Department of Parasitology & Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Braz J Infect Dis. 2010 Jan-Feb;14(1):15-8. doi: 10.1590/s1413-86702010000100004.
The impact of intestinal parasitic infection in renal transplant recipients requires careful consideration in the developing world. However, there have been very few studies addressing this issue in Iran. This study was conducted to determine the prevalence of intestinal parasitic infections in renal transplant recipients in Iran. Stool specimens from renal transplant recipients and control groups were obtained between June 2006 and January 2007. The samples screened for intestinal parasitic infections using direct smear, formalin-ether sedimentation, Sheather's flotation and modified Ziehl-Neelsen staining methods. Out of 150 renal transplant recipients, 33.3% (50), and out of 225 control group, 20% (45) were infected with one or more type of intestinal parasites. The parasites detected among patients included Entamoeba coli (10.6%), Endolimax nana (8.7%), Giardia lamblia (7.4%), Blastocystis spp. (4.7%), Iodamoeba butschlii (0.7%), Chilomastix mesnili (0.7%) and Ascaris lumbricoides (0.7%). Multiple infections were more common among renal transplant recipients group (p < 0.05). This study highlights the importance of testing for intestinal parasites among Iranian renal transplant recipients. Routine examinations of stool samples for parasites would significantly benefit the renal transplant recipients by contributing to reduce severe infections.
在发展中国家，肾移植受者的肠道寄生虫感染的影响需要仔细考虑。然而，在伊朗，针对这一问题的研究非常少。本研究旨在确定伊朗肾移植受者肠道寄生虫感染的流行情况。2006 年 6 月至 2007 年 1 月期间，采集了肾移植受者和对照组的粪便标本。采用直接涂片法、福尔马林-乙醚沉淀法、Sheather 漂浮法和改良 Ziehl-Neelsen 染色法对肠道寄生虫感染进行筛查。在 150 例肾移植受者中，有 33.3%（50 例）和 225 例对照组中，有 20%（45 例）感染了一种或多种肠道寄生虫。在患者中检测到的寄生虫包括肠型大肠杆菌（10.6%）、内阿米巴（8.7%）、蓝氏贾第鞭毛虫（7.4%）、芽囊原虫（4.7%）、碘泡虫（0.7%）、人芽囊原虫（0.7%）和蛔虫（0.7%）。肾移植受者组的多重感染更为常见（p<0.05）。本研究强调了对伊朗肾移植受者进行肠道寄生虫检测的重要性。对寄生虫进行常规粪便检查将大大有益于肾移植受者，有助于减少严重感染。
