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[根据奥斯曼加齐大学医学院患者性别分布和寄生虫种类统计的五年间肠道寄生虫患病率]

[The prevalence of intestinal parasites according to the distribution of the patients' gender and parasite species for five years at the Osmangazi University Medical Faculty].

作者信息

Doğan Nihal, Demirüstü Canan, Aybey Aşkin

机构信息

Eskişehir Osmangazi Universitesi, Mikrobiyoloji Anabilim Dali, Eskişehir, Turkey.

出版信息

Turkiye Parazitol Derg. 2008;32(2):120-5.

Abstract

In this study, patients (outpatients and inpatients) with various gastrointestinal system complaints presenting at various clinics of the Eskisehir Osmangazi University Medical Faculty, from February 2003-December 2007 were investigated for the presence of intestinal parasites. The prevalence of intestinal parasites was evaluated according to parasite species, gender of the patients and the years, in which cases were seen. A total of 34,733 stool samples were prepared by formal-ethyl acetate concentration and examined in saline and iodine preparations microscopically with 10x and 40x magnifications. Also trichrome stained preparations of non-pathogenic amoebas and modi-fied Erlich-Ziehl-Nielsen stained preparations for Cryptosporidium spp were examined by oil-immersion objectives (100x). One or more parasites were found in 1252 of the 34,733 stool samples (including nonpathogenic protozoa).the overall prevalence of intestinal parasitic infection rate was 3.6%, of these patients, 52.5% were female and 47.5% male. Predominant parasites were Entamoeba histolytica/dispar group amoebas (31% (397/1252), followed by Giardia intestinalis 19% (236/1252), Blastocystis hominis 7% (108/1252), and Cryptosporid-ium parvum %4.5 (56/1252). Since the cellophane type method was only used in a few cases; the rates detected in helminth cases in this study were different from other studies. The ratio of E. vermicularis was found to be 2.3% (29/1252), Taenia saginata 0.8% (10/1252) and Strongyloides stercoralis 0.4% (5/1252). In comparison to a previous 10 year retrospective study which was performed in our hospital, we detected an important decrease in prevalence of parasites. But the presence of intestinal parasites is still an important problem.

摘要

在本研究中,对2003年2月至2007年12月期间在埃斯基谢希尔奥斯曼加齐大学医学院各诊所就诊的、有各种胃肠道系统不适症状的患者(门诊患者和住院患者)进行了肠道寄生虫检测。根据寄生虫种类、患者性别以及病例出现的年份,对肠道寄生虫的患病率进行了评估。总共制备了34733份粪便样本,采用甲醛-乙酸乙酯浓缩法处理,并在生理盐水和碘液涂片下用10倍和40倍放大倍数进行显微镜检查。同时,对非致病性阿米巴的三色染色涂片以及隐孢子虫属的改良埃利希-齐尔-尼尔森染色涂片,用油镜(100倍)进行检查。在34733份粪便样本(包括非致病性原生动物)中,有1252份样本发现了一种或多种寄生虫。肠道寄生虫感染率的总体患病率为3.6%,其中女性患者占52.5%,男性患者占47.5%。主要寄生虫为溶组织内阿米巴/迪斯帕组阿米巴(31%(397/1252)),其次是蓝氏贾第鞭毛虫19%(236/1252)、人芽囊原虫7%(108/1252)和微小隐孢子虫4.5%(56/1252)。由于仅在少数病例中使用了透明胶带法;本研究中检测到的蠕虫病例率与其他研究不同。蛲虫的比例为2.3%(29/1252),牛带绦虫为0.8%(10/1252),粪类圆线虫为0.4%(5/1252)。与我院之前进行的一项10年回顾性研究相比,我们发现寄生虫患病率有显著下降。但肠道寄生虫的存在仍然是一个重要问题。

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