Gülmez Dolunay, Sarıbaş Zeynep, Akyön Yakut, Ergüven Sibel
Hacettepe Üniversitesi Tıp Fakültesi, Tıbbi Mikrobiyoloji Anabilim Dalı, Ankara, Turkey.
Turkiye Parazitol Derg. 2013;37(2):97-101. doi: 10.5152/tpd.2013.23.
Parasitic diseases are common throughout the world. Evaluation of regional epidemiological data is needed to determine protective measures and treatment strategies.
This study evaluates the parasites detected in Hacettepe University Faculty of Medicine Parasitology Laboratory.
Of the 87,100 clinical samples evaluated in the study, 85,707 (98.4%) were from stool samples. Parasites were shown in 3,681 (4.2%) of the samples from 2,906 patients. The most common parasites were Giardia intestinalis (40%), Blastocystis spp. (22%), Entamoeba coli (12%), Dientamoeba fragilis (9%), Enterobius vermicularis (5%), Echinococcus spp. (4%) and Taenia spp. (3%) respectively. When distribution among years was evaluated, G. intestinalis, the most common parasite, had a tendency to decrease after 2004 whereas cases with Blastocystis spp. showed a clear increase in 2011 and 2012. The downward trend in parasite-positive cases also stopped in the last two years, in parallel to the increase of Blastocystis spp. During the study, Leishmania spp. and Plasmodium spp. were detected in four patients each.
This study evaluated the results of a laboratory that scans a large number of patients in our region. Data obtained from different regions will allow to direct strategies to diagnose, treat and implement preventive measures against parasitic diseases in our country.
寄生虫病在全球范围内普遍存在。需要评估区域流行病学数据以确定保护措施和治疗策略。
本研究评估了在哈杰泰佩大学医学院寄生虫学实验室检测到的寄生虫。
在该研究评估的87100份临床样本中,85707份(98.4%)来自粪便样本。来自2906名患者的样本中有3681份(4.2%)显示有寄生虫。最常见的寄生虫分别是肠贾第虫(40%)、芽囊原虫属(22%)、结肠内阿米巴(12%)、脆弱双核阿米巴(9%)、蠕形住肠线虫(5%)、棘球绦虫属(4%)和带绦虫属(3%)。当评估各年份的分布情况时,最常见的寄生虫肠贾第虫在2004年后有下降趋势,而芽囊原虫属病例在2011年和2012年明显增加。寄生虫阳性病例的下降趋势在过去两年也停止了,与芽囊原虫属的增加同时出现。在研究期间,分别在4名患者中检测到利什曼原虫属和疟原虫属。
本研究评估了我们地区一个对大量患者进行检测的实验室的结果。从不同地区获得的数据将有助于指导我国针对寄生虫病的诊断、治疗和实施预防措施的策略。