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[摩洛哥城市小学生肠道寄生虫感染的患病率]

[Prevalence of intestinal parasitic infections in Moroccan urban primary school students].

作者信息

Tagajdid R, Lemkhente Z, Errami M, El Mellouki W, Lmimouni B

机构信息

Service de parasitologie et mycologie médicale, hôpital militaire d'instruction Mohammed-V, Rabat, Maroc.

出版信息

Bull Soc Pathol Exot. 2012 Feb;105(1):40-5. doi: 10.1007/s13149-011-0137-5. Epub 2011 Feb 18.

Abstract

Intestinal parasitic infections are among the most widespread of human infections in developing countries, and children are the most vulnerable. The aim of this study was to determine the prevalence of protozoa and intestinal helminthes, as well as the risk factors of intestinal parasites in schoolchildren in Salé city, Morocco. This is a study of incidence and prevalence conducted prospectively over a period of five months in schoolchildren in Salé city. The collection of stool was performed over three days (j1, j3, j5). In addition, adhesive cellophane tape slide evaluation was performed on day 7 for all students included in this work. During the study period, we included 123 students. Seventy-six children (61.7%) were infected by intestinal parasites. The age group 12-14 years is by far the most affected. Protozoa were found in 57.7% (N = 71) of children examined. Amoebae family parasites were predominant. Helminths were present in 26% (N = 32) of the schoolchildren. Forty-five (36.6%) children were poly-parasitized. This work shows that the prevalence of intestinal parasitism is quite high among primary schoolchildren in Salé city. Several parasite species are found. This finding is explained by unhealthy living conditions and poor hygiene, predisposing to endemicity and perpetuation of the transmission. The impact on health is not negligible especially when compounded by malnutrition. The best way to fight this scourge is prevention and awareness.

摘要

肠道寄生虫感染是发展中国家最普遍的人类感染之一,儿童是最易感染的群体。本研究的目的是确定摩洛哥萨勒市学童中原虫和肠道蠕虫的流行情况,以及肠道寄生虫的危险因素。这是一项对萨勒市学童进行的为期五个月的前瞻性发病率和患病率研究。粪便采集在三天内(第1天、第3天、第5天)进行。此外,在第7天对本研究纳入的所有学生进行了透明胶带粘贴玻片评估。在研究期间,我们纳入了123名学生。76名儿童(61.7%)感染了肠道寄生虫。12至14岁年龄组受影响最为严重。在所检查的儿童中,57.7%(N = 71)发现了原虫。阿米巴科寄生虫最为常见。26%(N = 32)的学童体内有蠕虫。45名(36.6%)儿童感染了多种寄生虫。这项研究表明,萨勒市小学生肠道寄生虫感染率相当高。发现了几种寄生虫种类。这一发现可归因于不健康的生活条件和不良卫生习惯,这些因素导致了地方病的流行和传播的持续。对健康的影响不可忽视,尤其是在与营养不良同时存在时。对抗这一祸害的最佳方法是预防和提高认识。

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