頁籤選單縮合
題名 | 2019年蘭嶼地區鼠媒傳染病監測調查=The Survey of Rodent-Borne Infectious Diseases in Orchid Island, 2019 |
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作者姓名(中文) | 陳國卿; 謝博軒; 黃信憲; 高治華; 郭明德; 洪耀文; 張聿秀; 梁忠誌; 林珮如; 吳玉屏; 金遠凡; 林文智; 鄭仙忠; 陳正忠; 謝欣倫; 林昌棋; | 書刊名 | 疫情報導 |
卷期 | 37:9 2021.05.11[民110.05.11] |
頁次 | 頁122-131 |
分類號 | 412.42 |
關鍵詞 | 蘭嶼; 鼠疫桿菌; Q熱病原體; 鉤端螺旋體菌; 恙蟲病立克次體; Orchid Island; Yersinia pestis; Q fever pathogen; Leptospires; Orientia tsutsugamushi; |
語文 | 中文(Chinese) |
中文摘要 | 蘭嶼屬亞熱帶島嶼型氣候,很適合各種鼠媒病原菌孳生,恙蟲病病例居高不下。在公衛監控和維護民眾健康的信念下,國防醫學院預防醫學研究所於2019年4月執行鼠類相關傳染病之監測調查計畫,進行野外捕鼠、收集血液及組織器官、採集體外寄生蟲。實驗室採乳膠凝集測試法(LA)、間接免疫螢光分析(IFA)、聚合酶連鎖反應(PCR)等方法,檢測鼠疫桿菌、Q熱病原體、鉤端螺旋體菌、恙蟲病立克次體之病原。野外捕鼠:老鼠捕獲率16.0% (41/262),組織病變率56% (23/41),恙蟎寄生率100% (41/41),恙蟎指數202 (8,300/41)。鼠類血清抗體檢測結果:Q熱病原體抗體陽性率3% (1/29),恙蟲病立克次體抗體陽性率76% (31/41)。核酸PCR檢測結果:Q熱病原體陽性率為10% (1/10),鉤端螺旋體菌陽性率為40% (4/10),恙蟲病立克次體陽性率為66% (27/41)。由實驗室數據得知蘭嶼地區潛存著Q熱病原體、鉤端螺旋體菌、恙蟲病立克次體的病原。此監測調查結果值得相關衛生單位參考防範,應加強環境衛生、滅鼠、民眾遊客衛教,在野地活動時,必需做好防護,民眾有不明發燒,一定要就醫,對症用藥。 |
英文摘要 | Orchid Island, located in the southeastern sea region of Taiwan, is a subtropical climate island, suitable for propagating a variety of rodent-borne pathogens, resulting in many scrub typhus cases each year. For the purpose of epidemic surveillance and public health concern, we carried out the rodent-borne infectious diseases survey in this region in April 2019. We conducted mice trapping in the field, collected rodent’s serum, tissue, urine and ectoparasites. Latex agglutination (LA) test, indirect immunofluorescence analysis (IFA) and polymerase chain reaction (PCR) were used to detect Yesinia pestis, Orientia tsutsugamushi, Q fever pathogen, and Leptospires in our laboratory. The mouse capture rate was 16.0% (41/262), the tissue pathologic lesion rate was 56% (23/41), the leptotrombidium mite ectoparasitic rate was 100% (41/41) and the leptotrombidium mite index was 202 (8,300/41) in this study. The collected murine sera were assayed for presenting antibody to Q-fever (3%, or 1/29) and to Orientia tsutsugamushi (76%, or 31/41). PCR assay positive rates were 10% (1/10), 40% (4/10), and 66% (27/41) for pathogens of Q-fever, Leptospires and Orientia tsutsugamushi, respectively. Our results indicated that Q-fever, Leptospires and Orientia tsutsugamushi were found in Orchid Island. This result of investigation could be a worthy reference for the public health department to determine strategies of epidemic prevention, such as rodent control, travel health guidance, and educating people to protect from infection during outdoor field activity and seek for a doctor if suspected symptoms develope. |
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