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智障儿童中弓蛔虫感染的发生率

The frequency of Toxocara infection in mental retarded children.

作者信息

Kaplan Mustafa, Kalkan Ahmet, Hosoglu Salih, Kuk Salih, Ozden Mehmet, Demirdag Kutbedtin, Ozdarendeli Aykut

机构信息

Department of Medical Parasitology, Faculty of Medicine, Firat University, Elazýg, Turkey.

出版信息

Mem Inst Oswaldo Cruz. 2004 Mar;99(2):121-5. doi: 10.1590/s0074-02762004000200001. Epub 2004 Jun 24.

Abstract

Human toxocariasis is commonly seen in places where stray and Toxocara canis-infected dog population is high. There is a strong correlation between frequency of Toxocara infection, life style, and infection risk. Institutionalization of mental retarded patients increases to risk of toxocariasis. In this study, we aimed at investigating the frequency of Toxocara infection among children with mental retardation not requiring institutionalization. The study included 96 cases, who had educatable mental retardation and 85 healthy subjects who comprised the control group. Anti-Toxocara IgG or IgM antibodies were investigated in all serum samples, using ELISA method. The frequency of Toxocara infection was found significantly higher in mental retarded cases than in those in the control group (18.8% and 7.1% respectively) (p < 0.05). There was no significant difference between mental retarded children and the control group in terms of mean age, age groups, gender, owning dogs and cats and duration of their ownership, socio-economic level and behavioural factors, and personal hygiene (p > 0.05). We did not find any significant difference between Toxocara seropositive and seronegative mental retarded children in terms of demographic factors and epidemiological factors that could increase the risk of Toxocara infection (p > 0.05). The present study is the first seroprevalence study carried out with a mental retarded group not requiring institutionalization. Determination of high frequency of Toxocara infection suggests that these subjects constitute a risk factor for Toxocara infection, which may be attributed to their behavioural patterns.

摘要

人体弓首蛔虫病常见于流浪狗和感染犬弓首蛔虫的犬只数量较多的地区。弓首蛔虫感染频率、生活方式与感染风险之间存在密切关联。智障患者被收容机构收容会增加患弓首蛔虫病的风险。在本研究中,我们旨在调查不需要被收容机构收容的智障儿童中弓首蛔虫的感染频率。该研究纳入了96例可教育的智障儿童病例以及85名作为对照组的健康受试者。使用酶联免疫吸附测定法(ELISA法)检测所有血清样本中的抗弓首蛔虫IgG或IgM抗体。结果发现,智障病例中弓首蛔虫的感染频率显著高于对照组(分别为18.8%和7.1%)(p < 0.05)。在平均年龄、年龄组、性别、是否拥有狗和猫及其饲养时长、社会经济水平、行为因素以及个人卫生方面,智障儿童与对照组之间没有显著差异(p > 0.05)。在可能增加弓首蛔虫感染风险的人口统计学因素和流行病学因素方面,我们未发现弓首蛔虫血清阳性和血清阴性的智障儿童之间存在任何显著差异(p > 0.05)。本研究是首次针对不需要被收容机构收容的智障群体开展的血清流行率研究。弓首蛔虫感染频率较高的测定结果表明,这些受试者构成了弓首蛔虫感染的一个风险因素,这可能归因于他们的行为模式。

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