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埃塞俄比亚南部翁多杰内特的人体蠕虫病,重点是土源性蠕虫病。

Human helminthiasis in Wondo Genet, southern Ethiopia, with emphasis on geohelminthiasis.

作者信息

Erko Berhanu, Medhin Girmay

机构信息

Institute of Pathobiology, Addis Ababa University, PO Box 1176, Addis Ababa, Ethiopia.

出版信息

Ethiop Med J. 2003 Oct;41(4):333-44.

Abstract

A parasitological survey was made in 1999 and 2002 to determine the magnitude of geohelminthiasis (soil-transmitted helminthiasis) and generate reference baseline helminthological data for Wondo Genet area, southern Ethiopia. Stool specimens were collected using Kato technique from 3167 schoolchildren, 92 schoolteachers, and 1160 residents of two Peasant Associations (PAs) and microscopically examined. The prevalence of infection for Ascaris lumbricoides and Trichuris trichiura among schoolchildren was 83.4% and 86.4%, respectively, and the respective intensity of infection was 7343 eggs per gram of stool (EPG) and 461 EPG. The prevalence of infection for Ascaris lumbricoides, Trichuris trichiura, and Schistosoma mansoni among schoolteachers was 33.7%, 35.9% and 17.4%, respectively, with the respective intensity of 1089 EPG, 194 EPG and 89 EPG. Similarly, the prevalence of infection among the residents of Shesha Kekele and Wondo Wosha Peasant Associations for Ascaris lumbricoides, Trichuris trichiura, and Schistosoma mansoni was 77%, 88% and 30%, respectively, with the respective intensity of 4673 EPG, 452 EPG and 125 EPG. Both the prevalence and intensity of infection were low among the schoolteachers possibly due to a better personal hygiene. The most prevalent soil-transmitted helminth in the area was Trichuris trichiura. Other rare helminths encountered were Taenia species, hookworms, Enterobius vermicularis and Hymenolepis nana, all occurring in less than 4% prevalence of infection. The heavy helminth burden among the schoolchildren calls for immediate intervention to reduce morbidity and transmission of helminthiasis in Wondo Genet.

摘要

1999年和2002年开展了一项寄生虫学调查,以确定土源性蠕虫病(土壤传播的蠕虫病)的流行程度,并为埃塞俄比亚南部的翁多杰内特地区生成参考性的基础蠕虫学数据。采用加藤技术从3167名学童、92名学校教师以及两个农民协会(PA)的1160名居民中收集粪便样本,并进行显微镜检查。学童中蛔虫和鞭虫的感染率分别为83.4%和86.4%,各自的感染强度分别为每克粪便7343个虫卵(EPG)和461个EPG。学校教师中蛔虫、鞭虫和曼氏血吸虫的感染率分别为33.7%、35.9%和17.4%,各自的感染强度分别为1089个EPG、194个EPG和89个EPG。同样,在舍沙凯凯莱和翁多沃沙农民协会的居民中,蛔虫、鞭虫和曼氏血吸虫的感染率分别为77%、88%和30%,各自的感染强度分别为4673个EPG、452个EPG和125个EPG。学校教师中的感染率和感染强度均较低,这可能是由于个人卫生状况较好。该地区最常见的土壤传播蠕虫是鞭虫。其他罕见的蠕虫有带绦虫属、钩虫、蛲虫和微小膜壳绦虫,所有这些蠕虫的感染率均低于4%。学童中严重的蠕虫负担要求立即采取干预措施,以降低翁多杰内特地区蠕虫病的发病率和传播。

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