Department of Ophthalmology, University of Jos Teaching Hospital, Jos, Nigeria.
Trop Med Int Health. 2010 Feb;15(2):168-72. doi: 10.1111/j.1365-3156.2009.02436.x. Epub 2009 Dec 9.
To determine the personal and environmental risk factors associated with trachoma in pre-school children in Yobe state, Nigeria.
Total of 639 children aged 1-5 from 27 villages were examined in their households for clinical signs of trachoma. Personal and environmental risk factors were independently determined by an observer while clinical examination was being performed.
The prevalence of active trachoma was 35.7% (95% CI; 32.0-39.6) with prevalence of disease in boys being similar to girls. The highest prevalence was in children 2-3 years of age. The presence of flies on the face (OR 4.14; CI 2.72-6.29) and lack of a toilet in the compound (OR 2.11; CI 1.38-3.23) were independent risk factors for trachoma.
The prevalence of trachoma is high. Provision and use of toilets, education on personal and environmental hygiene improvements need to be emphasized as part of the Surgery Antibiotics Facial cleanliness and Environmental improvement strategy.
确定尼日利亚约贝州学龄前儿童沙眼的个人和环境危险因素。
在 27 个村庄的家中共检查了 639 名 1-5 岁的儿童，以检查沙眼的临床症状。在进行临床检查的同时，由观察者独立确定个人和环境危险因素。
活动性沙眼的患病率为 35.7%（95%置信区间；32.0-39.6），男孩和女孩的疾病患病率相似。2-3 岁儿童的患病率最高。脸上有苍蝇（OR 4.14；CI 2.72-6.29）和院子里没有厕所（OR 2.11；CI 1.38-3.23）是沙眼的独立危险因素。
沙眼的患病率很高。提供和使用厕所、开展个人和环境卫生改善教育，需要作为手术抗生素面部清洁和环境改善战略的一部分加以强调。
