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首页> 外文期刊>Journal of Clinical Medicine Research >Leptospira Exposure and Gardeners: A Case-Control Seroprevalence Study
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Leptospira Exposure and Gardeners: A Case-Control Seroprevalence Study

机译：钩端螺旋体暴露和园丁：病例对照血清阳性率研究

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Background: Leptospira can be found in soil. However, it is unclear whether occupational exposure to soil may represent a risk for Leptospira infection in humans. Therefore, we sought to determine the association of Leptospira IgG seroprevalence with the occupation of gardener, and to determine the epidemiological characteristics of gardeners associated with Leptospira exposure.Methods: We performed a case-control study in 168 gardeners and 168 age- and gender-matched control subjects without gardening occupation in Durango City, Mexico. The seroprevalence of anti-Leptospira IgG antibodies in cases and controls was determined using an enzyme immunoassay. Bivariate and multivariate analyses were used to assess the association of Leptospira exposure and the characteristics of the gardeners.Results: Anti-Leptospira IgG antibodies were found in 10 (6%) of 168 gardeners and in 15 (8.9%) of 168 control subjects (odds ratio (OR): 0.64; 95% confidence interval (CI): 0.28 - 1.48; P = 0.40). Multivariate analysis showed that Leptospira seropositivity was positively associated with female gender (OR: 5.82; 95% CI: 1.11 - 30.46; P = 0.03), and negatively associated with eating while working (OR: 0.21; 95% CI: 0.05 - 0.87; P = 0.03). In addition, multivariate analysis showed that high anti-Leptospira levels were associated with consumption of boar meat (OR: 28.00; 95% CI: 1.20 - 648.80; P = 0.03).Conclusions: This is the first case-control study of Leptospira exposure in gardeners. Results do not support an association of Leptospira exposure with the occupation of gardener. However, further studies to confirm the lack of this association are needed. The potential role of consumption of boar meat in Leptospira infection deserves further investigation.J Clin Med Res. 2016;8(1):25-28doi: http://dx.doi.org/10.14740/jocmr2377w
机译：背景：钩端螺旋体可在土壤中发现。然而，目前尚不清楚职业暴露于土壤是否可能对人类的钩端螺旋体感染构成风险。因此，我们寻求确定钩端螺旋体IgG血清阳性率与园丁职业的关系，并确定与钩端螺旋体暴露相关的园丁的流行病学特征。方法：我们对168位园丁和168位年龄和性别进行了病例对照研究。与墨西哥杜兰戈市没有园艺职业的对照对象相匹配。使用酶免疫测定法确定病例和对照中抗细螺旋体IgG抗体的血清阳性率。结果：在168个园丁中有10（6％）和168个对照受试者中有15（8.9％）个中发现了抗钩端螺旋体IgG抗体（双链和多变量分析）。比值比（OR）：0.64; 95％置信区间（CI）：0.28-1.48; P = 0.40）。多变量分析表明，钩端螺旋体血清阳性与女性呈正相关（OR：5.82; 95％CI：1.11-30.36; P = 0.03），与工作时进食呈负相关（OR：0.21; 95％CI：0.05-0.87; P = 0.03）。此外，多变量分析表明，高抗-钩端螺旋体水平与食用公猪肉有关（OR：28.00; 95％CI：1.20-648.80; P = 0.03）。在园丁里。结果不支持钩端螺旋体暴露与园丁的职业的关联。但是，需要进一步的研究来确认缺乏这种关联。食用公猪肉在钩端螺旋体感染中的潜在作用值得进一步研究。《临床医学杂志》。 2016; 8（1）：25-28doi：http://dx.doi.org/10.14740/jocmr2377w

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