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[贝宁北部佩洪科地区学童尿路血吸虫病的流行病学。软体动物学调查]

[Epidemiology of urinary schistosomiasis among school children in Péhunco area, Northern Benin. Malacological survey].

作者信息

Ibikounlé M, Ogouyèmi-Hounto A, de Tové Y Sissinto Savi, Dansou A, Courtin D, Kindé-Gazard D, Mouahid G, Moné H, Massougbodji A

机构信息

Département de zoologie, Faculté des sciences et techniques, Université d'Abomey-Calavi, 01BP526, Cotonou, Bénin,

出版信息

Bull Soc Pathol Exot. 2014 Aug;107(3):177-84. doi: 10.1007/s13149-014-0345-x. Epub 2014 Mar 10.

DOI:10.1007/s13149-014-0345-x
PMID:24615433
Abstract

Schistosomiasis is a public health problem in Benin but prevalence estimates vary widely. Parasitological (from May to September 2010) and malacological surveys (from September 2010 to June 2012) were conducted to determine the current status of urinary schistosomiasis among 1 585 schoolchildren from 18 primary schools of Péhunco area, North-West Benin, using two parasitological tests. Pupils were enrolled with a mean age of 11 years (from 7 to 16 years-old age) and 51.48% of them were girls. Urines samples were examined using both urine reagent strips and filtration method. Structured questionnaires were used to identify environmental and socio-economic factors. Malacological surveys were conducted to ascertain general freshwater snail diversity and specific diversity of the schistosome host snails. The results showed a general prevalence of 29.40% with boys (36.67%) significantly more affected than girls (22.55%). Among the 844 collected snails, 5 species freshwater snails were identified: two species known as potential schistosome intermediate host snails, Bulinus forskalii and B. globosus, and three species known as non-schistosome transmitting snails Lymnaea natalensis, Physa marmorata and Melanoides tuberculata. B. forskalii was a most largely distributed snail and none of snails were found naturally infected by schistosome. No freshwater snails were found naturally infected by schistosome.

摘要

血吸虫病是贝宁的一个公共卫生问题,但患病率估计差异很大。为了确定贝宁西北部佩洪科地区18所小学的1585名学童中泌尿血吸虫病的现状,于2010年5月至9月进行了寄生虫学调查,并于2010年9月至2012年6月进行了软体动物学调查,采用了两种寄生虫学检测方法。入选学生的平均年龄为11岁(7至16岁),其中51.48%为女生。使用尿液试纸条和过滤法对尿液样本进行检测。采用结构化问卷来确定环境和社会经济因素。进行软体动物学调查以确定淡水蜗牛的总体多样性以及血吸虫宿主蜗牛的特定多样性。结果显示总体患病率为29.40%,男孩(36.67%)的感染率显著高于女孩(22.55%)。在收集的844只蜗牛中,鉴定出5种淡水蜗牛:两种被认为是潜在血吸虫中间宿主的蜗牛,即福氏泡螺和球泡螺,以及三种被认为是非血吸虫传播蜗牛的纳塔尔椎实螺、大理石膀胱螺和瘤拟黑螺。福氏泡螺是分布最广的蜗牛,未发现蜗牛自然感染血吸虫。未发现淡水蜗牛自然感染血吸虫。

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