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[萨尔塔一个原住民社区肠道寄生虫调查]

[Survey of intestinal parasites among an aboriginal community in Salta].

作者信息

Menghi Claudia I, Iuvaro Franco R, Dellacasa María A, Gatta Claudia L

机构信息

Departamento de Bioquímica Clínica, Facultad de Farmacia y Bioquímica, Hospital de Clínicas, Universidad de Buenos Aires, Argentina.

出版信息

Medicina (B Aires). 2007;67(6 Pt 2):705-8.

Abstract

The prevalence of intestinal parasitoses by protozoans and helminths was determined in an aboriginal community located 6 km from Tartagal, province of Salta, Argentina. The age of the inhabitants studied ranged from 1 to 49 years old. A total of 112 stool samples were collected in sodium acetate-acetic acid- formalin solution (SAF). Each sample was obtained in three different days, alternatively. Ritchie biphasic concentration method and Faust flotation technique were applied. For survey of Enterobius vermicularis, 68 samples were collected during six consecutive days using anal swabs. For the diagnosis of Dientamoeba fragilis, the modified trichrome Gomori-Wheatley staining technique was used. One hundred and six (94.6%) subjects resulted positive for enteric parasites. Forty-four (41.5%) individuals were positive for four or more parasites. The parasites more frequently found were, among the protozoans Blastocystis hominis (58.9%), Entamoeba coli (51.8%), Giardia lamblia (27.7%) and Entamoeba histolytica/E. dispar (24.1%). Among the helminths, the most frequent were hookworms (58.0%), Hymenolepis nana (31.2%) and Strongyloides stercoralis (24.1%). This is the first time that Entamoeba histolytica/E. dispar (24.1%) and Dientamoeba fragilis (2.7%) have been registered in the suburbs of Tartagal. This study reveals how intestinal parasitoses constitute a critical problem of public health in aboriginal communities like the one examined, where the lack of adequate sanitation conditions and unsuitable supply of water coexist.

摘要

在阿根廷萨尔塔省距离塔尔塔加尔6公里处的一个原住民社区,对原生动物和蠕虫引起的肠道寄生虫病的流行情况进行了测定。所研究居民的年龄范围为1至49岁。共采集了112份置于醋酸钠-醋酸-福尔马林溶液(SAF)中的粪便样本。每个样本在三天内交替采集。应用了里奇双相浓缩法和福斯特浮选技术。为调查蠕形住肠线虫,连续六天使用肛门拭子采集了68份样本。对于脆弱双核阿米巴的诊断,使用了改良的三色戈莫里-惠特利染色技术。106名(94.6%)受试者肠道寄生虫检测呈阳性。44名(41.5%)个体感染了四种或更多种寄生虫。在原生动物中,最常发现的寄生虫是蓝氏贾第鞭毛虫(58.9%)、结肠内阿米巴(51.8%)、贾第虫(27.7%)和溶组织内阿米巴/迪氏内阿米巴(24.1%)。在蠕虫中,最常见的是钩虫(58.0%)、微小膜壳绦虫(31.2%)和粪类圆线虫(24.1%)。这是首次在塔尔塔加尔郊区发现溶组织内阿米巴/迪氏内阿米巴(24.1%)和脆弱双核阿米巴(2.7%)。这项研究揭示了肠道寄生虫病如何在像所研究的这样的原住民社区中构成一个关键的公共卫生问题,在这些社区中,缺乏适当的卫生条件和不合适的供水情况并存。

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