Yoon H J, Choi Y J, Lee S U, Park H Y, Huh S, Yang Y S
Department of Parasitology, College of Medicine, Hallym University, Chunchon 200-702, Korea.
Korean J Parasitol. 2000 Dec;38(4):279-81. doi: 10.3347/kjp.2000.38.4.279.
Pre-school children were examined for the presence of Enterobius vermicularis egg by perianal swab method. We visited 67 nurseries and 25 kindergartens between January, 1999 and April, 1999 in Chunchon, Korea. Of the 4,711 children examined, 434 (9.2%) were found to be positive for E. vermicularis egg. The egg positive rates of boys and girls were 10.1% and 8.1%, respectively. The rates were 7.8% in kindergartens and 9.7% in nurseries. Positive rate of 50 institutions was less than 10%. Rate in 35 institutions was from 10% to less than 20%. Rate in 7 institutions was equal to or over 20%. Out of 1,113 children examined twice, 28 (2.5%) children were positive consecutively, 53 (4.8%) were positive with negative conversion, 47 (4.2%) were negative with positive conversion, and 985 (88.5%) were consecutively negative. It means that in the low endemic area of enterobiasis with around 10% positive rate, the two consecutive examinations may increase the egg detection rate of 4.2-4.8%. The small number of consecutive egg positive children also suggests that the worm burden of the positive children might be low. Since the egg positive rate of that age group in this City increased from 1.85% (1997), and 3.0% (1998), the more intensive regular control should be executed.
采用肛周拭子法对学龄前儿童进行蛲虫卵检查。1999年1月至4月期间,我们走访了韩国春川市的67家托儿所和25所幼儿园。在接受检查的4711名儿童中,有434名(9.2%)被发现蛲虫卵呈阳性。男孩和女孩的虫卵阳性率分别为10.1%和8.1%。幼儿园的阳性率为7.8%,托儿所的阳性率为9.7%。50家机构的阳性率低于10%。35家机构的阳性率为10%至20%以下。7家机构的阳性率等于或超过20%。在接受两次检查的1113名儿童中,有28名(2.5%)儿童连续呈阳性,53名(4.8%)儿童呈阳性后转阴,47名(4.2%)儿童呈阴性后转阳,985名(88.5%)儿童连续呈阴性。这意味着在蛲虫病低流行地区,阳性率约为10%,连续两次检查可能会使虫卵检出率提高4.2% - 4.8%。连续虫卵阳性的儿童数量较少也表明阳性儿童的虫负荷可能较低。由于该市该年龄组的虫卵阳性率从1997年的1.85%和1998年的3.0%有所上升,应加强定期防控措施。