Pathog Glob Health. 2014 Mar;108(2):95-102. doi: 10.1179/2047773214Y.0000000129. Epub 2014 Mar 7.
Pulmonary tuberculosis (PTB) and paragonimiasis remain as health problems in certain areas in the Philippines. Both share similar clinical manifestations, which include chronic productive cough, hemoptysis, dyspnea, fever, weight loss, and night sweats. This study aimed to determine the prevalence of PTB, paragonimiasis, and co-infections in Zamboanga del Norte, Philippines.
This study was conducted in selected villages in two municipalities in Zamboanga del Norte. Patients with chronic cough were interviewed, examined, and requested to submit two sputum samples which were processed using Ziehl-Neelsen method to detect acid-fast bacilli (AFB), and NaOH concentration technique for the detection of Paragonimus ova.
A total of 836 patients submitted sputum samples for examination. Prevalence was 6·7% (2·5-12·7%) for paragonimiasis and 1·9% (0·9-6·3%) for PTB. Co-infection rate was 0·3%, with two identified cases. Positivity rates for males and females were 9·6 and 5·8% for paragonimiasis and 3·4 and 1·2% for PTB.
Pulmonary tuberculosis and paragonimiasis are co-endemic in Zamboanga del Norte, suggesting the need to integrate surveillance and control efforts. Strengthening local health systems through collaboration between different sectors is recommended for effective disease control. Development of more sensitive diagnostic tests is important for more accurate disease surveillance.
在菲律宾的某些地区，肺结核（PTB）和并殖吸虫病仍然是健康问题。两者具有相似的临床表现，包括慢性湿性咳嗽、咯血、呼吸困难、发热、体重减轻和盗汗。本研究旨在确定菲律宾北三宝颜省的肺结核、并殖吸虫病和合并感染的流行情况。
本研究在北三宝颜省的两个市的选定村庄进行。对慢性咳嗽的患者进行访谈、检查，并要求他们提交两份痰样本，用齐-尼氏法处理以检测抗酸杆菌（AFB），用氢氧化钠浓度法检测并殖吸虫卵。
共有 836 名患者提交了痰样进行检查。并殖吸虫病的患病率为 6.7%（2.5-12.7%），肺结核的患病率为 1.9%（0.9-6.3%）。合并感染率为 0.3%，有两例确诊病例。男性和女性的阳性率分别为 9.6%和 5.8%的并殖吸虫病和 3.4%和 1.2%的肺结核。
肺结核和并殖吸虫病在北三宝颜省并存，这表明需要整合监测和控制工作。建议通过不同部门之间的合作加强地方卫生系统，以有效控制疾病。开发更敏感的诊断测试对于更准确的疾病监测很重要。
