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首页> 外文期刊>International journal of dermatology >American cutaneous leishmaniasis in French Guiana: an epidemiological update and study of environmental risk factors
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American cutaneous leishmaniasis in French Guiana: an epidemiological update and study of environmental risk factors

机译：法国圭亚那的美国皮肤皮肤：环境风险因素的流行病学更新和研究

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Abstract Background American cutaneous leishmaniasis (ACL) is endemic in French Guiana. Its epidemiology is evolving, notably because of immigration, anthropization of natural areas, and new microbiological methods . Our first objective was to update epidemiological data. Our second objective was to look for risk factors of ACL. Methods This multicentric study was conducted from October 2017 to June 2018 in French Guiana. Patients with suspicion of mucocutaneous leishmaniasis were included in case of positive smear, culture, or PCR‐RFLP on skin biopsy . Results One hundred and twenty‐three patients met the inclusion criteria. Among those patients, 59.3% were Brazilian, mostly gold miners. Most of them (58%) were between 16 and 40 years old, and?69% were male. A large proportion of patients lived in traditional wooden houses (51%). Patients living in coastal towns were usually infected during trips to the primary forest (60%) and had a shorter time to diagnosis than workers of the hinterland. Among environmental risk factors, the presence of a water spring (40%) and dogs around houses (40%) were frequently reported. Leishmania guyanensis represented 80% of?cases, followed by Leishmania braziliensis (6%), Leishmania naiffi (2%), and Leishmania amazonensis (1%). Conclusions Gold mining and trips to the primary forest represent high‐risk situations for ACL in French Guiana, where the population of infected patients is dominated by Brazilian immigrants. Possible environmental risk factors such as the presence of dogs, water sources, and traditional wooden houses require further investigation.
机译：抽象背景美国皮肤leishmaniaisis（ACL）是在法国圭亚那的地方。其流行病学正在发展，特别是因为移民，自然区域的拟化和新的微生物方法。我们的第一个目标是更新流行病学数据。我们的第二个目标是寻找ACL的风险因素。方法这项多中心研究于2017年10月至2018年6月在法国圭亚那进行。在皮肤活组织检查的阳性涂片，培养物或PCR-RFLP的情况下，包括粘膜皮肤病的患者。结果一百二十三名患者达到了纳入标准。在这些患者中，59.3％是巴西，主要是金矿器。其中大多数（58％）在16到40岁之间，而且是69％的男性。大部分患者住在传统的木屋（51％）。居住在沿海城镇的患者通常在前往主要森林的旅行期间感染（60％），并且比腹地的工人诊断较短。在环境风险因素中，经常报道水弹簧（40％）和狗周围的狗（40％）。 Leishmania Guyanensis代表了80％的案例，其次是Leishmania Braziliensis（6％），Leishmania Naiffi（2％）和Leishmaniaaiaazonensis（1％）。结论黄金矿业和前往主要森林的旅行代表了法国圭亚那的ACL的高风险情况，受感染患者的人口由巴西移民占主导地位。可能的环境风险因素，如狗，水源和传统木屋的存在需要进一步调查。

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    Loiseau Rémi; Nabet Cecile; Simon Stephane; Ginouves Marine; Brousse Paul; Blanchet Denis; Demar Magalie; Couppie Pierre; Blaizot Romain;

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    Département de Médecine GénéraleUniversité des AntillesPointe‐à‐Pitre Guadeloupe France;

    Equipe EA3593Université des Antilles et de la GuyaneCayenne French Guiana France;

    Equipe EA3593Université des Antilles et de la GuyaneCayenne French Guiana France;

    Equipe EA3593Université des Antilles et de la GuyaneCayenne French Guiana France;

    P?le des Centres Délocalisés de Prévention et de SoinsCentre Hospitalier Andrée RosemonCayenne;

    Equipe EA3593Université des Antilles et de la GuyaneCayenne French Guiana France;

    Equipe EA3593Université des Antilles et de la GuyaneCayenne French Guiana France;

    Equipe EA3593Université des Antilles et de la GuyaneCayenne French Guiana France;

    Equipe EA3593Université des Antilles et de la GuyaneCayenne French Guiana France;

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  • 正文语种 eng
  • 中图分类 皮肤病学与性病学;
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