Vögtle-Junkert U
Med Klin. 1975 Nov 21;70(47):1920-7.
The evaluated helminth carrier rate among foreign workers give rise to many problems under socio-economic, hygienic and occupational aspects. The evaluation of helminth infestation is connected with considerable uncertainty. Based on the author's examinations these problems are critically investigated from the point of view of both, the employer and the employee. It is shown in tables that in the Institute of Hygiene and Microbiology of Würzburg during 1973/1974 497/702 respectively faecal examinations were performed among German and foreign employees and workers. No difference was noted in the overall positive rates in both groups. But there were distinct differences in the species of helminths noted: Among the foreign workers mainly Trichuris trichiura, Ascaris lumbricoides and Enterobius vermicularis were noted while among Germans Taenia saginata prevailed. Noteworthy is the fact, that workers from Turkey and Yugoslavia have occasionally three and more species of helminths and pathogenic protozoa in a single specimen. Since the helminth species found are not transmitted from man to man and since usually the circumstances do not permit a transmission via food, such carriers of helminth don't represent a direct danger for man or the contamination of foofdstuff. For hygienic reasons however helminth carriers may not be acceptable in certain occupations. In case of clinical symptoms the treatment of such patients is required for medical reasons. In spite of frequent absence of clinical signs the consequent liberation of the carriers from their intestinal worms and the sanitation of their personal environment should not be neglected.
对外籍工人中被评估的蠕虫携带率在社会经济、卫生和职业方面引发了诸多问题。蠕虫感染情况的评估存在相当大的不确定性。基于作者的调查,从雇主和雇员双方的角度对这些问题进行了批判性研究。表格显示,1973/1974年期间,维尔茨堡卫生与微生物研究所对德国和外国雇员及工人分别进行了497次和702次粪便检查。两组的总体阳性率没有差异。但在发现的蠕虫种类上存在明显差异:外国工人中主要发现鞭虫、蛔虫和蛲虫,而德国人中牛带绦虫居多。值得注意的是,来自土耳其和南斯拉夫的工人偶尔在单个样本中会有三种及以上的蠕虫和致病原生动物。由于所发现的蠕虫种类不会在人与人之间传播,而且通常情况下环境也不允许通过食物传播,所以此类蠕虫携带者对人类或食品污染并不构成直接危险。然而,出于卫生原因,在某些职业中蠕虫携带者可能不被接受。如有临床症状,出于医学原因需要对这类患者进行治疗。尽管常常没有临床症状,但也不应忽视让携带者彻底清除肠道蠕虫并对其个人环境进行卫生处理。