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尼日利亚西南部城市社区伊巴丹学童中的泌尿生殖系统血吸虫病。

Urinary schistosomiasis among schoolchildren in Ibadan, an urban community in south-western Nigeria.

作者信息

Okoli E I, Odaibo A B

机构信息

Department of Zoology, University of Ibadan, Ibadan, Nigeria.

出版信息

Trop Med Int Health. 1999 Apr;4(4):308-15. doi: 10.1046/j.1365-3156.1999.00388.x.

Abstract

The current status of urinary schistosomiasis was assessed in Ibadan, an urban community in south-western Nigeria. Of 1331 children examined for eggs of S. haematobium in their urine, 17.4% were infected. Prevalence in postprimary schoolchildren was significantly (P < 0.01) higher (22.4%) than in primary schoolchildren (12.0%). Intensity of infection based on geometric mean egg count per 10 ml of urine was also higher in postprimary (36.7 eggs/10 ml urine) than primary pupils (29.9 eggs/10 ml urine). Boys had a significantly (P < 0.01) higher infection rate (24.1%) than girls (8.5%), and the intensity of infection was also higher (P < 0.01) in males (39.0 eggs/10 ml urine) than in females (22.1 eggs/10 ml urine). The overall geometric mean intensity of infection was highest (38.8 eggs/10 ml urine) in the 11-15 years age group. 42% of infected children excreted > 50 eggs/10 ml urine. 2.2% excreted S. mansoni eggs in urine. Water contact activities were more frequent (P < 0. 01) in males (31.8%) than females (38.2%). Nine species of snails were encountered, with B. (p) globosus being the the most abundant and widespread. These results show that urinary schistosomiasis is still being actively being transmitted in Ibadan.

摘要

对尼日利亚西南部城市社区伊巴丹的泌尿生殖系统血吸虫病现状进行了评估。在1331名接受尿液中埃及血吸虫卵检测的儿童中,17.4%受到感染。小学后儿童的患病率(22.4%)显著高于小学生(12.0%)(P<0.01)。基于每10毫升尿液中虫卵几何平均计数的感染强度在小学后儿童中(36.7个虫卵/10毫升尿液)也高于小学生(29.9个虫卵/10毫升尿液)。男孩的感染率(24.1%)显著高于女孩(8.5%)(P<0.01),男性的感染强度(39.0个虫卵/10毫升尿液)也高于女性(22.1个虫卵/10毫升尿液)(P<0.01)。总体感染强度几何平均值在11至15岁年龄组中最高(38.8个虫卵/10毫升尿液)。42%的受感染儿童每10毫升尿液中排出>50个虫卵。2.2%的儿童尿液中排出曼氏血吸虫卵。男性的水接触活动(31.8%)比女性(38.2%)更频繁(P<0.01)。共发现9种蜗牛,其中球拟钉螺最为常见且分布广泛。这些结果表明,泌尿生殖系统血吸虫病在伊巴丹仍在活跃传播。

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