中国寄生虫学与寄生虫病杂志 ›› 2026, Vol. 44 ›› Issue (4): 468-476.doi: 10.12140/j.issn.1000-7423.2026.04.002

• 特约综述 • 上一篇    下一篇

卡耶塔环孢子虫流行特征、检测技术及防控研究进展

胡拉莱·哈德尔(), 左清秋, 古丽巴努·艾麦尔, 李石柱, 郑彬*()(), 沈玉娟*()()   

  1. 中国疾病预防控制中心寄生虫病预防控制所(国家热带病研究中心), 传染病溯源预警与智能决策全国重点实验室,国家卫生健康委员会寄生虫病原与媒介生物学重点实验室,世界卫生组织热带病合作中心,科技部国家级热带病国际联合研究中心, 上海 200025
  • 收稿日期:2026-08-08 修回日期:2026-08-16 出版日期:2026-08-30 发布日期:2026-08-20
  • 通讯作者: * 沈玉娟(ORCID:0000-0003-4386-6624),女,硕士,研究员,从事肠道原虫分子流行病学、溯源和检测技术等研究。E-mail:shenyj@nipd.chinacdc.cn;
    郑彬(ORCID:0000-0001-8791-0397),女,博士,研究员,主要从事寄生虫病防治研究。E-mail:zhengbin@nipd.chinacdc.cn
  • 作者简介:胡拉莱·哈德尔,女,硕士研究生,从事肠道原虫分子流行病学、检测技术等研究。E-mail:H971262977@163.com
    作者贡献

    胡拉莱·哈德尔负责文献收集和论文撰写,左清秋参与论文指导与修改,古丽巴努·艾麦尔参与文献收集与论文修改,沈玉娟、郑彬、李石柱负责论文架构设计,沈玉娟负责论文修改与定稿。

  • 基金资助:
    国家自然科学基金(82372283);国家科技重大专项(2026ZD01909306)

Progress on the epidemiological characteristics, detection techniques, and control strategies of Cyclospora cayetanensis

HULALAI Hader(), ZUO Qingqiu, GULIBANU Aimaier, LI Shizhu, ZHENG Bin*()(), SHEN Yujuan*()()   

  1. National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention; Chinese Center for Tropical Diseases Research; National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases; NHC Key Laboratory of Parasite and Vector Biology; WHO Collaborating Center for Tropical Diseases; National Center for International Research on Tropical Diseases, Ministry of Science and Technology, Shanghai 200025, China
  • Received:2026-08-08 Revised:2026-08-16 Online:2026-08-30 Published:2026-08-20
  • Contact: * E-mail: shenyj@nipd.chinacdc.cn; zhengbin@nipd.chinacdc.cn
  • Supported by:
    National Natural Science Foundation of China(82372283);National Science and Technology Major Project, China(2026ZD01909306)

摘要:

卡耶塔环孢子虫(Cyclospora cayetanensis)是一种新发食源性肠道寄生原虫,可导致以持续性腹泻为主要临床表现的环孢子虫病,近年已成为全球公共卫生的重要威胁,为美国Foodnet监测病原。环孢子虫卵囊需在环境中孢子化后才具感染性,主要经被污染的农产品和水源传播,目前尚无人与人之间直接传播的报道。全球至少54个国家报道过环孢子虫病例,美国、加拿大等地多次发生大规模食源性暴发。2026年美国环孢子虫病疫情为历史最严重,报告本土确诊病例13 895例,疑似病例超过10 455例(截至2026年8月11日)。我国于1995年首次报告环孢子虫病例,多地有散发人体感染报道,且地区差异显著。目前,我国尚未开展环孢子虫病监测,缺乏基线数据,对其流行特征尚不清晰。本文就环孢子虫的病原学特征、临床表现、流行病学、检测技术及监测体系等方面的研究进展进行综述,旨在为环孢子虫病的监测、风险评估及防控提供参考。

关键词: 卡耶塔环孢子虫, 环孢子虫病, 流行病学, 检测技术, 食源性寄生虫病

Abstract:

Cyclospora cayetanensis is an emerging foodborne intestinal protozoan parasite that causes cyclosporiasis, a disease primarily characterized by persistent diarrhea. In recent years, it has become a major public health threat worldwide and is a pathogen under surveillance by FoodNet in the United States. The oocysts of C. cayetanensis become infective only after sporulation in the environment and are primarily transmitted via contaminated agricultural products and water sources. No direct human-to-human transmission has been documented to date. Cases of cyclosporiasis have been reported in at least 54 countries globally, with large-scale foodborne outbreaks occurring repeatedly in the United States, Canada, and other regions. The 2026 cyclosporiasis outbreak in the United States was the most severe on record, with 13 895 reported indigenous confirmed cases and over 10 455 suspected cases (as of August 11, 2026). In China, the first case of cyclosporiasis was reported in 1995, and sporadic human infections have been documented across multiple regions with significant geographical variation. However, due to the absence of a national surveillance network, baseline data at the national level remain lacking, and the epidemiological characteristics of the disease in China are still unclear. This article reviews the research progress on the etiological characteristics, clinical manifestations, epidemiology, detection techniques, and surveillance systems of C. cayetanensis, aiming to provide a reference for surveillance, risk assessment and prevention and control strategies for cyclosporiasis.

Key words: Cyclospora cayetanensis, Cyclosporiasis, Epidemiology, Detection techniques, Foodborne parasitic diseases

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