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泰国东北部三省边境地区人群中的华支睾吸虫感染情况

Opisthorchis viverrini Infection Among People in the Border Areas of Three Provinces, Northeast of Thailand.

作者信息

Kaewpitoon Soraya J, Rujirakul Ratana, Wakkuwattapong Rujirakul, Matrakool Likit, Tongtawee Taweesak, Panpimanmas Sukij, Pengsaa Prasit, Jomkoa Darawan, Joosiri Apinya, Kaewpitoon Natthawut

机构信息

Parasitic Disease Research Unit, Suranaree University of Technology, Nakhon Ratchasima, Thailand E-mail :

出版信息

Asian Pac J Cancer Prev. 2016;17(6):2973-7.

Abstract

Opisthorchis viverrini is still a serious problem in Northeastern and Northern Thailand. Active surveillance is required to determine updated data for further prevention and control planning. Therefore, this study aimed to examine the prevalence and risk factors for O. viverrini in three provinces, Northeastern Thailand. A cross- sectional survey was conducted during October 2015 to March 2016 at Kaeng Sanam Nang district of Nakhon Ratchasima province, Waeng Noi district of Khon Kaen province, and Khon Sawan district of Chaiyaphum province, Thailand. Stool samples were examined by using a modified Kato-Katz Thick smear technique. From a total of 978 participants screened, O. viverrini infection was found in 1.74%, the majority opf positive cases being male (6.62%), age group 51-60 years old (4.21%), educated at primary school (8.43%), occupied with agriculture (9.62%),having an income <4,000 baht per month (4.82%), and living in Khon Sawan district (8.43%). Participants had a high knowledge level (42.43%), good attitude level (34.76%), and fair level (38.04%). The present study indicates the O. viverrini infection rate is low, but elderly males with primary school education involved in agriculture are still frequently effected particularly in Khon Sawan district. Therefore, this risk group requires behavior modification and continued monitoring.

摘要

泰国后睾吸虫病在泰国东北部和北部仍是一个严重问题。需要进行主动监测以确定最新数据,用于进一步的预防和控制规划。因此,本研究旨在调查泰国东北部三个省份的泰国后睾吸虫病患病率及危险因素。2015年10月至2016年3月期间,在泰国呵叻府的考艾桑南区、孔敬府的挽诺伊区和猜也蓬府的孔沙湾区开展了一项横断面调查。粪便样本采用改良加藤厚涂片技术进行检测。在总共筛查的978名参与者中,发现泰国后睾吸虫感染率为1.74%,大多数阳性病例为男性(6.62%)、年龄在51 - 60岁(4.21%)、小学文化程度(8.43%)、从事农业(9.62%)、月收入低于4000泰铢(4.82%)以及居住在孔沙湾区(8.43%)。参与者的知识水平较高(42.43%)、态度水平良好(34.76%)和行为水平中等(38.04%)。本研究表明,泰国后睾吸虫感染率较低,但受小学教育、从事农业的老年男性仍然经常受到影响,特别是在孔沙湾区。因此,这一风险群体需要改变行为并持续监测。

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