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乌干达南部学童肠道蠕虫感染的流行病学

Epidemiology of intestinal helminth infestations among schoolchildren in southern Uganda.

作者信息

Kabatereine N B, Tukahebwa E M, Brooker S, Alderman H, Hall A

机构信息

Vector Control Division, Ministry of Health, Kampala, Uganda.

出版信息

East Afr Med J. 2001 Jun;78(6):283-6. doi: 10.4314/eamj.v78i6.9019.

DOI:10.4314/eamj.v78i6.9019
PMID:12002102
Abstract

OBJECTIVE

To determine the prevalence and intensity of intestinal helminth species among school children in southern Uganda.

DESIGN

A cross-sectional survey using a randomly selected sample.

SETTING

Eighteen districts of southern Uganda.

SUBJECT

Two thousand and four school children aged two to twenty years (93.3%, aged 5-10 years) selected from classes 1 and 2 in 26 randomly selected primary schools.

RESULTS

Overall, 55.9% of children were infected with either hookworm, Ascanis lumbricoides or Trichuris trichiura. The prevalence of A. lumbricoides was 17.5% ( range 0-66.7% by school), T. trichiura was 7.3% (0-45.0%) and hookworm 44.5% (15.6-86.0%). The prevalence of A. lumbricoides and T. trichiura was greatest in western districts while hookworm infection was more evenly distributed across the country.

CONCLUSION

Mass antihelminthic treatment of school children was warranted in 13 of the 18 districts as more than 50% of the children were infected with an intestinal nematode. It is likely that pre-school children are similarly infected.

摘要

目的

确定乌干达南部学童肠道蠕虫种类的流行率和感染强度。

设计

采用随机抽样的横断面调查。

地点

乌干达南部的18个地区。

研究对象

从26所随机抽取的小学的1年级和2年级中选取2040名2至20岁的学童(93.3%为5至10岁)。

结果

总体而言,55.9%的儿童感染了钩虫、蛔虫或鞭虫。蛔虫的感染率为17.5%(各学校范围为0 - 66.7%),鞭虫为7.3%(0 - 45.0%),钩虫为44.5%(15.6 - 86.0%)。蛔虫和鞭虫的感染率在西部地区最高,而钩虫感染在全国分布更为均匀。

结论

18个地区中有13个地区有必要对学童进行大规模驱虫治疗,因为超过50%的儿童感染了肠道线虫。学龄前儿童可能也有类似感染。

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