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山东省育龄妇女弓形体感染初步研究

A PRIMARY STUDY OF TOXOPLASMA GONDII INFECTION OF CHILDBEARING AGE WOMEN IN SHANDONG PROVINCE

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【作者】 赵仲堂张桂宁潘玉珍郝风荣冯月秋李守相黄士泉孔祥伟

【Author】 Zhao Zhongtang Dept. of Epidemiology, Shandong Medical University

【机构】 山东医科大学卫生系流行病学教研室山东省惠民地区卫生防疫站山东省滕县卫生防疫站兖州矿务局南屯煤矿职工医院

【摘要】 以间接血凝试验对山东省802名育龄妇女弓形体感染情况进行了研究。结果显示,总感染率为4.74±0.75%;不明原因流产、死产史与弓形体感染之间有很强的联系(OR=8.9,P<0.001);炊事员的感染率显著高于一般人的感染率(P<0.05);在调整了职业的混杂作用后,家庭养猫者的感染率显著高于家庭不养猫者(ORmh=2.23,P<0.05):民族及年龄与弓形体感染之间未见统计学上的联系。由此认为,频繁接触生肉和被猫类污染的物品,可能是我国育龄妇女的弓形体感染方式。

【Abstract】 Indirect hemagglutination test was emploied for the epidemiolo-gical study of Toxoplasma gondii infection of childbearing age women inShandong province. 802 blood samples in all from three counties and one coal mine weredetected. Take the prevalence of anti-Toxoplasma gondii antibodies as therate of infection, the total infection rate is 4.74±0.75%. There is a very strong correlation between Toxoplasma gondii infection and spontaneousabortion and stillbirth bistory (OR=8.9, P<0.001). The infectionrate of mess cooks is significantly higher than that of general workers,peasants and office staffs. After adjustment for profession, the infectionrate of those keep pet cats in their home is statistically higher than thosenot (ORmh=2.23, P<0.05) .The age, Han and Hui nationality distribu-tion of Toxoplasma gondii infection shows no significant difference. The authors consider that to contact with raw meat frequently andcontact with contaminated articles by feces from cats infected with Toxo-plasms gondii may be the ways in which childbearing age women acquireToxoplasma gondii infection in China.

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