear trend=7.803, p<0.006). Results of this study demonstrate that the CSE Western blot can be applied for reliable immunodiagnosis of T. solium cysticercosis in pigs. Furthermore, variation in pig husbandry in Yucatan indicated significantly higher exposure to cysticercosis in free-roaming backyard pigs compared to intensively reared animals from the same area.
Assuntos
Western Blotting/veterinária , Cisticercose/veterinária , Doenças dos Suínos/epidemiologia , Fatores Etários , Criação de Animais Domésticos , Animais , Anticorpos Anti-Helmínticos/sangue , Antígenos de Helmintos/imunologia , Cisticercose/diagnóstico , Cisticercose/epidemiologia , Cysticercus/imunologia , Eletroforese em Gel de Poliacrilamida/veterinária , Feminino , Humanos , Masculino , México/epidemiologia , Palpação/veterinária , Reprodutibilidade dos Testes , Fatores de Risco , População Rural , Sensibilidade e Especificidade , Estudos Soroepidemiológicos , Fatores Sexuais , Suínos , Doenças dos Suínos/diagnóstico , Doenças dos Suínos/imunologiaRESUMO
Thirty-eight dual purpose calves in the 3 agricultural zones of the state of Yucatan, Mexico were monitored for antibodies to Babesia bovis and B. bigemina from close to birth up to 12 months of age. The results showed that infection with both parasites is widespread throughout the 3 zones. Many of the animals had produced antibody to both parasites by 6 months of age indicating high transmission rates resulting in enzootic stability for both parasites. Any changes to agricultural practices in the state that could affect disease stability through either reduction in numbers of tick vectors or the introduction of susceptible adults will have to be accompanied with measures such as vaccination to limit losses due to clinical babesiosis.
Assuntos
Criação de Animais Domésticos/métodos , Babesiose/epidemiologia , Doenças dos Bovinos/epidemiologia , Distribuição por Idade , Animais , Anticorpos Antiprotozoários/sangue , Babesia/imunologia , Babesia bovis/imunologia , Bovinos , México/epidemiologia , PrevalênciaRESUMO
UNLABELLED: Thrombolytic therapy (TT) modifies the natural history of acute myocardial infarction (AMI) diminishing morbi-mortality rate. In recent studies, modification of infusion velocity, decreased the mortality 10 percentage points. OBJECTIVE: Test if rt PA administration over an hour is safe and practical. MATERIAL AND METHODS: A prospective, cooperative trial during 3 years, included patients with AMI with less than 6 hours of the onset of symptoms that received rt-PA therapy. Initially 10 mg bolus and then 90 mg over 60 minutes period. Together with the administration of rt-PA, 5000 units of heparin was given, followed by 1000 units per hour adjusted to keep PTT at 1.5 to 2 times normal. All patients received aspirin and according of the evolution adjuvant therapy. We defined bleeding complications and/or cerebrovascular accident related to thrombolytic therapy. RESULTS: We included 225 patients who received rt-PA. Average age was 57.1 +/- 22.2 years, 78.7% males and 21.3% females. Arrival time at hospital was 2.93 +/- 1.7 hours. 82.2% were in class I-II by NYHA. 59.2% had anterior wall location and 32.4% posterior-inferior wall 80% had reperfusion criteria. Only 7.1% required transfusion and 0.4% presented CNS bleeding. The survival rate was 95.2%. The mortality had no relation with bleeding. CONCLUSION: Fast infusion is an effective and safe method. Transfusion requirements are no greater, and CNS bleeding was noted in 0.4% of the cases.