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[儿童肠道寄生虫的分布及其致病因素]

[The distribution of intestinal parasites and their causative factors in children].

作者信息

Yapici Ferda, Sönmez Tamer Gülden, Arisoy Emin Sami

机构信息

Kocaeli Universitesi Tip Fakültesi, Cocuk Sağliği ve Hastaliklari Anabilim Dali, Kocaeli, Turkey.

出版信息

Turkiye Parazitol Derg. 2008;32(4):346-50.

Abstract

Intestinal parasitic infection prevalence in children who had been brought to our hospital together with related factors. The study was carried out in 400 children who were chosen at random among those brought to our hospital. All stool samples were examined with nativelugol, formol-ether, Kinyon acid-fast, methods. The cellophane tape preparations and hemoglobin concentration measurement were used. Intestinal parasites found in 156 of 400 (39%) children were Giardia intestinalis (19.8%) Enterobius vermicularis (15%), Blastocystis hominis (5.8%). Socio-economic and educational level of patient's family, living in urban area, having abdominal pain, anal itching, salivation during sleep, and nasal itching had been found related with the prevalence of parasitic infection. No relationship were found in the other factors. Because WHO guidelines favor routine screening and treatment of parasitic infections of school-age children when the prevalence of parasitic infections in community exceeds 50%, all children should be evaluated for parasitic infections if they have one or more risk factors.

摘要

我院收治儿童肠道寄生虫感染患病率及其相关因素。本研究对我院收治的400名儿童进行随机抽样。所有粪便样本均采用生理盐水-卢戈氏碘液法、甲醛-乙醚法、金扬抗酸染色法进行检测。采用透明胶带法和血红蛋白浓度测定法。400名儿童中有156名(39%)检出肠道寄生虫,其中蓝氏贾第鞭毛虫(19.8%)、蛲虫(15%)、人芽囊原虫(5.8%)。发现患者家庭的社会经济和教育水平、居住在城市地区、有腹痛、肛门瘙痒、睡眠时流涎和鼻痒与寄生虫感染患病率有关。其他因素未发现相关性。由于世界卫生组织指南支持当社区寄生虫感染患病率超过50%时对学龄儿童进行寄生虫感染的常规筛查和治疗,因此,如果所有儿童有一个或多个危险因素,都应进行寄生虫感染评估。

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