塑料检测梳在诊断头虱感染方面比视觉筛查更有效。
Plastic detection comb better than visual screening for diagnosis of head louse infestation.
作者信息
Balcioglu C, Burgess I F, Limoncu M E, Sahin M T, Ozbel Y, Bilaç C, Kurt O, Larsen K S
机构信息
Celal Bayar University Medical School Department of Parasitology, Manisa, Turkey.
出版信息
Epidemiol Infect. 2008 Oct;136(10):1425-31. doi: 10.1017/S0950268807000118. Epub 2008 Jan 4.
Finding lice can be difficult in head louse infestation. We compared a new louse detection comb with visual inspection. All children in two rural Turkish schools were screened by the two methods. Those with lice were offered treatment and the results monitored by detection combing. Children with nits only were re-screened to identify latent infestations. Using visual inspection we found 214/461 children (46%) with nits but only 30 (6.5%) with live lice. In contrast detection combing found 96 (21%) with live lice, of whom 20 had no nits. Detection combing was 3.84 times more effective than visual inspection for finding live lice. Only 10/138 (7.2%) children with nits and no lice were found to have active infestation by day 16. We found that the detection comb is significantly (P<0.001) more effective than visual screening for diagnosis; that nits are not a good indicator of active infestation; and that treatment with 1% permethrin was 89.6% effective.
在头虱感染中发现虱子可能很困难。我们将一种新型虱子检测梳与目视检查进行了比较。对土耳其两所农村学校的所有儿童都用这两种方法进行了筛查。发现有虱子的儿童接受治疗，并通过检测梳检监测结果。仅发现虮子的儿童再次接受筛查以确定潜在感染情况。通过目视检查，我们发现461名儿童中有214名（46%）有虮子，但只有30名（6.5%）有活虱子。相比之下，检测梳检发现96名（21%）有活虱子，其中20名没有虮子。在发现活虱子方面，检测梳检比目视检查有效3.84倍。到第16天，在仅发现虮子而无虱子的138名儿童中，只有10名（7.2%）被发现有活动性感染。我们发现，检测梳在诊断方面比目视筛查显著更有效（P<0.001）；虮子不是活动性感染的良好指标；并且1%氯菊酯治疗的有效率为89.6%。
Zotero 插件