Chagas disease in the Brazilian Amazon: IV. a new cross-sectional study.

Abstract:

:A new conglomerate family sample of 194 dwellings with 996 resident persons were studied in the town of Barcelos, State of Amazonas, in order to re-evaluate the risk of Chagas disease. During the survey the persons were interviewed and in this occasion we showed to them a collection of Panstrongylus, Rhodnius and Triatoma, asking if they recognized and eventually have been bitten by this kind of bugs. At this time we collected 500 ul of blood in microtainer tubes from 886 interviewed persons who gave permission after informed consent. A screening test for T. cruzi antibodies based on agglutination of colored polymer particles, sensitized with three different synthetic peptides of T. cruzi (ID-PaGIA Chagas Test), showed 13.2% of sera positivity, but only 6.8% were confirmed by indirect immunofluorescence, and ELISA with purified T. cruzi antigens. Two hundred and six interviewed persons (20.7%) recognized the triatomines, as "piaçavas' lice" and 62 (30%) confirmed that have been bitten by the bugs, 25.8% of them had a positive serology for T. cruzi infection. Electrocardiographic alterations were shown in 9.3% of the seropositives and in 11.9% of the seronegative cases. This was considered not statistically significant.

authors

Coura JR,Junqueira AC,Boia MN,Fernandes O,Bonfante C,Campos JE,Santos L,Devera R

doi

10.1590/s0036-46652002000300009

subject

Has Abstract

pub_date

2002-05-01 00:00:00

pages

159-65

issue

3

eissn

0036-4665

issn

1678-9946

pii

S0036-46652002000300009

journal_volume

44

pub_type

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