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[哥伦比亚卡拉克市城区学龄前儿童肠道寄生虫感染的患病率及相关危险因素]

[Prevalence and risk factors associated with intestinal parasitism in preschool children from the urban area of Calarcá, Colombia].

作者信息

Londoño Angela L, Mejía Shirley, Gómez-Marín Jorge E

机构信息

Facultad de Ciencias de la salud, Universidad del Quindío, Colombia.

出版信息

Rev Salud Publica (Bogota). 2009 Jan-Feb;11(1):72-81. doi: 10.1590/s0124-00642009000100008.

Abstract

OBJECTIVES

Determining intestinal parasite prevalence and their relationship with social and demographic risk factors, hygiene procedures and sanitation in pre-school children.

MATERIAL AND METHODS

This was a cross-sectional study of a representative sample (n=220) of children aged 6 to 60 months, residing in social strata one, two and three type homes (N:1,993) from the urban area of the city of Calarcá. Both microscopic and macroscopic studies were carried out using Ritchie's test to confirm the diagnosis.

RESULTS

54.7% parasitism prevalence was found. Pathogenic parasites had the following prevalence frequencies: 36.4% Blastocystis hominis and 13% Giardia lamblia . Bivariate analysis found intestinal parasite association with lack of parasite control of domestic animals, having brothers and sisters and having received food different to milk from a baby's bottle. Anemia was studied in 209 children and 3.3% prevalence found. Low weight prevalence was 9.6% and 7.5% for obesity.

CONCLUSIONS

A high Blastocystis prevalence was found in this group of preschool children residing in an urban setting and having good access to sanitary services. Controlling parasites on pets should be emphasized. This group of children should be submitted to periodical coprological analysis (once a year).

摘要

目的

确定学龄前儿童肠道寄生虫感染率及其与社会和人口风险因素、卫生程序及环境卫生的关系。

材料与方法

这是一项横断面研究,对居住在卡拉克市市区社会阶层一、二、三类家庭(共1993户)中的220名6至60个月大儿童的代表性样本进行研究。采用里氏检验进行微观和宏观研究以确诊。

结果

发现寄生虫感染率为54.7%。致病性寄生虫的感染率如下:人芽囊原虫为36.4%,蓝氏贾第鞭毛虫为13%。双变量分析发现肠道寄生虫感染与家畜缺乏寄生虫防治、有兄弟姐妹以及食用奶瓶之外的食物有关。对209名儿童进行了贫血研究,发现贫血患病率为3.3%。低体重患病率为9.6%,肥胖患病率为7.5%。

结论

在这群居住在城市且能良好获得卫生服务的学龄前儿童中,发现人芽囊原虫感染率很高。应强调控制宠物身上的寄生虫。这群儿童应定期进行粪便检查(每年一次)。

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