Seroepidemiological survey of human exposure to Dirofilaria spp. in Romania and Moldova
Abstract
The present study aimed to evaluate the extent of Dirofilaria immitis and D. repens exposure in humans from eastern and southern areas of Romania and central Moldova by serological methods. The serological screening was performed on a total of 450 serum samples (187 from Romania and 263 from Moldova). The sera were collected using a convenience sampling with the help of physicians from the hospitals of the study areas. All samples were analysed by a non-commercial ELISA test for the detection of IgG antibodies against adult somatic antigens of D. immitis and D. repens. The results showed a total of 49 (10.9%; 95% CI = 8.3-14.1%) individuals from Romania and Moldova with a positive response to IgG antibodies against both adult somatic antigens of D. immitis and D. repens. Specifically, 48 (10.7%; 95% CI = 8.0-14.0%) patients were positive for IgG-antibodies against adult somatic antigens of D. immitis, one (0.2%; 95% CI = 0.4-1.2%) against D. repens antigens, and four (0.9%; 95% CI = 0.4-3.3%). were positive for antigens of both parasites. At country level, out of 187 samples from Romania, 13 (6.9%; 95% CI = 4.1-11.5%) were positive for anti-D. immitis IgG with high exposure in the southern part of the country (Bucharest). Of the 263 people from Moldova, 36 (13.7%; 95% CI = 10.0-18.4%) were positive for D. immitis antigens from which three (1.1%, 95% CI = 0.4-3.3%) were positive for the antibodies against antigens of both parasites. Only one sample was found positive for anti-D. repens IgG. Positive IgG-ELISA results were confirmed by Western blot analysis. In addition, for further confirmation, a complementary ELISA was performed for anti-WSP IgG antibodies against Wolbachia endosymbionts. Our findings showed a noticeable exposure of humans from Romania and Moldova to Dirofilaria parasites. Serology can be useful for indicating exposure to Dirofilaria spp. in a healthy population in order to obtain useful data on the epidemiological scenario of human dirofilariosis in Eastern Europe.
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Seroepidemiological studies of residents of areas of endemicity reported higher rates of infection in a similar manner to those of canines of the same areas.
“Seroepidemiological studies of residents of areas of endemicity reported higher rates of infection in a similar manner to those of canines of the same areas (1, 5, 13, 16, 17, 34).”
From Seroepidemiological Study of Canine and Human Dirofilariasis in the Endemic Region of Northern Serbia (2020) · cites this paper as [16]
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“In a seroepidemiological survey conducted in Romania and Moldova, the results focusing on Bucharest revealed a seroprevalence of 18.2% for D. immitis exposure among humans (Ciucă et al., 2018).”
Influential
- Authors
- Ciuca, L., Simòn, F., Rinaldi, L., Kramer, L., Genchi, M., Cringoli, G., Acatrinei, D., Miron, L., & Morchon, R.
- Affiliations
- University of Naples Federico II (IT)
- University of Parma (IT)
- "Ion Ionescu de la Brad" Iasi University of Life Sciences (RO)
- Corresponding author
- Rinaldi, Laura
- Venue
- Acta Tropica
- Publisher
- Elsevier BV
- Published
- 2018-11
- Volume
- 187
- Pages
- 169-174
- ISSN
- 0001-706X (ISSN-L)
- OpenAlex
- W2884254998
- Cited by
- 37
- References
- 70
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 5 · 2022: 8 · 2021: 5 · 2020: 8 · 2019: 2 · 2018: 1
- FWCI
- 3.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Tropica (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Parasitic Diseases Research and Treatment
- Life Sciences › Immunology and Microbiology › Parasitology › Parasites and Host Interactions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Research on Leishmaniasis Studies
- Keywords
- Dirofilaria immitis, Dirofilaria repens, human filariasis, seroprevalence, IgG, Wolbachia endosymbiont, Western blot confirmation, Romania, Republic of Moldova, zoonotic exposure, ELISA serodiagnosis, Bucharest, Transylvania
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Animals, Antibodies, Helminth, Antigens, Helminth, Child, Dirofilaria, Dirofilaria immitis, Dirofilariasis, Dog Diseases, Dogs, Enzyme-Linked Immunosorbent Assay, Female, Humans, Male, Middle Aged, Moldova, Surveys and Questionnaires, Romania, Prevalence, Seroepidemiologic Studies, Wolbachia, Young Adult, Dirofilaria repens
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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