Cabada Miguel M, Goodrich Mary R, Graham Brittany, Villanueva-Meyer Pablo G, Deichsel Emily L, Lopez Martha, Arque Eulogia, Clinton White A
UPCH-UTMB Collaborative Research Center, Universidad Peruana Cayetano Heredia, Cusco, Peru.
Department of Internal Medicine, University of Texas Medical Branch, Texas, United States of America.
Rev Panam Salud Publica. 2015 Feb;37(2):69-75.
To evaluate the prevalence of soil-transmitted helminth infections, anemia, and malnutrition among children in the Paucartambo province of Cusco region, Peru, in light of demographic, socio-economic, and epidemiologic contextual factors.
Children from three to twelve years old from six communities in Huancarani district in the highlands of Peru were evaluated for helminth infections, anemia, and nutritional status. Data collected included demographic variables, socioeconomic status, exposures, complete blood counts, and direct and sedimentation stool tests.
Of 240 children analyzed, 113 (47%) were infected with one or more parasites. Giardia (27.5%) and Fasciola (9.6%) were the most commonly identified organisms. Eosinophilia was encountered in 21% of the children. Anemia (48.8%) was associated with age (3-4 vs 5-12 years old; odds ratio (OR): 5.86; 95% confidence interval (CI): 2.81-12.21). Underweight (10%) was associated with male sex (OR: 5.97; CI: 1.12-31.72), higher eosinophil count (OR: 4.67; CI: 1.31-16.68) and education of the mother (OR: 0.6; CI: 0.4-0.9). Stunting (31.3%) was associated with education of the mother (OR: 0.83; CI: 0.72-0.95); wasting (2.7%) was associated with higher eosinophil count (OR: 2.75; CI: 1.04-7.25).
Anemia and malnutrition remain significant problems in the Peruvian highlands. These findings suggest that demographic factors, socio-economic status, and possibly parasitic infections intertwine to cause these health problems.
根据人口统计学、社会经济和流行病学背景因素，评估秘鲁库斯科地区帕卡坦博省儿童土壤传播的蠕虫感染、贫血和营养不良的患病率。
对秘鲁高地万卡拉尼区六个社区3至12岁的儿童进行蠕虫感染、贫血和营养状况评估。收集的数据包括人口统计学变量、社会经济状况、暴露情况、全血细胞计数以及粪便直接涂片和沉淀检查。
在分析的240名儿童中，113名（47%）感染了一种或多种寄生虫。贾第虫（27.5%）和片形吸虫（9.6%）是最常鉴定出的病原体。21%的儿童出现嗜酸性粒细胞增多。贫血（48.8%）与年龄有关（3至4岁与5至12岁；优势比（OR）：5.86；95%置信区间（CI）：2.81至12.21）。体重不足（10%）与男性性别有关（OR：5.97；CI：1.12至31.72）、嗜酸性粒细胞计数较高（OR：4.67；CI：1.31至16.68）以及母亲的教育程度有关（OR：0.6；CI：0.4至0.9）。发育迟缓（31.3%）与母亲的教育程度有关（OR：0.83；CI：0.72至0.95）；消瘦（2.7%）与嗜酸性粒细胞计数较高有关（OR：2.75；CI：1.04至7.25）。
贫血和营养不良在秘鲁高地仍然是重大问题。这些发现表明，人口统计学因素、社会经济状况以及可能的寄生虫感染相互交织，导致了这些健康问题。
