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. 2021 Mar 6;10(3):307. doi: 10.3390/pathogens10030307

Table 1.

Studies reporting percentages of positivity to Leishmania tests of cats in Europe between 2001 and 2020.

Country (Area) Period of Sampling (Month or Season and Year) No. of Cats
(Lifestyle)
Positivity % % of Non-Healthy Positive Cats (Abnormalities) Variables Associated with Positivity (Test) References
(Immunological Test) (Parasitological Test: Sample) Overall §
Albania (Tirana) 2008–2010 146 (free roaming) 0.7 (IFAT) 0.0 (PCR: blood) 0.7 NA NA [51]
Cyprus (all six districts) March–September 2014 174 (feral, outdoors, indoors) 4.4 (ELISA #) 2.3 (PCR: blood) 5.8 # Ab = 86.0 (NA)
PCR = 100 (NA)
Hepatozoon spp., CMt infections (Ov) [52]
Greece (Thessaloniki) NA 284 (stray) 3.9 (ELISA) NA NA NA No [53]
Greece (Macedonia and Thessaly) January 2009–September 2011 100 (indoors, outdoors) 11.0 (IFAT IgG and IgM, ELISA) 0.0 (cysm: lynd, skin, bm, conj)
41.0 (PCR: skin, bm, blood, cjsw)
46.0 Ab = 45.5 (skin, ocular, systemic)
PCR = 48.8 (skin, ocular, systemic)
Season, FeL compatible signs (PCR) [48,49]
Greece (Crete, Mykonos, Skopelos and Athens) Summer 2015 148 (colony, free roaming) 6.1 (IFAT) 6.1 (PCR: blood) 6.1 NA NA [54]
Greece (Thessaly) NA 150 (stray, NA^) NA 13.3 (PCR: blood) NA NA No [55]
Greece and Italy NA 269 (indoors, outdoors) 3.0 (IFAT) NA NA NA Cohabitation with dogs [56]
Italy (Abruzzo) September 2002–March 2004 203 (stray, indoors, outdoors) 16.3 (IFAT) 45.5 (PCR: blood) a
100 (PCR: lynd) a
NA 66.4 (heterogeneous) NA [50]
Italy (Greater Milan) January 2008–January 2010 233 (colony) 25.3 (IFAT) 0.0 (PCR: blood) 25.3 79.7 (heterogeneous) Neutrophilia, FIV positivity (Ab) [57]
Italy (Milan) June–December 2014 90 (stray) 12.2 (IFAT) 1.1 (PCR: blood)
1.1 (PCR: lynd)
0.0 (PCR: cjsw)
12.2 100 (lymphadenomegaly, stomatitis, skin) FCoV positivity [58]
Italy (Milan City, northern Italy) June 2016–December 2018 117 4.9 (IFAT) 4.3 (PCR: lynd)
0 (PCR: blood)
0 (PCR: cjsw)
8.6 NA Hypergammaglobulinemia [59]
Italy (Umbria, Tuscany and Marche) 2010–2016 286 (cattery, colony) 10.8 (IFAT) 15.73 (PCR: cjsw)
0.0 (PCR: bc)
21.7 0.0 Geographical area (Ab, PCR)
Age class (Ab)
Lifestyle (Ov)
[60]
Italy (Sardinia) October 2011–January 2013 90 (outdoors, indoors) 10.0 (IFAT) 5.5 (PCR: bc) 14.4 38.5 (heterogeneous) No [61]
Italy (Sicily and Calabria) March 2012–January 2013 76 (outdoors, indoors, stray) 30.3 (IFAT, ELISA, WB) NA NA NA (heterogeneous) NA [62]
Italy (Sicily and Calabria) March 2012–January 2013 197 cats (outdoors, indoors, stray) 9.6 (IFAT) 6.6 (PCR: cjsw, osw, blood, lynd, urine) 14.7 NA No [63]
Italy (Sicily) March 2016–April 2017 66 (indoors, outdoors, stray) 21.0 (IFAT, ELISA)
17.0 (LSA-IFNγ &)
4.0 (PCR: blood) 36.0 NA NA [47]
Italy (Aeolian Islands, Sicily) January 2015–June 2016 330 (outdoors) 25.7 (IFAT) 2.1 (PCR: blood)
1.8 (PCR: cjsw)
25.7 NA (systemic, skin, ocular) Age class (Ab) [64]
Italy (Aeolian Islands, Sicily) March–April 2016 159 (outdoors) 9.4 (IFAT) 7.5 (PCR: blood)
3.7 (PCR: cjsw)
15.7 NA NA [65]
Italy (North, Centre and South) June 2017–August 2018 2659 (NA) 3.3 (IFAT) 0.8 (PCR: blood) 3.9 NA Geographical area, age class, neutering status, FIV infection (Ov) [66]
Italy (Emilia Romagna) June–November 2017 152 (indoors, outdoors) 11.8 (IFAT) 0.7 (PCR: hair)
0.0 (PCR: blood, cjsw)
12.5 NA Serum total proteins, β2- and γ-globulins (Ov) [67]
Italy (Emilia Romagna, northern Italy) February 2018–October 2019 85 (stray) 2.4 (IFAT) 5.9 (PCR: blood) 2.4 NA NA [68]
Portugal (Lisbon) Spring–autumn 2004 23 (stray) 20.0 (IFAT) 30.4 (PCR: blood) NA NA NA [69]
Portugal (Lisbon) November 2003–July 2005 180 (stray) 0.6 (IFAT) NA NA NA NA [70]
Portugal (Lisbon) January 2007–August 2008 142 (NA^, stray) 1.3 (IFAT) 20.3 (PCR: blood) 20.4 NA NA [71]
Portugal (Northeast) May 2004–July 2008 316 (indoors, outdoors) 2.8 (ELISA, DAT) NA NA 11.1 (NA) No [72]
Portugal (North and Centre) NA 320 (outdoors, indoors) NA 0.3 (PCR: blood) NA 0.0 NA [73]
Portugal (Lisbon and Algarve) January 2012–August 2013 649 (indoors, outdoors, sheltered) NA 9.9 (PCR: blood) NA NA Age class, habitat, ectoparasiticide treatment [74]
Portugal (Algarve) November 2011–May 2014 271 (stray, NA^) 3.7 (DAT) NA NA NA No [75]
Portugal (Centre, Lisbon and Algarve) April–December 2017 350 (stray, colony, outdoors) 0.9 (IFAT) 6.9 (PCR: blood) 7.4 26.9 (NA) No [76]
Portugal (Centre, Lisbon and Algarve) February 2017–August 2018 465 (stray, colony, NA^) NA 5.4 (PCR: bc) * NA NA NA [44]
Spain (South) February 2003–December 2004 180 (NA^) 28.3 (IFAT) 25.7 (PCR: blood)
42.9 (cysm: bc of seven PCR positive cats
48.3 NA FeLV (Ab) [77]
Spain (NA) 2004–2007 2632 (NA) NA 0.57 (IHC) NA NA NA [78]
Spain (Madrid) September 2005–June 2006 233 (indoors, outdoors) 1.3 (IFAT) 0.4 (PCR: blood) 1.7 75 (heterogeneous) No [79]
Spain (Madrid) September 2005–August 2008 680 (indoors, outdoors, stray) 3.7 (IFAT) 0.6 (PCR: blood) NA NA Age class (Ab), FIV (Ab), oral disease (Ab) [80]
Spain (Madrid) NA 17 (breeding) 17.6 (IFAT) NA NA NA NA [81]
Spain (Madrid) 2011–2012 55 NA 3.7 (PCR: spleen) NA NA NA [82]
Spain (Madrid) NA 43 (stray) 9.3 (IFAT) NA NA NA NA [83]
Spain (Centre) Spring 2012 and spring 2013 346 (stray) 3.2 (IFAT) 0.0 (PCR: 57 blood samples) NA 9.1 (compatible with FeL) No [84]
Spain (Centre) 2014–2017 249 (colony) 4.8 (IFAT) 0.0 (PCR: blood, skin) 4.8 16.7 (compatible with FeL) NA [85]
Spain (Catalonia and Mallorca island) NA 445 (mixed) 5.3–6.3 (ELISA) NA NA NA No [86]
Spain (Barcelona) January–Deccember 2006 100 (NA) NA 3.0 (PCR: blood) NA 100 (NA) Age class (PCR) [87]
Spain (Catalonia) March 2016–April 2017 113 (indoors, outdoors, stray) 22.0 (IFAT, ELISA)
18.0 (LSA-IFNγ &)
5.0 (PCR: blood) NA 34 (heterogeneous) NA [47]
Spain (Ibiza island) June–July 2008 105 (shelter outdoors) 13.2 (ELISA) 8.7 (PCR: blood) 15.2 75.0 (heterogeneous) Clinical signs (Ov)
FeLV (Ab, PCR)
FeLV, FIV (Ab, PCR)
[88]
Spain (Mallorca island) June 2008–February 2009 86 (feral) 15.7 (WB) 26.0 (PCR: blood) 25.6 0.0 No [45]

a PCR tests performed only in 11 antibody positive cats at a different time; § Immunological and/or parasitological positivity; * L. donovani complex (24 cats), L. major (2 cats). & Interferon-γ ex vivo produced by blood cells stimulated with Leishmania soluble antigen; # ELISA test and overall prevalence from 160 cats. Ab: antibody detection; bc: buffy coat; bm: bone marrow; CMt: Candidatus Mycoplasma turicensis; cjsw: conjunctival swab; conj: conjunctiva; cysm: cytological smear; DAT: direct agglutination test (cut-off dilution: 1:100); ELISA: enzyme-linked immunosorbent assay (different techniques); FCoV: feline coronavirus; FeL: feline leishmaniosis; FeLV: feline leukaemia virus; FIV: feline immunodeficiency virus; Ig: immunoglobulin; IFAT: immunofluorescence antibody test (cut-off dilution ranging from 1:2 to 1:100); IHC: immunohistochemistry; lynd: lymph node; NA: not assessed/available; NA^: lifestyle not assessed in owned cats admitted to veterinary clinics; Ov: antibody and DNA detection; osw: ocular swabs; PCR: polymerase chain reaction; WB: Western blot.