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A case study of risk factors for lymphatic filariasis in the Republic of Congo.

Identifieur interne : 001458 ( PubMed/Curation ); précédent : 001457; suivant : 001459

A case study of risk factors for lymphatic filariasis in the Republic of Congo.

Auteurs : Cédric B. Chesnais [France] ; François Missamou ; Sébastien D. Pion ; Jean Bopda ; Frédéric Louya ; Andrew C. Majewski ; Peter U. Fischer ; Gary J. Weil ; Michel Boussinesq

Source :

RBID : pubmed:24984769

Descripteurs français

English descriptors

Abstract

Little is known regarding risk factors for lymphatic filariasis (LF) in Central Africa. We studied the epidemiology of LF in an endemic village in the Republic of Congo.

DOI: 10.1186/1756-3305-7-300
PubMed: 24984769

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pubmed:24984769

Le document en format XML

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<term>Anthelmintics (therapeutic use)</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Congo (epidemiology)</term>
<term>Elephantiasis, Filarial (epidemiology)</term>
<term>Female</term>
<term>Humans</term>
<term>Insecticide-Treated Bednets</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Antihelminthiques (usage thérapeutique)</term>
<term>Congo (épidémiologie)</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Exposition professionnelle</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Filariose lymphatique (épidémiologie)</term>
<term>Génie sanitaire</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Moustiquaires de lit traitées aux insecticides</term>
<term>Mâle</term>
<term>Odds ratio</term>
<term>Prévalence</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<term>Elephantiasis, Filarial</term>
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<term>Antihelminthiques</term>
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<term>Congo</term>
<term>Filariose lymphatique</term>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Child</term>
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<term>Female</term>
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<term>Insecticide-Treated Bednets</term>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Alimentation en eau</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
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<div type="abstract" xml:lang="en">Little is known regarding risk factors for lymphatic filariasis (LF) in Central Africa. We studied the epidemiology of LF in an endemic village in the Republic of Congo.</div>
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<PMID Version="1">24984769</PMID>
<DateCreated>
<Year>2014</Year>
<Month>07</Month>
<Day>11</Day>
</DateCreated>
<DateCompleted>
<Year>2015</Year>
<Month>03</Month>
<Day>09</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>02</Month>
<Day>20</Day>
</DateRevised>
<Article PubModel="Electronic">
<Journal>
<ISSN IssnType="Electronic">1756-3305</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>7</Volume>
<PubDate>
<Year>2014</Year>
<Month>Jul</Month>
<Day>01</Day>
</PubDate>
</JournalIssue>
<Title>Parasites & vectors</Title>
<ISOAbbreviation>Parasit Vectors</ISOAbbreviation>
</Journal>
<ArticleTitle>A case study of risk factors for lymphatic filariasis in the Republic of Congo.</ArticleTitle>
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<MedlinePgn>300</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1186/1756-3305-7-300</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Little is known regarding risk factors for lymphatic filariasis (LF) in Central Africa. We studied the epidemiology of LF in an endemic village in the Republic of Congo.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Dependent variables were Wuchereria bancrofti antigenemia (ICT card test) and microfilaremia (night blood smears). The following factors were investigated: sex, age, bed net, latrines, source of water, uptake of anthelmintic drugs, hunting/fishing activities, and occasionally sleeping in the bush. Mixed multivariate logistic regression models were used.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">134 of 774 subjects aged ≥ 5 years (17.3%) had W. bancrofti antigenemia and 41 (5.3%) had microfilaremia (mf). Infection rates increased with age up to roughly 20 years and remained stable thereafter. Multivariate analysis of antigenemia demonstrated an increased risk for males (OR = 2.0 [1.3-3.0]) and for people who hunt or fish (OR = 1.5 [1.0-2.4]) and a protective effect of latrines (OR = 0.5 [0.4-0.8]). Among males, those hunting or fishing at night had an increased risk for antigenemia (OR = 1.9 [1.1-3.5]), and use of latrines was protective (OR = 0.5 [0.3-0.9]). For females, bed nets were protective (OR = 0.4 [0.1-0.9]), and there was a strong household effect (intraclass correlation coefficient [ICC]: 0.24). When mf was used as the dependent variable, males had a higher risk for infection (OR = 5.4 [2.1-13.4]), latrines had a protective effect (OR = 0.4 [0.1-0.9]) and there was a marked household effect (ICC = 0.49).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Age, sex, and occupation-dependent exposure to mosquitoes were important risk factors for infection with W. bancrofti in this study. It is likely that men often acquire infection in high transmission areas outside of the village, while children and women are infected in areas with lower transmission inside or near the village. Additional studies are needed to determine whether these findings apply to other areas in Central Africa.</AbstractText>
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<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Chesnais</LastName>
<ForeName>Cédric B</ForeName>
<Initials>CB</Initials>
<AffiliationInfo>
<Affiliation>UMI 233, Institut de Recherche pour le Développement (IRD) and University of Montpellier 1, 911 avenue Agropolis, P,O, Box 64501, 34394 Montpellier, Cedex 5, France. cedric.chesnais@ird.fr.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Missamou</LastName>
<ForeName>François</ForeName>
<Initials>F</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Pion</LastName>
<ForeName>Sébastien D</ForeName>
<Initials>SD</Initials>
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<Author ValidYN="Y">
<LastName>Bopda</LastName>
<ForeName>Jean</ForeName>
<Initials>J</Initials>
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<Author ValidYN="Y">
<LastName>Louya</LastName>
<ForeName>Frédéric</ForeName>
<Initials>F</Initials>
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<LastName>Majewski</LastName>
<ForeName>Andrew C</ForeName>
<Initials>AC</Initials>
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<Author ValidYN="Y">
<LastName>Fischer</LastName>
<ForeName>Peter U</ForeName>
<Initials>PU</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Weil</LastName>
<ForeName>Gary J</ForeName>
<Initials>GJ</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Boussinesq</LastName>
<ForeName>Michel</ForeName>
<Initials>M</Initials>
</Author>
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<Language>eng</Language>
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<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<Year>2014</Year>
<Month>07</Month>
<Day>01</Day>
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<Country>England</Country>
<MedlineTA>Parasit Vectors</MedlineTA>
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<RefSource>J Helminthol. 1980 Jun;54(2):117-22</RefSource>
<PMID Version="1">6997363</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Med Trop (Mars). 1982 Jan-Feb;42(1):59-66</RefSource>
<PMID Version="1">7043150</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Bull Soc Pathol Exot Filiales. 1975 Mar-Apr;68(2):198-204</RefSource>
<PMID Version="1">1104212</PMID>
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<CommentsCorrections RefType="Cites">
<RefSource>Bull World Health Organ. 1978;56(6):975-84</RefSource>
<PMID Version="1">367626</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>J Vector Borne Dis. 2010 Jun;47(2):91-6</RefSource>
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<RefSource>PLoS Negl Trop Dis. 2014 Apr;8(4):e2654</RefSource>
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