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Amiri Z, Khademvatan S, Kazemi T, Yousefi E. Seroprevalence and risk factors associated with toxoplasmosis and hydatidosis among the butchers of Tabriz city, the northwest of Iran: a case control study. J Occup Med Toxicol 2024; 19:29. [PMID: 39039552 PMCID: PMC11265067 DOI: 10.1186/s12995-024-00427-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2024] [Accepted: 07/10/2024] [Indexed: 07/24/2024] Open
Abstract
INTRODUCTION Occupation plays an important role in the spread of infectious diseases in humans. Toxoplasmosis and hydatidosis are world-wide diseases with different routes of transmission. This study aimed to investigate the prevalence of toxoplasmosis and hydatidosis and risk factors associated with these diseases among the butchers of Tabriz City, the northwest of Iran. METHODS In this case-control study conducted in Tabriz city in 2023, 250 serum samples were collected from butchers (n = 125) and outpatients referred to Imam Reza Hospital (n = 125) and. The ELISA test was used to identify IgG and IgM antibodies against toxoplasmosis and IgG antibodies against hydatidosis. The results were analyzed by statistics tests using SPSS v. 16 software. Risk factors' association was tested using Chi square or logistic regression analysis. RESULTS The results indicated that 66/125 (52.8%) cases and 40/125 controls (32%) were positive for toxoplasmosis IgG antibody. Also, 5/125 (4%) and 1/125 (0.8%) were positive for toxoplasmosis IgM antibody in the case and control groups, respectively. In addition, 10/125 people (8%) were positive for anti-hydatidosis IgG antibody in the case group, while no positive cases were found in the control group. The main risk factors for toxoplasmosis were age (OR: 1.014), education level (OR: 0.638), and work experience(OR: 1.695), these factors for hydatidosis included age and education level (OR: 1.765 and 0.271) respectivily. CONCLUSIONS Our results suggest the high prevalence of toxoplasmosis and in butchers of Tabriz, which required special attention and basic measures. Moreover, the prevalence of hydatidosis IgG antibodies also requires more attention to be focused on breaking the transmission and reducing the infection.
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Affiliation(s)
- Zahra Amiri
- Cellular and Molecular Research Center, Cellular and Molecular Medicine Institute, Department of Medical Parasitology and Mycology, Urmia University of Medical Sciences, Urmia, Iran
| | - Shahram Khademvatan
- Cellular and Molecular Research Center, Cellular and Molecular Medicine Institute, Department of Medical Parasitology and Mycology, Urmia University of Medical Sciences, Urmia, Iran.
| | - Tohid Kazemi
- Department of Immunology, School of Medicine Immunology Research Center, Stem Cells and Regenerative Medicine Institute, Tabriz University of Medical Sciences, East Azerbaijan, Iran
| | - Elham Yousefi
- Cellular and Molecular Research Center, Cellular and Molecular Medicine Institute, Department of Medical Parasitology and Mycology, Urmia University of Medical Sciences, Urmia, Iran
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Girma A, Teshome K, Abdu I, Genet A, Tamir D. Prevalence and associated economic losses of bovine fasciolosis from postmortem inspection in municipal abattoirs in Ethiopia: A systematic review and meta-analysis. Vet Anim Sci 2024; 24:100360. [PMID: 38831968 PMCID: PMC11145392 DOI: 10.1016/j.vas.2024.100360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2024] Open
Abstract
Fasciolosis is a prevalent disease that significantly affects the health and productivity of cattle and causes significant economic loss. Beyond individually available studies with varying prevalence rates, there are no pooled national prevalence studies on bovine fasciolosis. Therefore, the aim of the current study was to determine the combined magnitude and economic significance of fasciolosis among cattle on postmortem examination. Inverse variance (I2), sensitivity analysis, funnel plots, Begg's test, and Egger's regression test were used to assess heterogeneity and publication bias. A random-effects model was used to calculate the pooled burden of fasciolosis among cattle. The pooled prevalence of fasciolosis among cattle on postmortem examination was 31.77 % (95 % CI=27.82-35.71). Among a total of 14,965 livers of slaughtered cattle examined in municipal abattoirs, Fasciola hepatica (54.4 %) was the predominant fluke identified compared to F. gigantica (24.6 %). Mixed infections of both species and unidentified immature flukes were detected in 12.4 % and 7.6 %, respectively, of affected livers. Regarding the severity of the pathological lesions observed, 30.5 %, 44.3 %, and 25.2 % of the livers were lightly, moderately, and seriously infested, respectively. The pooled annual economic loss attributed to fasciolosis-associated liver condemnation among cattle in 40 reported studies was approximately 40,833,983.15 ETB (6,417, 847.73 USD). Therefore, bovine fasciolosis requires integrated control methods to address its influence on animal health and economic impact.
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Affiliation(s)
- Abayeneh Girma
- Department of Biology, College of Natural and Computational Science, Mekdela Amba University, P.O. Box 32, Tulu Awuliya, Ethiopia
| | - Kasaye Teshome
- Department of Biology, College of Natural and Computational Science, Mekdela Amba University, P.O. Box 32, Tulu Awuliya, Ethiopia
| | - Indris Abdu
- Department of Biology, College of Natural and Computational Science, Mekdela Amba University, P.O. Box 32, Tulu Awuliya, Ethiopia
| | - Amere Genet
- Department of Biology, College of Natural and Computational Science, Mekdela Amba University, P.O. Box 32, Tulu Awuliya, Ethiopia
| | - Dessalew Tamir
- Department of Veterinary Science, College of Agriculture and Environmental Sciences, Debre Tabor University, P.O. Box 272, Debre Tabor, Ethiopia
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Nur Hafizah S, Noor Izani NJ, Ahmad Najib M, Wan-Nor-Amilah WAW. Immunodiagnosis of Fascioliasis in Ruminants by ELISA Method: A Mini-Review. Malays J Med Sci 2023; 30:25-32. [PMID: 37655153 PMCID: PMC10467593 DOI: 10.21315/mjms2023.30.4.3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Accepted: 03/01/2022] [Indexed: 09/02/2023] Open
Abstract
Fascioliasis is an important zoonotic disease prevalent in domestic animals and it leads to socioeconomic impact in rural farming communities of the developing world. The gold standard diagnosis of ruminant fascioliasis involves coprological detection of Fasciola spp. eggs or recovery of flukes in infected livers. Coprological analysis is unreliable in the patent period of chronic infection, and even then, its sensitivity is relatively low. Robust diagnostic tools that can promptly and accurately detect an active infection are crucial to avoid complications and further losses in ruminant livestock productivity, as well as to preserve the livelihood of communities at risk. Immunodiagnosis determined by antibody and antigen detection in the sera and faeces of infected ruminants provides a valuable alternative to the parasitological diagnostic approach. This review discusses current developments in immunological techniques by enzyme-linked immunosorbent assay (ELISA) in the detection of ruminant fascioliasis and summarises the performance of various ELISAs in studies conducted to date. Indirect ELISAs demonstrated effective immunodiagnostic performance with high sensitivities and specificities. Cathepsin L ELISA is the most favourable antigen in serodiagnosis, among other recombinant and native proteins evaluated. Sandwich ELISA provides excellent sensitivity and specificity, which correlates well with the fluke burden. Utilising monoclonal antibodies in sandwich ELISA reduces the detection time and performance variations that commonly occur in polyclonal antibody ELISA.
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Affiliation(s)
| | | | - Mohamad Ahmad Najib
- Institute for Research in Molecular Medicine (INFORMM), Universiti Sains Malaysia, Kelantan, Malaysia
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Bulla-Castañeda DM, Lancheros-Buitrago DJ, García-Corredor DJ, C-Giraldo-Forero J, Pulido-Medellin MO. Seroprevalence and risk factors of bovine fasciolosis in the municipalities of Colombia. Vet World 2023; 16:1293-1300. [PMID: 37577203 PMCID: PMC10421548 DOI: 10.14202/vetworld.2023.1293-1300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 05/15/2023] [Indexed: 08/15/2023] Open
Abstract
Background and Aim Bovine fasciolosis is a reemerging neglected disease with a worldwide distribution caused by the trematode Fasciola spp., which parasitize various hosts. Bovine fasciolosis is responsible for large economic losses in the bovine livestock sector. This study aimed to estimate the seroprevalence and risk factors of bovine fasciolosis in the municipalities of Colombia. Materials and Methods This was a descriptive cross-sectional study with simple random sampling conducted on 1140 cattle from the municipalities of Chiquinquirá, San Miguel de Sema, and Ubaté for a duration of 3 months. Serum samples were processed using the commercial Fasciola hepatica Antibody Test Kit IDEXX® Fasciolosis Verification (IDEXX, United States), which identified immunoglobulin G antibodies for gf2 antigen purified from Fasciola extracts. The f2 antigen is extremely immunogenic and highly specific for F. hepatica. An epidemiological survey was performed to record variables related to the sampled animals and herd management practices. Data were processed using the statistical program Epi Info® (Centers for Disease Control and Prevention; Atlanta, Georgia). The prevalence ratio was estimated to evaluate the association between fasciolosis and the hypothesized causal factors and the significance of this association using Pearson's Chi-square test. Finally, a logistic regression model was developed. Results The overall seroprevalence was 72.3%. The seroprevalence was 83.9% (323/385) in Chiquinquirá, 68.17% (257/377) in Ubaté, and 64.55% (244/378) in San Miguel de Sema. The seroprevalence was higher in male animals in Chiquinquirá and in female animals in San Miguel de Sema and Ubaté. Similarly, sex showed a statistically significant association with disease prevalence in Ubaté. The highest prevalence was found in cattle aged >2 years. The Holstein breed showed maximum seroprevalence in Chiquinquirá (p ≤ 0.05) and San Miguel de Sema, whereas crossbreed showed higher seroprevalence in Ubaté. Similarly, in Chiquinquirá, the association between the seroprevalence of fasciolosis and the presence of other species was statistically significant (95% confidence interval [CI]: 0.9601-3.4944; p = 0.0448). In Ubaté, the disease presentation was also associated with pasture rental (95% CI: 0.4047-1.0023; p = 0.003) and attendance to livestock expositions (95% CI: 0.2313-1.0636; p = 0.044). However, in San Miguel de Sema, water from the stream showed a statistically significant association with disease presentation (95% CI: 0.5209-1.0985; p = 0.00649785). Female sex and diarrhea occurrence were considered risk factors for fasciolosis. Conclusion A high seroprevalence of antibodies to Fasciola spp. was detected in cattle in the study municipalities, indicating a high parasite distribution in these areas. Female sex and diarrhea were established as risk factors associated with fasciolosis in Ubaté and San Miguel de Sema, respectively. Further, research is necessary to establish prevention and control programs against parasitosis.
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Affiliation(s)
- Diana María Bulla-Castañeda
- Research Group in Veterinary Medicine and Zootechnics, Universidad Pedagógica y Tecnológica de Colombia, Tunja, Colombia
| | | | - Diego Jose García-Corredor
- Research Group in Veterinary Medicine and Zootechnics, Universidad Pedagógica y Tecnológica de Colombia, Tunja, Colombia
| | - Julio C-Giraldo-Forero
- Research Group in Parasitology and Tropical Microbiology, Biology Program, Universidad INCCA de Colombia, Bogotá, Colombia
- Research Group in Ecoepidemiology and Collective Health, Faculty of Medicine and Health Sciences, Universidad Militar Nueva Granada Bogotá, Colombia
| | - Martin Orlando Pulido-Medellin
- Research Group in Veterinary Medicine and Zootechnics, Universidad Pedagógica y Tecnológica de Colombia, Tunja, Colombia
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Mas-Coma S, Valero MA, Bargues MD. Human and Animal Fascioliasis: Origins and Worldwide Evolving Scenario. Clin Microbiol Rev 2022; 35:e0008819. [PMID: 36468877 PMCID: PMC9769525 DOI: 10.1128/cmr.00088-19] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Fascioliasis is a plant- and waterborne zoonotic parasitic disease caused by two trematode species: (i) Fasciola hepatica in Europe, Asia, Africa, the Americas, and Oceania and (ii) F. gigantica, which is restricted to Africa and Asia. Fasciolid liver flukes infect mainly herbivores as ruminants, equids, and camelids but also omnivore mammals as humans and swine and are transmitted by freshwater Lymnaeidae snail vectors. Two phases may be distinguished in fasciolid evolution. The long predomestication period includes the F. gigantica origin in east-southern Africa around the mid-Miocene, the F. hepatica origin in the Near-Middle East of Asia around the latest Miocene to Early Pliocene, and their subsequent local spread. The short postdomestication period includes the worldwide spread by human-guided movements of animals in the last 12,000 years and the more recent transoceanic anthropogenic introductions of F. hepatica into the Americas and Oceania and of F. gigantica into several large islands of the Pacific with ships transporting livestock in the last 500 years. The routes and chronology of the spreading waves followed by both fasciolids into the five continents are redefined on the basis of recently generated knowledge of human-guided movements of domesticated hosts. No local, zonal, or regional situation showing disagreement with historical records was found, although in a few world zones the available knowledge is still insufficient. The anthropogenically accelerated evolution of fasciolids allows us to call them "peridomestic endoparasites." The multidisciplinary implications for crucial aspects of the disease should therefore lead the present baseline update to be taken into account in future research studies.
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Affiliation(s)
- Santiago Mas-Coma
- Departamento de Parasitologia, Facultad de Farmacia, Universidad de Valencia, Valencia, Spain
- CIBER de Enfermedades Infecciosas, Instituto de Salud Carlos IIII, Madrid, Spain
| | - M. Adela Valero
- Departamento de Parasitologia, Facultad de Farmacia, Universidad de Valencia, Valencia, Spain
- CIBER de Enfermedades Infecciosas, Instituto de Salud Carlos IIII, Madrid, Spain
| | - M. Dolores Bargues
- Departamento de Parasitologia, Facultad de Farmacia, Universidad de Valencia, Valencia, Spain
- CIBER de Enfermedades Infecciosas, Instituto de Salud Carlos IIII, Madrid, Spain
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Shams M, Khazaei S, Naserifar R, Shariatzadeh SA, Anvari D, Montazeri F, Pirestani M, Majidiani H. Global distribution of Echinococcus granulosus genotypes in domestic and wild canids: a systematic review and meta-analysis. Parasitology 2022; 149:1147-1159. [PMID: 35591776 PMCID: PMC11010506 DOI: 10.1017/s0031182022000658] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2021] [Revised: 04/18/2022] [Accepted: 04/29/2022] [Indexed: 11/06/2022]
Abstract
The current systematic review and meta-analysis demonstrate the genotypic distribution of canine echinococcosis worldwide. Studies published from the inception until 21 May 2021 were screened, relevant articles were selected and the random-effect model was used to draw forest plots with 95% confidence intervals (CIs). Totally, 44 articles were included, mostly examined dogs (37 records), followed by wolf (8 records), jackal (7 records), fox (3 records), pump fox (3 records) and coyote (1 record). Echinococcus granulosus sensu stricto (G1–G3) and G6/7 cluster of Echinococcus canadensis were the most common genotypes among canids. Most studies were conducted in Asia and Europe with 17 and 15 datasets, respectively. Exclusively, Iran possessed the highest number of studies (10 records). Meta-analysis showed that the pooled molecular prevalence of echinococcosis was 33.82% (95% CI 24.50–43.83%). Also, the highest and lowest prevalence of canine echinococcosis was calculated for South America (66.03%; 95% CI 25.67–95.85%) and Europe (19.01%; 95% CI 9.95–30.16%). Additionally, there were statistically significant differences between the global prevalence of echinococcosis in canines and publication year, continent, country, sample type, host and molecular test. These findings will elevate our knowledge on the poorly known canine echinococcosis worldwide.
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Affiliation(s)
- Morteza Shams
- Zoonotic Diseases Research Center, Ilam University of Medical Sciences, Ilam, Iran
- Student Research Committee, Ilam University of Medical Sciences, Ilam, Iran
| | - Sasan Khazaei
- Department of Parasitology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | - Razi Naserifar
- Zoonotic Diseases Research Center, Ilam University of Medical Sciences, Ilam, Iran
| | - Seyyed Ali Shariatzadeh
- Department of Parasitology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
- Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
| | - Davood Anvari
- School of Medicine, Iranshahr University of Medical Sciences, Iranshahr, Iran
| | - Fattaneh Montazeri
- Department of Parasitology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | - Majid Pirestani
- Department of Parasitology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | - Hamidreza Majidiani
- Department of Basic Medical Sciences, Neyshabur University of Medical Sciences, Neyshabur, Iran
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Taghipour A, Rayatdoost E, Bairami A, Bahadory S, Abdoli A. Are Blastocystis hominis and Cryptosporidium spp. playing a positive role in colorectal cancer risk? A systematic review and meta-analysis. Infect Agent Cancer 2022; 17:32. [PMID: 35715853 PMCID: PMC9206311 DOI: 10.1186/s13027-022-00447-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Accepted: 06/11/2022] [Indexed: 11/28/2022] Open
Abstract
Objective Intestinal protozoa Blastocystis hominis and Cryptosporidium spp. are two influential factors in intestinal complications and malignancies. In present study, we estimated the pooled prevalence and odds ratio (OR) of the two parasites in colorectal cancer (CRC) patients and their possible association with the deadly disease. Method Our systematic search was conducted for published researches between January 1, 2000 and April 30, 2022 by using four international databases include Scopus, PubMed, and Web of Science as well as Google scholar search engine. The random- and fixed-effects models were used to estimate the pooled prevalence, OR, and 95% confidence interval (CI) by comprehensive meta-analysis (V2.2, Bio stat) software. Inclusion and exclusion criteria were applied. Results Thirteen papers (seven case–control and six cross-sectional studies) for B. hominis/CRC and six papers (two case–control and four cross-sectional studies) for Cryptosporidium spp./CRC were eligible to include in data synthesis. Pooled prevalence of B. hominis and Cryptosporidium spp. in CRC patients was calculated to be 26.8% (95% CI 19.4–35.7%) and 12.7% (95% CI 6.8–22.5%), respectively. Based on case–control studies, significant difference was found between case and controls in both protozoa (B. hominis OR 2.10; 95% CI 1.39–3.18% vs. Cryptosporidium spp. OR 5.06; 95% CI 1.8–13.6%). Considering the Blastocystis subtypes, ST1 (5/6; 83.33% studies) and ST3 (5/6; 83.33% studies) had the highest number of reports in CRC patients. Regarding the Cryptosporidium species, only C. parvum and C. hominis were reported. Conclusion Given the significant prevalence of both parasites in CRC patients and their statistically significant association, there is a need to pay more attention to these two intestinal parasites in under treatment patients.
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Affiliation(s)
- Ali Taghipour
- Zoonoses Research Center, Jahrom University of Medical Sciences, Jahrom, Iran.
| | - Esmail Rayatdoost
- Department of Emergency Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
| | - Amir Bairami
- Department of Parasitology and Mycology, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
| | - Saeed Bahadory
- Department of Parasitology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | - Amir Abdoli
- Zoonoses Research Center, Jahrom University of Medical Sciences, Jahrom, Iran.,Department of Medical Parasitology and Mycology, Jahrom University of Medical Sciences, Jahrom, Iran
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Taghipour A, Bahadory S, Khazaei S, Zaki L, Ghaderinezhad S, Sherafati J, Abdoli A. Global molecular epidemiology of microsporidia in pigs and wild boars with emphasis on Enterocytozoon bieneusi: A systematic review and meta-analysis. Vet Med Sci 2022; 8:1126-1136. [PMID: 35113502 PMCID: PMC9122395 DOI: 10.1002/vms3.751] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Microsporidia are spore-forming intracellular pathogens with worldwide prevalence, causing emerging infections in humans and animals. Enterocytozoon bieneusi is a zoonotic species of microsporidia and is responsible for more than 90% of cases of microsporidiosis in humans and animals. Pigs and wild boars are important animal reservoirs of microsporidia. Hence, we aimed to estimate the global prevalence of microsporidia and genetic diversity of E. bieneusi in pigs and wild boars through a set of systematic review and meta-analysis (PRISMA) guidelines. METHODS Four databases (Web of Science, PubMed, Scopus and Google Scholar) were searched between January 1, 2000 and April 30, 2021. Regarding meta-analysis, the random-effect model was employed by forest plot with 95% confidence interval (CI). RESULTS After exclusion of irrelevant articles and duplication removal, 33 papers, including 34 datasets (30 datasets for domestic pigs and 4 for wild boars) finally meet the inclusion criteria to undergo meta-analysis. The pooled prevalence rates of microsporidia infection in domestic pigs and wild boars were 37.6% (95% CI: 30.8-44.9%) and 8.1% (95% CI: 2.1-26.8%), respectively. While, the pooled prevalence rates of E. bieneusi were 35% (95% CI: 28.4-42.2%) in domestic pigs and 10.1% (95% CI: 1.7-42.4%) in wild boars. The genotypes EbpA was the most reported genotype in domestic pigs and wild boars. Male animals had higher prevalence rates of microsporidia infection than females (27 vs. 17.4%, OR = 1.91; 95% CI, 0.77-4.71%). CONCLUSION This study indicates the important role of domestic pigs and wild boars as animal reservoir hosts of microsporidia. Thereby, strategies for control and prevention of these zoonotic pathogens should be designed in pigs and wild boars.
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Affiliation(s)
- Ali Taghipour
- Zoonoses Research CenterJahrom University of Medical SciencesJahromIran
| | - Saeed Bahadory
- Department of Parasitology and EntomologyFaculty of Medical SciencesTarbiat Modares UniversityTehranIran
| | - Sasan Khazaei
- Department of Parasitology and EntomologyFaculty of Medical SciencesTarbiat Modares UniversityTehranIran
| | - Leila Zaki
- Department of Parasitology and EntomologyFaculty of Medical SciencesTarbiat Modares UniversityTehranIran
| | - Sheida Ghaderinezhad
- Department of Parasitology and EntomologyFaculty of Medical SciencesTarbiat Modares UniversityTehranIran
| | - Jila Sherafati
- Department of Parasitology and EntomologyFaculty of Medical SciencesTarbiat Modares UniversityTehranIran
| | - Amir Abdoli
- Zoonoses Research CenterJahrom University of Medical SciencesJahromIran
- Department of Parasitology and MycologyJahrom University of Medical SciencesJahromIran
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Taghipour A, Bahadory S, Abdoli A. A systematic review and meta-analysis on the global prevalence of cattle microsporidiosis with focus on Enterocytozoon bieneusi: An emerging zoonotic pathogen. Prev Vet Med 2022; 200:105581. [DOI: 10.1016/j.prevetmed.2022.105581] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Revised: 09/22/2021] [Accepted: 01/14/2022] [Indexed: 12/30/2022]
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Kipyegen CK, Muleke CI, Otachi EO. Human and animal fasciolosis: Coprological survey in Narok, Baringo and Kisumu counties, Kenya. Onderstepoort J Vet Res 2022; 89:e1-e6. [PMID: 35144443 PMCID: PMC8831969 DOI: 10.4102/ojvr.v89i1.1954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2021] [Revised: 08/02/2021] [Accepted: 08/10/2021] [Indexed: 11/01/2022] Open
Affiliation(s)
- Cornelius K Kipyegen
- Department of Biological Sciences, Faculty of Science, Egerton University, Nakuru.
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Shams M, Khazaei S, Ghasemi E, Nazari N, Javanmardi E, Majidiani H, Bahadory S, Anvari D, Fatollahzadeh M, Nemati T, Asghari A. Prevalence of urinary schistosomiasis in women: a systematic review and meta-analysis of recently published literature (2016-2020). Trop Med Health 2022; 50:12. [PMID: 35093180 PMCID: PMC8800356 DOI: 10.1186/s41182-022-00402-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Accepted: 01/12/2022] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Urinary schistosomiasis is a serious threat in endemic territories of Africa and the Middle East. The status of female urinary schistosomiasis (FUS) in published literature between 2016 and 2020 was investigated. METHODS A systematic search in PubMed, Scopus, Google Scholar, and Web of Science, based on the 'Preferred Reporting Items for Systematic Reviews and Meta-analyses' checklist, and a meta-analysis using random-effects model to calculate the weighted estimates and 95% confidence intervals (95% CIs) were done. RESULTS Totally, 113 datasets reported data on 40,531 women from 21 African countries, showing a pooled prevalence of 17.5% (95% CI: 14.8-20.5%). Most studies (73) were performed in Nigeria, while highest prevalence was detected in Mozambique 58% (95% CI: 56.9-59.1%) (one study). By sample type and symptoms, vaginal lavage [25.0% (95% CI: 11.4-46.1%)] and hematuria 19.4% (95% CI: 12.2-29.4%) showed higher FUS frequency. Studies using direct microscopy diagnosed a 17.1% (95% CI: 14.5-20.1%) prevalence rate, higher than PCR-based studies 15.3% (95% CI: 6.1-33.2%). Except for sample type, all other variables had significant association with the overall prevalence of FUS. CONCLUSIONS More studies are needed to evaluate the true epidemiology of FUS throughout endemic regions.
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Affiliation(s)
- Morteza Shams
- Zoonotic Diseases Research Center, Ilam University of Medical Sciences, Ilam, Iran
| | - Sasan Khazaei
- Department of Parasitology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | - Ezatollah Ghasemi
- Department of Medical Parasitology, School of Medicine, Dezful University of Medical Sciences, Dezful, Iran
| | - Naser Nazari
- Department of Parasitology and Mycology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Erfan Javanmardi
- Clinical Research Development Center, "The Persian Gulf Martyrs" Hospital of Bushehr University of Medical Sciences, Bushehr, Iran
| | - Hamidreza Majidiani
- Department of Basic Medical Sciences, Neyshabur University of Medical Sciences, Neyshabur, Iran
| | - Saeed Bahadory
- Department of Parasitology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | - Davood Anvari
- Department of Parasitology, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
- School of Medicine, Iranshahr University of Medical Sciences, Iranshahr, Iran
| | - Mohammad Fatollahzadeh
- Department of Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Taher Nemati
- Department of Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Ali Asghari
- Department of Medical Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
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Mia MM, Hasan M, Chowdhury MR. A systematic review and meta-analysis on prevalence and epidemiological risk factors of zoonotic Fascioliasis infection among the ruminants in Bangladesh. Heliyon 2021; 7:e08479. [PMID: 34917794 PMCID: PMC8645451 DOI: 10.1016/j.heliyon.2021.e08479] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Revised: 09/27/2021] [Accepted: 11/22/2021] [Indexed: 11/22/2022] Open
Abstract
The parasitic Fascioliasis is a zoonotic and economically significant disease for livestock and humans, creating public health concerns around the world, including in Bangladesh. Populations of Bangladesh are more vulnerable to this parasitic infestation for their intimate interactions. To tackles the adverse effects on humans from food animals, it is exigency to know the exact prevalence and associated risk factors of zoonotic Fascioliasis among ruminants. Therefore, the aim of this systematic review and meta-analysis was to determine the authentic knowledge of potential risk factors and prevalence among livestock populations. Four globally recognized databases, including Web of Science, Scopus, PubMed, and Google Scholar, along with local databases, were used to search the related studies since 2000. A total of 38 studies were selected for the meta-analysis, and the pooled prevalence of Fascioliasis was found at 20% (95 % CI: 15-25). A subgroup analysis was also performed for: species, age, sex, study duration, and sample size. The prevalence rate was found highest in cattle and sheep at 21% (95 % CI: 15-27), female individuals at 26% (95 % CI: 16-35), aged animals at 26% (95 % CI: 15-36), and rainy season at 25% (95 % CI: 16-34). This is the first systematic review and meta-analysis in Bangladesh that offers a comprehensive picture of the prevalence of Fascioliasis in ruminants and possible risk factors. Thus, this study will assist the government, policymakers, and veterinarians in implementing effective control measures by providing more detailed information about outbreak patterns.
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Affiliation(s)
- Md. Mukthar Mia
- Department of Poultry Science, Faculty of Veterinary, Animal and Biomedical Sciences, Sylhet Agricultural University, Sylhet, 3100, Bangladesh
- Faculty of Veterinary, Animal and Biomedical Sciences, Sylhet Agricultural University, Sylhet, 3100, Bangladesh
| | - Mahamudul Hasan
- Faculty of Veterinary, Animal and Biomedical Sciences, Sylhet Agricultural University, Sylhet, 3100, Bangladesh
| | - Mohammed Rashed Chowdhury
- Department of Biochemistry and Chemistry, Faculty of Biotechnology and Genetic Engineering, Sylhet Agricultural University, Sylhet, 3100, Bangladesh
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Taghipour A, Bahadory S, Javanmard E. The global molecular epidemiology of microsporidia infection in sheep and goats with focus on Enterocytozoon bieneusi: a systematic review and meta-analysis. Trop Med Health 2021; 49:66. [PMID: 34429166 PMCID: PMC8385986 DOI: 10.1186/s41182-021-00355-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Accepted: 08/16/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Microsporidia is a zoonotic pathogen with health consequences in immunocompromised patients. Small ruminants are a potential reservoir of microsporidia for humans in their vicinity. Hence, we aimed to evaluate the molecular prevalence of microsporidian infections with emphasis on Enterocytozoon bieneusi genotypes among sheep and goats at a global scale through systematic review and meta-analysis approach. METHODS The standard protocol of preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines were followed. Eligible prevalence studies on small ruminant microsporidiosis, published from 1 January 2000 until 15 April 2021 were gathered using systematic literature search in PubMed, Scopus, Web of Science and Google Scholar databases. Inclusion and exclusion criteria were applied. The point estimates and 95% confidence intervals were calculated using a random-effects model. The variance between studies (heterogeneity) was quantified by I2 index. RESULTS In total, 25 articles (including 34 datasets) were included for final meta-analysis. The pooled molecular prevalence of microsporidia in sheep and goats was estimated to be 17.4% (95% CI: 11.8-25%) and 16% (95% CI: 11.2-22.4%), respectively. Likewise, the overall prevalence of E. bieneusi was estimated to be 17.4% (95% CI: 11.8-25%) for sheep and 16.3% (95% CI: 11.3-22.8%) for goats. According to internal transcribed spacer (ITS) gene analysis, E. bieneusi with genotypes BEB6 (15 studies) and COS-1 (nine studies) in sheep, and CHG3 (six studies) and BEB6 (five studies) in goats were the highest reported genotypes. CONCLUSION The present results highlight the role of sheep and goats as reservoir hosts for human-infecting microsporidia. Therefore, this global estimate could be beneficial on preventive and control measures.
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Affiliation(s)
- Ali Taghipour
- Zoonoses Research Center, Jahrom University of Medical Sciences, Jahrom, Iran.
| | - Saeed Bahadory
- Department of Parasitology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | - Ehsan Javanmard
- Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
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Kruchynenko OV, Mykhailiutenko SM, Petrenko MA, Kuzmenko LM. Prevalence of gastrointestinal helminths in ruminants in Ukraine: a 5-year meta-analysis. BIOSYSTEMS DIVERSITY 2021. [DOI: 10.15421/012131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
The production of environmentally friendly livestock products is currently receiving much attention, especially in the European Union. The problem of monitoring the quality and safety of meat and milk in modern conditions is relevant not only for Ukraine but also for the world community. The scientific substantiation of the methods of research on meat for sale subject to invasive diseases is especially important, as the product may pose risks to the consumer. One of the criteria for assessing the welfare of a herd is the prevalence of helminthiases in cattle. Ruminant parasitoses in Ukraine have always been and remain a separate, often significant, problem for veterinary specialists. Helminths have evolved to use a wide range of ecological niches. In this study, we tried to quantify the prevalence of helminthiases among ruminants (cattle, sheep and goats) in Ukraine. The relevant studies were searched for in the online databases. The meta-analysis included 15 publications from January 2015 to December 2020 which reported the spread of parasites in Ukraine. The research results show that the infestation of ruminants with gastrointestinal helminths on the territory of Ukraine is 56.7%. Egger’s regression test revealed no significant publication bias. During the period of pastured farming, stable parasitocenoses are formed in the body of ruminants. The parasitoses are caused by helminths (gastrointestinal strongyles, liver flukes, paramphistomas, dicrocelia). They are recorded in monoinvasions or mixed invasions. Ruminants, according to helminthological examination in different climatic zones, are constantly infested with trematodes. In Ukraine, the presence of three species of flukes has been confirmed in ruminants: Fasciola hepatica, Dicrocoelium dendriticum and Paramphistomum cervi. Parasitization by those species negatively affects the profitability of dairy farming. Trematodes cause significant economic losses: reduced milk productivity of cows, reduced live weight gain of young animals, negative impact on reproduction. At the same time, fascioliasis is socially significant and dangerous to humans. According to the analyzed literature sources, two types of cestodes have been registered in Ukraine: Moniezia benedeni and M. expansa. The epizootic situation regarding nematodes is just as fraught. That is the most numerous group of helminths, their fauna is represented by the following species: Strongyloides papillosus, Nematodirus spathiger, Bunostomum spp., Oesophagostomum radiatum, Haemonchus contortus, Toxocara vitulorum, Trichuris skrjabini, T. ovis and T. globulosa. It is proven that in cattle parasitocenoses are recorded more often than monoinvasions. The highest rates of prevalence of infection were observed when polyinvasion included gastrointestinal strongyles, namely from the order Strongylida. Strongyloides papillosus is the most common taxonomic representative, while Fasciola hepatica has the lowest prevalence of infection, especially in sheep. Updated data on helminthiasis will expand the screening strategy to maintain the health of farm ruminants and reduce economic losses.
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Kiani B, Budke CM, Shams Abadi E, Hashtarkhani S, Raouf Rahmati A, AkbarPour M, Zarean M, Hosseini Farash BR, Kiani F, Moghaddas E. Evaluation of zoonotic platyhelminthe infections identified in slaughtered livestock in Iran, 2015-2019. BMC Vet Res 2021; 17:185. [PMID: 33952280 PMCID: PMC8097913 DOI: 10.1186/s12917-021-02888-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2020] [Accepted: 04/22/2021] [Indexed: 02/06/2023] Open
Abstract
Background Platyhelminth infections of livestock can result in considerable economic losses. This study aims to evaluate the spatial frequency of cystic echinococcosis (CE), dicrocoeliasis, and fascioliasis in livestock slaughtered in Iran during the years 2015–2019 and estimate direct costs associated with organ condemnation due to these parasites. Methods Abattoir data from 413 abattoirs representing all 31 Iranian provinces were collected from the Iran Veterinary Organization. Infection prevalence was calculated per year at the province level. The Local Moran’s I statistic was performed to evaluate spatial autocorrelation of animals positive at slaughter for the years 2015–2019. Direct costs associated with condemned livers were calculated for each parasitic condition, with costs associated with condemned lungs also included for CE. Results Overall prevalence values for the study timeframe were as follows: sheep and goat fascioliasis 1.56% (95% CI: 1.56–1.56%), cattle fascioliasis 3.86% (95% CI: 3.85–3.88%), sheep and goat dicrocoeliasis 4.63% (95% CI: 4.62–4.63%), cattle dicrocoeliasis 3.08% (95% CI: 3.07–3.09%), sheep and goat CE 5.32% (95% CI: 5.32–5.33%), and cattle CE 7.26% (95% CI: 7.24–7.28%). Northwest Iran had the highest prevalence of CE and fascioliasis. High infection areas for Dicrocoelium spp. included the provinces of Zanjan, Gilan, Qazvin, and Tehran, which are located in northern Iran. Direct economic losses for sheep and goat fascioliasis, dicrocoeliasis, and CE for the study period were US$13,842,759, US$41,771,377, and US$22,801,054, respectively. Direct economic losses for cattle fascioliasis, dicrocoeliasis, and CE for the study period were US$1,989,200, US$1,668,986, and US$2,656,568, respectively. Conclusion Our findings provide valuable data for future monitoring of these important parasitic diseases in Iranian livestock. Disease control strategies are required to reduce the economic and public health impact of these platyhelminths. Supplementary Information The online version contains supplementary material available at 10.1186/s12917-021-02888-9.
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Affiliation(s)
- Behzad Kiani
- Department of Medical Informatics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Christine M Budke
- Department of Veterinary Integrative Biosciences, Texas A&M University, College Station, TX, USA
| | - Ebrahim Shams Abadi
- Department of Organic Chemistry, Faculty of Basic Science, Sabzevar Azad University, Sabzevar, Iran
| | - Soheil Hashtarkhani
- Department of Medical Informatics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Amene Raouf Rahmati
- Department of Parasitology and Mycology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Mostafa AkbarPour
- Department of Biology, Faculty of Basic Sciences, Imam Hossein University, Tehran, Iran
| | - Mehdi Zarean
- Department of Parasitology and Mycology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Bibi Razieh Hosseini Farash
- Department of Parasitology and Mycology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Fatemeh Kiani
- Department of Medical Informatics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Elham Moghaddas
- Department of Parasitology and Mycology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
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Caravedo MA, Cabada MM. Human Fascioliasis: Current Epidemiological Status and Strategies for Diagnosis, Treatment, and Control. Res Rep Trop Med 2020; 11:149-158. [PMID: 33273878 PMCID: PMC7705270 DOI: 10.2147/rrtm.s237461] [Citation(s) in RCA: 35] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Accepted: 11/12/2020] [Indexed: 12/12/2022] Open
Abstract
Purpose of the Review This review aims to critically assess current knowledge about the epidemiology, diagnosis, and management of Fasciola infection in humans. Recent Findings Fascioliasis is an emerging neglected zoonotic infection affecting the health and wellbeing of human populations. The burden of infection is unclear, and studies have shown the geographic expansion of fascioliasis in human and livestock likely related to climate change. The infection can be asymptomatic or present in acute or chronic forms. Regardless of the presentation, fascioliasis can be associated with long-term complications such as anemia and malnutrition. Early in the infection, antibody testing is the only tool available for diagnosis confirmation. In the chronic forms serology and stool microscopy are helpful. Other tests such as antigen detection and PCR-based methods including isothermal tests have shown promising results. Triclabendazole is the only drug available to treat Fasciola infection. However, reports of resistant infections in livestock and human threaten the clinical care and control of the infection in endemic areas. Summary Fascioliasis is an emerging infection around the world with an uncertain burden. Lack of standardization of diagnostic testing and treatment alternatives hinder treatment and control of the infection.
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Affiliation(s)
- Maria Alejandra Caravedo
- Division of Infectious Diseases Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA
| | - Miguel Mauricio Cabada
- Division of Infectious Diseases Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA.,Cusco Branch - Tropical Medicine Institute, Universidad Peruana Cayetano Heredia, Cusco, Peru
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Ahmad I, Yakubu Y, Chafe UM, Bolajoko BM, Muhammad U. Prevalence of fasciolosis (Liver flukes) infection in cattle in Zamfara, Nigeria: A slaughterhouse surveillance data utilizing postmortem examination. VETERINARY PARASITOLOGY- REGIONAL STUDIES AND REPORTS 2020; 22:100483. [PMID: 33308732 DOI: 10.1016/j.vprsr.2020.100483] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 09/21/2020] [Accepted: 10/14/2020] [Indexed: 11/17/2022]
Abstract
Bovine fasciolosis, caused by Fasciola gigantica (F. gigantica) and rarely F. hepatica, is an economically important disease affecting cattle in tropical Africa. The aims of this study were to determine a year prevalence of bovine fasciolosis and correlate determinants of infection in slaughtered cattle at the municipal abattoir in Zamfara, Nigeria. Fasciola gigantica was detected in 15% (1740/11,562) cattle slaughtered during a daily postmortem examination (PME) between November 2016 and October 2017. This approach demonstrated an increase risk of liver fluke infection in older cattle (p = 0.001, AOR = 1.476, 95% CI: 1.188-1.832) and during rainfall (p = 0.003, AOR = 1.604, 95% CI: 1.176-2.187). Liver condemnation had been significantly found in hot-dry season (p ≤0.001, AOR = 0.518, 95% CI: 0.417-0.643) and adult cattle (p = 0.003, AOR = 1.726, 95% CI: 0.586-0.899). This study is an account of bovine fasciolosis prevalence and infection dynamics in part of the northwest region of Nigeria, which provides preliminary information for further studies to guide the design of appropriate control steps to lower the impact of the disease and safeguard public health.
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Affiliation(s)
- Ibrahim Ahmad
- Directorate of Animal Health and Livestock Development, Gusau, Zamfara, Nigeria.
| | - Yusuf Yakubu
- Faculty of Veterinary Medicine, Usmanu Danfodiyo University Sokoto, Sokoto, Nigeria
| | - Umar Mohammed Chafe
- Faculty of Veterinary Medicine, Usmanu Danfodiyo University Sokoto, Sokoto, Nigeria
| | - Bashir Muhammad Bolajoko
- Department of Epidemiology, Central Diagnostics Laboratory, National Veterinary Research Institute Vom, Plateau, Nigeria
| | - Umar Muhammad
- Directorate of Animal Health and Livestock Development, Gusau, Zamfara, Nigeria
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Zaraei M, Arefkhah N, Moshfe A, Ghorbani F, Mikaeili F, Sarkari B. Prevalence of bovine fascioliasis in a new-emerging focus of human fascioliasis in BoyerAhmad district, southwest of Iran. Comp Immunol Microbiol Infect Dis 2019; 66:101350. [PMID: 31518959 DOI: 10.1016/j.cimid.2019.101350] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2019] [Revised: 08/24/2019] [Accepted: 08/30/2019] [Indexed: 01/20/2023]
Abstract
BACKGROUND The prevalence of fascioliasis in a population of cattle in a new-emerging focus of human fascioliasis in Boyer-Ahmad District, in the southwest of Iran, was investigated, using an ELISA system and coprological methods. METHODS Blood, as well as stool samples, were collected from 150 dairy cattle consisted of 82 (54.7%) males and 68 (45.3%) females, aged from 1 to 8 years, selected from different pastures. The stool samples were evaluated by direct wet mount microscopic examination as well as sedimentation methods. Moreover, modified Telemann was used for detecting of Fasciola eggs. Anti-Fasciola antibodies in the cattle sera samples were determined, using a Fasciola excretory-secretory antigen-specific ELISA. RESULTS Anti-Fasciola antibodies were detected in 64 (42.4%) of the subjects by ELISA. Out of 64 seropositive cases, 29 (45.3%) were female and 35 (54.6%) were male. No significant association was found between sex and seropositivity to fascioliasis. Considering the age of the cattle, the highest prevalence of fascioliasis (23%) was found in the 5-year old age group. However, the difference between the age of the cattle and seropositivity to fascioliasis was not statistically significant (P > 0.05). Fasciola eggs were not detected in fecal samples of any of the studied cattle, while Paramphistomide, as well as Dicrocoelium dendriticum eggs, were detected in 6 (4%) and 17 (11.3%) of the subjects, respectively. CONCLUSION Findings of the current study provide basic information about bovine fascioliasis in a new focus of human fascioliasis in Iran, which is needed for effective control of this parasitic infection in such areas.
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Affiliation(s)
- Marzieh Zaraei
- Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Nasir Arefkhah
- Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Abdolali Moshfe
- Cellular and Molecular Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
| | - Fariba Ghorbani
- Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Fattaneh Mikaeili
- Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Bahador Sarkari
- Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran; Basic Sciences in Infectious Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
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