Bethony Jeffrey, Brooker Simon, Albonico Marco, Geiger Stefan M, Loukas Alex, Diemert David, Hotez Peter J
Department of Microbiology, Immunology, and Tropical Medicine, The George Washington University, Washington, DC, 20037, USA.
Lancet. 2006 May 6;367(9521):1521-32. doi: 10.1016/S0140-6736(06)68653-4.
The three main soil-transmitted helminth infections, ascariasis, trichuriasis, and hookworm, are common clinical disorders in man. The gastrointestinal tract of a child living in poverty in a less developed country is likely to be parasitised with at least one, and in many cases all three soil-transmitted helminths, with resultant impairments in physical, intellectual, and cognitive development. The benzimidazole anthelmintics, mebendazole and albendazole, are commonly used to remove these infections. The use of these drugs is not limited to treatment of symptomatic soil-transmitted helminth infections, but also for large-scale prevention of morbidity in children living in endemic areas. As a result of data showing improvements in child health and education after deworming, and the burden of disease attributed to soil-transmitted helminths, the worldwide community is awakening to the importance of these infections. Concerns about the sustainability of periodic deworming with benzimidazole anthelmintics and the emergence of resistance have prompted efforts to develop and test new control tools.
三种主要的土源性蠕虫感染,即蛔虫病、鞭虫病和钩虫病,是人类常见的临床疾病。生活在欠发达国家贫困地区的儿童胃肠道很可能至少感染一种土源性蠕虫,在许多情况下会感染全部三种,从而导致身体、智力和认知发育受损。苯并咪唑驱虫药甲苯达唑和阿苯达唑通常用于消除这些感染。这些药物的使用不仅限于治疗有症状的土源性蠕虫感染,还用于大规模预防流行地区儿童的发病。由于有数据表明驱虫后儿童健康和教育状况有所改善,以及土源性蠕虫所致疾病负担,国际社会开始意识到这些感染的重要性。对使用苯并咪唑驱虫药进行定期驱虫的可持续性以及耐药性出现的担忧促使人们努力开发和测试新的防控工具。