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古巴马坦萨斯市日托中心儿童中的肠道寄生虫。

Intestinal parasites in children from a day care centre in Matanzas City, Cuba.

机构信息

Centre for Hygiene, Epidemiology and Microbiology, Matanzas City, Cuba. parasitologı´

出版信息

PLoS One. 2012;7(12):e51394. doi: 10.1371/journal.pone.0051394. Epub 2012 Dec 7.

Abstract

BACKGROUND

Intestinal parasitic infections are widely distributed throughout the world and children are the most affected population. Day care centres are environments where children have proven to be more susceptible to acquiring IP.

METHODS AND PRINCIPAL FINDINGS

A cross-sectional study was carried to determine the prevalence of intestinal parasites in stool samples among children who attend to a day care centre in an urban area of Matanzas city, Cuba, from March to June 2012. 104 children under five years old were included on the study after informed consent form was signed by parents or legal guardians. Three fresh faecal samples were collected from each child in different days and were examined by direct wet mount, formalin-ether, and Kato- Katz techniques. Data relating to demography, socioeconomic status, source of drinking water, and personal hygiene habits were also collected using a standardized questionnaire. In total, 71.1% of children harbored at least one type of intestinal parasite and 47 (45.2%) were infected by more than one species. Giardia duodenalis and Blastocystis sp. were the most common parasites found, with prevalence rates of 54.8% and 38.5% respectively.

CONCLUSIONS

Despite public health campaigns, improvement in the level of education, and the availability of and access to medical services in Cuba infections by intestinal protozoan is high in this centre. Almost nothing is published regarding intestinal parasites in Matanzas province during the last 40 years so this work could also be the initial point to carry out other studies to clarify the IP status in this region.

摘要

背景

肠道寄生虫感染广泛分布于世界各地,儿童是受影响最大的人群。日托中心是儿童更容易感染肠道寄生虫病的环境。

方法和主要发现

2012 年 3 月至 6 月,在古巴马坦萨斯市一个城市地区的日托中心,对 104 名 5 岁以下儿童进行了横断面研究,以确定其粪便样本中肠道寄生虫的流行率。在获得父母或法定监护人的知情同意书后,纳入了 104 名儿童。从每个孩子身上收集了三份不同日期的新鲜粪便样本,并分别通过直接湿片、福尔马林-乙醚和加藤氏厚涂片检查。还使用标准化问卷收集了与人口统计学、社会经济状况、饮用水来源和个人卫生习惯有关的数据。共有 71.1%的儿童至少携带一种肠道寄生虫,47 名(45.2%)感染了一种以上的寄生虫。十二指肠贾第鞭毛虫和蓝氏贾第鞭毛虫是最常见的寄生虫,其流行率分别为 54.8%和 38.5%。

结论

尽管古巴开展了公共卫生运动,教育水平提高,医疗服务的提供和获得得到改善,但该中心肠道原生动物感染仍然很高。在过去的 40 年里,马坦萨斯省几乎没有关于肠道寄生虫的发表,因此这项工作也可以作为开展其他研究的起点,以澄清该地区的肠道寄生虫状况。

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