Peruzzi Simona, Gorrini Chiara, Piccolo Giovanna, Calderaro Adriana, Dettori Giuseppe, Chezzi Carlo
Department of Pathology and Laboratory Medicine, Section of Microbiology, University of Parma, Parma, Italy.
Acta Biomed. 2006 Dec;77(3):147-51.
Intestinal parasitosis represent a relevant clinical problem, especially in developing countries, where they are responsible for morbidity and mortality in adults and children and many epidemiological data are available for these areas. The actual situation of intestinal parasitosis in Europe is not yet well investigated since they are usually not notified. We describe the occurrence of intestinal parasitosis in our laboratory from January to December 2005.
We considered all patients (1117) whose stool samples were sent to our laboratory with the suspect of intestinal parasitosis during the year 2005. Each specimen was subjected to macroscopic and microscopic examination to demonstrate the presence of worm eggs, larvae, protozoan trophozoites or cysts and to an immunochromatographic assay to detect Giardia intestinalis and Cryptosporidium spp. specific antigens. Cultures for protozoa and helminths were carried out and a PCR specific for Entamoeba histolytica/Entamoeba dispar was also performed.
Our results indicated that 148 patients (13.24%) were affected by intestinal parasitosis. Among the 951 Italians, 96 (10%) were infected, while out of a total of 166 foreigners 52 had intestinal parasitosis (31%). Moreover, we found that 113 infections were caused by only one parasite while 35 were mixed infections.
Intestinal parasitosis represent a remarkable cause of gastrointestinal disease and our study demonstrates that these infections are quite common in our area, affecting both Italians and non European citizens from developing countries.
肠道寄生虫病是一个重要的临床问题,尤其是在发展中国家,它们导致成人和儿童发病和死亡,并且这些地区有许多流行病学数据。由于肠道寄生虫病通常未被报告,欧洲肠道寄生虫病的实际情况尚未得到充分调查。我们描述了2005年1月至12月在我们实验室中肠道寄生虫病的发生情况。
我们纳入了2005年期间所有粪便样本因怀疑肠道寄生虫病而被送到我们实验室的患者(共1117例)。每个样本都进行了宏观和微观检查,以证明是否存在虫卵、幼虫、原生动物滋养体或囊肿,并进行了免疫层析检测以检测肠道贾第虫和隐孢子虫属的特异性抗原。进行了原生动物和蠕虫的培养,并对溶组织内阿米巴/迪斯帕内阿米巴进行了特异性PCR检测。
我们的结果表明,148例患者(13.24%)患有肠道寄生虫病。在951名意大利人中,96人(10%)被感染,而在总共166名外国人中,52人患有肠道寄生虫病(31%)。此外,我们发现113例感染是由单一寄生虫引起的,而35例是混合感染。
肠道寄生虫病是胃肠道疾病的一个重要病因,我们的研究表明,这些感染在我们地区相当常见,影响意大利人和来自发展中国家的非欧洲公民。