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[2005年至2009年间在多库兹艾吕尔大学医学院医院进行的人芽囊原虫流行病学研究]

[The epidemiology research of Blastocystis hominis in the Dokuz Eylül University Medical Faculty Hospital between 2005 and 2009].

作者信息

Inceboz Tonay, Usluca Selma, Over Leyla, Yalçın Gülter, Tuncay Sema, Ozkoç Soykan

机构信息

Dokuz Eylül Üniversitesi Tıp Fakültesi, Tıbbi Parazitoloji Anabilim Dalı, İzmir, Türkiye, Turkey.

出版信息

Turkiye Parazitol Derg. 2011;35(2):72-6. doi: 10.5152/tpd.2011.19.

Abstract

OBJECTIVE

An investigation of Blastocystis hominis (B. hominis) prevalance in 17756 patients with gastrointestinal system complaints who presented at the parasitology laboratory of the Dokuz Eylul University Medical Faculty Hospital between January 2005 and December 2009 was carried out.

METHODS

Fecal samples of all patients were examined using the native-Lugol and trichrome and Kinyoun acid-fast staining method after sedimentation in fecal concentration tubes.

RESULTS

One or more parasites were detected in 1510 (8.50%) of the patients. The distribution of the intestinal parasites was as follows: B. hominis 778 (4.38%), nonpathogenic amoebas 343 (1.93%), Giardia intestinalis (G. intestinalis) 205 (1,15%), Enterobius vermicularis (E. vermicularis) 46 (0.25%), Entamoeba histolytica/Entamoeba dispar (E. histolytica/E. dispar) 34 (0.19%), and other rare parasites 104 (0.58%). The most frequently seen parasite was B. hominis in fecal samples of patients with gastrointestinal complaints in our study. Distribution of 778 patients with B. hominis due to parasite forms was determined as: vacuolar in 525 (67.49%), granular in 115 (14.78%), both vacuolar and granular in 138 (17.73%) cases.

CONCLUSION

As B. hominis was the most frequently seen parasite in patients with gastrointestinal complaints, we suggest that the parasite should be considered as pathogenic and sufficient attention must be paid in routine stool examinations.

摘要

目的

对2005年1月至2009年12月期间在多库兹艾吕尔大学医学院医院寄生虫学实验室就诊的17756例有胃肠道系统症状的患者进行人芽囊原虫(B. hominis)感染率调查。

方法

所有患者的粪便样本在粪便浓缩管中沉淀后,采用生理盐水-卢戈氏碘液、三色染色及金胺-酚抗酸染色法进行检查。

结果

1510例(8.50%)患者检测到一种或多种寄生虫。肠道寄生虫分布如下:人芽囊原虫778例(4.38%),非致病性阿米巴343例(1.93%),十二指肠贾第虫(G. intestinalis)205例(1.15%),蠕形住肠线虫(E. vermicularis)46例(0.25%),溶组织内阿米巴/迪斯帕内阿米巴(E. histolytica/E. dispar)34例(0.19%),其他罕见寄生虫104例(0.58%)。在本研究中,胃肠道症状患者粪便样本中最常见的寄生虫是人芽囊原虫。778例人芽囊原虫患者按寄生虫形态分布为:空泡型525例(67.49%),颗粒型115例(14.78%),空泡型和颗粒型均有的138例(17.73%)。

结论

由于人芽囊原虫是胃肠道症状患者中最常见的寄生虫,我们建议应将该寄生虫视为致病性寄生虫,在常规粪便检查中必须给予足够重视。

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