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在埃塞俄比亚东北部 Senbete 镇,吡喹酮治疗小学生曼氏血吸虫感染的疗效和副作用。

Efficacy and side effects of praziquantel in the treatment for Schistosoma mansoni infection in school children in Senbete Town, northeastern Ethiopia.

机构信息

Gambella National Regional State Health Bureau, Gambella, Ethiopia.

出版信息

Trop Med Int Health. 2013 Nov;18(11):1338-43. doi: 10.1111/tmi.12187. Epub 2013 Sep 14.

Abstract

OBJECTIVE

To assess the efficacy and side effects of praziquantel in the treatment for Schistosoma mansoni infection in school children in Senbete Town, northeastern Ethiopia.

METHODS

A single stool specimen was collected from 342 school children and examined for S. mansoni ova using Kato-Katz technique (single slide) and formol-ether concentration technique. Positive individuals were treated with a single oral dose of praziquantel at 40 mg/kg body weight. Egg reduction and cure rates were assessed 4 weeks post-treatment. Structured questionnaires were also used to collect pre-treatment and 24-h post-treatment signs and symptoms to assess side effects of the drug.

RESULTS

Praziquantel reduced the egg rate by 79.46% and achieved a cure rate of 82.89% 4 weeks post-treatment. 86.67% of the children presented at least one transient drug-related sign and symptom 24-h post-treatment.

CONCLUSION

Praziquantel demonstrated sufficient efficacy against S. mansoni in Senbete Town, northeastern Ethiopia. Mild and transient signs and symptoms associated with therapy disappeared within 24 h without specific treatment.

摘要

目的

评估吡喹酮治疗埃塞俄比亚东北部森贝特镇学龄儿童曼氏血吸虫感染的疗效和副作用。

方法

采集 342 名学龄儿童的一份粪便标本,使用加藤厚涂片法(单张载玻片)和甲醛乙醚浓集法检查曼氏血吸虫卵。对阳性个体给予 40mg/kg 体重的单次口服吡喹酮治疗。治疗后 4 周评估虫卵减少率和治愈率。还使用结构化问卷收集治疗前和治疗后 24 小时的症状,以评估药物的副作用。

结果

吡喹酮治疗后 4 周,虫卵减少率为 79.46%,治愈率为 82.89%。治疗后 24 小时,86.67%的儿童出现至少一种短暂的与药物相关的症状。

结论

吡喹酮在埃塞俄比亚东北部的森贝特镇对曼氏血吸虫具有足够的疗效。与治疗相关的轻度和短暂症状在 24 小时内消失,无需特殊治疗。

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