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尼泊尔西部巴隆地区学童肠道寄生虫病的患病率

Prevalence of intestinal parasitosis among school children in Baglung districts of Western Nepal.

作者信息

Shrestha A, Narayan K C, Sharma R

机构信息

Department of Microbiology, Tribhuwan University.

出版信息

Kathmandu Univ Med J (KUMJ). 2012 Jan-Mar;10(37):3-6. doi: 10.3126/kumj.v10i1.6904.

Abstract

BACKGROUND

This study was carried out to estimate the prevalence of intestinal parasites among school-going children of the Baglung municipality from December 2010 to January 2011.

OBJECTIVE

To find out prevalence of parasitosis among school aged children and to make necessary recommendations for preventive measures.

METHOD

A total of 260 stool samples were collected. A structured questionnaire was used to collect data on predisposing factors. Nails were observed without prior information to the subjects so as to find their hygienic practice. The stool samples were examined by direct wet mount and formal ether concentration technique.

RESULTS

The total prevalence of the intestinal parasitosis was found to be 21.05%. The prevalence for individual parasites was as follows: Entamoeba histolytica (9.23%), Giardia lamblia (5.76%), Trichuris trichuria (5%), Ancylostoma duodenale (2.65%) and Ascaris lumbricoides (2.3%). Nail hygiene and level of education were significantly associated with intestinal parasitosis. The gender and age of the children, sanitary habits including toilet use, hand washing practice, and the use of the antihelminthic drug (albendazole) were not significantly associated with intestinal parasitosis. Higher prevalence was seen in boys, children belonging to age group 10-14 years, lower secondary students, among those who reported gastrointestinal problems within last six months, children from agriculture-based families and children with untrimmed nail.

CONCLUSION

Major contributors for the prevalence of parasites were found to be poor personal hygiene and educational level of the children. Health education and mass treatment are recommended as a preventive measures.

摘要

背景

本研究旨在估算2010年12月至2011年1月期间巴隆市学童肠道寄生虫的感染率。

目的

了解学龄儿童寄生虫感染情况,并就预防措施提出必要建议。

方法

共收集260份粪便样本。使用结构化问卷收集有关诱发因素的数据。在未事先告知受试者的情况下观察其指甲,以了解他们的卫生习惯。粪便样本采用直接湿片法和改良加藤厚涂片法进行检查。

结果

肠道寄生虫感染的总患病率为21.05%。各寄生虫的感染率如下:溶组织内阿米巴(9.23%)、蓝氏贾第鞭毛虫(5.76%)、毛首鞭形线虫(5%)、十二指肠钩口线虫(2.65%)和蛔虫(2.3%)。指甲卫生状况和教育水平与肠道寄生虫感染显著相关。儿童的性别和年龄、包括使用厕所、洗手习惯以及使用驱虫药(阿苯达唑)在内的卫生习惯与肠道寄生虫感染无显著关联。在男孩、10-14岁年龄组的儿童、初中生、过去六个月内有胃肠道问题的儿童、以农业为家庭背景的儿童以及指甲未修剪的儿童中,感染率较高。

结论

发现寄生虫感染流行的主要因素是儿童个人卫生差和教育水平低。建议开展健康教育和群体治疗作为预防措施。

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