Singh Charanjit, Zargar Showkat Ali, Masoodi Ibrahim, Shoukat Abid, Ahmad Bilal
Trop Gastroenterol. 2010 Apr-Jun;31(2):105-7.
To identify the factors associated with intestinal parasitosis in rural and urban school children of Kashmir.
Single fresh stool samples from rural and urban school children in three age groups: a) 5 to < 8 years, b) 8 to < 11 years and c) 11-14 years were taken. Various demographic characteristics considered were source of drinking water, type of toilet used and social classes as per the Kuppuswamy social scale. Personal hygiene was assessed by the visiting physician based on length of nails, hair and frequency of bathing. Stool samples were analyzed for detection of motile forms of E. histolytica and microscopic examination under low power detected eggs of intestinal helminths. Concentration methods were used if egg count was low.
274 stool samples from rural school children and 240 samples were taken from urban school children respectively. 214 (46.7%) students had stool tests positive for parasitosis. Ascariasis was the most prevalent parasitosis (28%) followed by Giardiasis (7%), Trichuriasis( 5%) and Taeniasis( 4%). There was higher prevalence of parasitosis among rural orphanage children compared to urban orphanage students (76% vs. 48% p < or = 0.05). Highest prevalence of 70% was seen in the age group 8-11years. Students using river/stream water had higher rates of parasitosis compared to those who were using tap water. 202 students were found to have poor personal hygiene and parasitosis was higher in them compared to students with good personal hygiene (p < 0.05).
Poor environmental sanitation, personal hygiene, type of toilet and water used were associated with recurrent intestinal infestation besides socio economic status. Regular deworming programmes need to be adopted at school level especially in 8-11 years old children to check the surge of intestinal parasites and their subsequent morbidities.
确定克什米尔农村和城市学童肠道寄生虫病的相关因素。
采集了三个年龄组农村和城市学童的单次新鲜粪便样本：a）5至<8岁，b）8至<11岁，c）11 - 14岁。所考虑的各种人口统计学特征包括饮用水源、使用的厕所类型以及根据库普苏瓦米社会量表划分的社会阶层。访视医生根据指甲长度、头发情况和洗澡频率评估个人卫生状况。对粪便样本进行分析以检测溶组织内阿米巴的活动形式，并在低倍镜下进行显微镜检查以检测肠道蠕虫的虫卵。如果虫卵计数较低，则使用浓缩方法。
分别从农村学童中采集了274份粪便样本，从城市学童中采集了240份样本。214名（46.7%）学生的粪便检测寄生虫病呈阳性。蛔虫病是最常见的寄生虫病（28%），其次是贾第虫病（7%）、鞭虫病（5%）和绦虫病（4%）。与城市孤儿院学生相比，农村孤儿院儿童的寄生虫病患病率更高（76%对48%，p≤0.05）。8 - 11岁年龄组的患病率最高，为70%。与使用自来水的学生相比，使用河水/溪水的学生寄生虫病发病率更高。发现202名学生个人卫生状况较差，与个人卫生良好的学生相比，他们的寄生虫病患病率更高（p<[此处原文可能有误，应为p<0.05]0.05）。
除社会经济地位外，环境卫生差、个人卫生、厕所类型和用水情况与反复肠道感染有关。学校层面需要定期开展驱虫计划，尤其是针对8 - 11岁儿童，以控制肠道寄生虫的激增及其随后引发的疾病。
