Gates M C, Nolan T J
School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
J Small Anim Pract. 2009 Dec;50(12):636-40. doi: 10.1111/j.1748-5827.2009.00814.x.
The diagnostic utility of routine faecal examinations can be greatly enhanced through an appreciation of risk factors most commonly associated with endoparasitism.
From a sample of 6578 canine patients presenting to a veterinary teaching hospital between 1996 and 2006, this study used univariate and multi-variable techniques to examine putative signalment, medical history and demographic factors predisposing dogs to intestinal parasites.
Age and median household income were the strongest predictors of endoparasitism. The odds of a patient being diagnosed with endoparasites were 0.82 times smaller for every 1 year increase in age (OR=0.82, 95% CI: 0.80 to 0.84) and for every $10,000 increase in median household income, the odds were 0.86 times lower (OR=0.86, 95% CI: 0.83 to 0.89). The variables gender, neuter status, month of diagnosis, admitting clinical service and primary diagnosis were not significant predictors. Animals that were presented for underlying medical conditions were less likely to have parasites and the presence of diarrhoea was associated with 76% lower odds of endoparasitism compared to healthy animals (OR=0.76, 95% CI: 0.64 to 0.90).
Clinicians should maintain a high index of suspicion for parasites in younger patients that live in high population density and low income neighbourhoods.
通过了解与体内寄生虫感染最常相关的危险因素,可大大提高常规粪便检查的诊断效用。
本研究从1996年至2006年到一家兽医教学医院就诊的6578只犬科患者样本中,采用单变量和多变量技术,研究可能使犬易患肠道寄生虫的特征、病史和人口统计学因素。
年龄和家庭收入中位数是体内寄生虫感染最强的预测因素。患者年龄每增加1岁,被诊断为体内寄生虫的几率就降低0.82倍(OR=0.82,95%CI:0.80至0.84);家庭收入中位数每增加10,
000美元,几率就降低0.86倍(OR=0.86,95%CI:0.83至0.89)。性别、绝育状态、诊断月份、收治临床科室和初步诊断等变量不是显著的预测因素。因潜在疾病就诊的动物感染寄生虫的可能性较小,与健康动物相比,腹泻的存在使体内寄生虫感染几率降低76%(OR=0.76,95%CI:0.64至0.90)。
临床医生应对生活在高人口密度和低收入社区的年轻患者的寄生虫感染保持高度怀疑指数。