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以加兹尼省医院接受治疗的患者为例,阿富汗社区肠道寄生虫的患病率

Prevalence of intestinal parasites in Afghan community on the example of patients treated in Ghazni Provincial Hospital.

作者信息

Korzeniewski Krzysztof, Augustynowicz Alina, Lass Anna

机构信息

Department of Epidemiology and Tropical Medicine in Gdynia, Military Institute of Medicine, Warsaw, Poland.

出版信息

Int Marit Health. 2014;65(2):68-72. doi: 10.5603/IMH.2014.0016.

Abstract

BACKGROUND

This study concerns parasitological investigations estimating the prevalence of intestinal parasites in the Afghan community based on the example of patients, both children and adults, treated in the Ghazni Provincial Hospital, in the eastern part of the country.

MATERIALS AND METHODS

In total, 201 admitted patients with internal health problems were examined in the Afghan hospital in March 2012, including 164 children (1-17 years old) and 37 adults aged 18-80. Stool samples were tested in the Department of Epidemiology and Tropical Medicine at the Military Institute of Medicine in Gdynia, Poland using 3 parasitological methods: direct smear, decantation, flotation (light microscopy).

RESULTS

Intestinal parasitic infections caused mainly by Ascaris lumbricoides, Giardia intestinalis and Hymenolepis nana were confirmed in 81/164 (49.4%) children examined. Among adults, 9/37 (24.3%) patients were infected with intestinal parasites including Ascaris lumbricoides and Giardia intestinalis.

CONCLUSIONS

The Afghan community, living in poor sanitary conditions with limited access to health services, is one of the most infected populations in the world. The parasitological investigation focused on intestinal parasites performed by the Polish health service among the eastern Afghan inhabitants is still one of the few screening studies in this country.

摘要

背景

本研究以阿富汗东部加兹尼省医院收治的儿童和成人患者为例,对阿富汗社区肠道寄生虫的流行情况进行寄生虫学调查。

材料与方法

2012年3月,在阿富汗一家医院对总共201名有内科健康问题的住院患者进行了检查,其中包括164名儿童(1至17岁)和37名18至80岁的成年人。粪便样本在波兰格但斯克军事医学研究所流行病学和热带医学系采用三种寄生虫学方法进行检测:直接涂片法、沉淀法、漂浮法(光学显微镜检查)。

结果

在接受检查的164名儿童中,81名(49.4%)确诊感染肠道寄生虫,主要由蛔虫、贾第虫和微小膜壳绦虫引起。在成年人中,9名(24.3%)患者感染肠道寄生虫,包括蛔虫和贾第虫。

结论

生活在卫生条件差且获得医疗服务有限的阿富汗社区是世界上感染率最高的人群之一。波兰卫生服务机构对阿富汗东部居民进行的针对肠道寄生虫的寄生虫学调查仍是该国为数不多的筛查研究之一。

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