Division of Infectious Diseases and Geographic Medicine, Stanford University, Stanford, California 94305, USA.
Am J Trop Med Hyg. 2013 Jan;88(1):191-7. doi: 10.4269/ajtmh.2012.12-0349. Epub 2012 Nov 13.
Beginning in 2005, the Centers for Disease Control and Prevention (CDC) expanded the overseas presumptive treatment of intestinal parasites with albendazole to include refugees from the Middle East. We surveyed the prevalence of helminths and protozoa in recent Middle Eastern refugees (2008-2010) in comparison with refugees from other geographical regions and from a previous survey (2001-2004) in Santa Clara County, California. Based on stool microscopy, helminth infections decreased, particularly in Middle Eastern refugees (0.1% versus 2.3% 2001-2004, P = 0.01). Among all refugees, Giardia intestinalis was the most common protozoan found. Protozoa infections also decreased somewhat in Middle Eastern refugees (7.2%, 2008-2010 versus 12.9%, 2001-2004, P = 0.08). Serology for Strongyloides stercoralis and Schistosoma spp. identified more infected individuals than stool exams. Helminth infections are increasingly rare in refugees to Northern California. Routine screening stool microscopy may be unnecessary in all refugees.
自 2005 年以来，疾病控制与预防中心（CDC）扩大了对中东难民的阿苯达唑的海外寄生虫推定治疗。我们调查了最近（2008-2010 年）中东难民与来自其他地理区域和加利福尼亚州圣克拉拉县之前调查（2001-2004 年）的难民中蠕虫和原生动物的流行情况。基于粪便显微镜检查，蠕虫感染减少，特别是在中东难民中（0.1%对 2001-2004 年的 2.3%，P = 0.01）。在所有难民中，肠贾第虫是最常见的原生动物。中东难民中的原生动物感染也略有减少（7.2%，2008-2010 年对 2001-2004 年的 12.9%，P = 0.08）。对粪检鉴定的 Strongyloides stercoralis 和 Schistosoma spp.的血清学检测确定了更多感染的个体。寄生虫感染在北加利福尼亚的难民中越来越罕见。常规筛查粪便显微镜检查可能对所有难民都不必要。
