土耳其兄弟姐妹中贾第虫病的发病率。
Incidence of giardiasis among siblings in Turkey.
作者信息
Balcioglu I Cüneyt, Limoncu Emin, Ertan Pelin, Yereli Kor, Ozbilgin Ahmet, Onag Ali
机构信息
Departments of Parasitology and Pediatrics, Celal Bayar University School of Medicine, Manisa, Turkey.
出版信息
Pediatr Int. 2003 Jun;45(3):311-3. doi: 10.1046/j.1442-200x.2003.01711.x.
BACKGROUND
Giardiasis, a common infection among children, is caused by a flagellated protozoan called Giardia lamblia. It is well known to be contagious in common living places. This is an epidemiologic study investigating the incidence of giardiasis among the siblings of patients with giardiasis living in the same household.
METHODS
Stool samples of 50 patients with a G. lamblia positive sibling in the same household, and 50 patients with a G. lamblia negative sibling in the same household, were examined for giardiasis by saline-Lugol, formalin-ethyl acetate concentration and trichrome staining methods. Other causes of diarrhea were excluded by microbiologic laboratory tests.
RESULTS
Thirty-eight per cent of siblings of G. lamblia positive patients and 8% of siblings of G. lamblia negative children were found to be positive for G. lamblia cysts and/or trophozoites. The differences between the groups were statistically significant (P < 0.001).
CONCLUSION
The results suggested that the examination of G. lamblia among the siblings of patients with giardiasis both in the same age group and living in the same household should be considered.
背景
贾第虫病是儿童常见的感染病，由一种名为蓝氏贾第鞭毛虫的鞭毛虫原生动物引起。众所周知，它在普通居住场所具有传染性。这是一项流行病学研究，旨在调查同住一户的贾第虫病患者的兄弟姐妹中贾第虫病的发病率。
方法
采用生理盐水-卢戈氏碘液法、福尔马林-乙酸乙酯浓缩法和三色染色法，对50名家中有蓝氏贾第鞭毛虫检测呈阳性的兄弟姐妹的患者以及50名家中有蓝氏贾第鞭毛虫检测呈阴性的兄弟姐妹的患者的粪便样本进行贾第虫病检测。通过微生物实验室检测排除其他腹泻病因。
结果
蓝氏贾第鞭毛虫检测呈阳性患者的兄弟姐妹中，38%的人被发现蓝氏贾第鞭毛虫囊肿和/或滋养体检测呈阳性；蓝氏贾第鞭毛虫检测呈阴性儿童的兄弟姐妹中，这一比例为8%。两组之间的差异具有统计学意义（P < 0.001）。
结论
结果表明，对于同一年龄组且同住一户的贾第虫病患者的兄弟姐妹，应考虑进行蓝氏贾第鞭毛虫检测。
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