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尼日利亚阿布贾瓜瓜尔达地区在校儿童肠道蠕虫感染的预测因素

PREDICTORS OF INTESTINAL HELMINTHIC INFECTIONS AMONG SCHOOL CHILDREN IN GWAGWALADA, ABUJA, NIGERIA.

作者信息

Nwalorzie C, Onyenakazi S C, Ogwu S O, Okafor A N

出版信息

Niger J Med. 2015 Jul-Sep;24(3):233-41.

Abstract

BACKGROUND

Prevalence and risk factors predisposing to intestinal helminthic infections vary widely. Risk factors to intestinal helminthic infections among children have not been documented in Gwagwalada, Nigeria which necessitated present study.

OBJECTIVE

To determine risk factors to intestinal helminthiasis among children aged 1-15 years in Gwagwalada, Nigeria.

METHODS

Cross-sectional study was carried out from June to November, 2011 in public schools using multi-staged, random sampling. Risk factors and helminth species were determined. Multiple stool samples were analyzed using the Kato-Katz technique. Participants had a single anal swab to search for Enterobius ova.

RESULTS

Of 220 subjects evaluated, prevalence rate of intestinal helminthic infections was 73.2%. Most common helminth identified was Ascaris lumbricoides (40.9%) and least was Trichostrongylus species (2.3%). Logistic regression analysis showed that significant, predictors of intestinal helminthiasis among subjects were female gender (P = 0.028), lack of hand washing after defecation (P < 0.01), multiple sources of drinking water (P = 0.011) and eating of unwashed fruits/vegetables (P = 0.012).

CONCLUSION

The present study identified predictors of intestinal helminthiasis among children Gwagwalada. Efforts should be made to institute regular health education, provision of potable water, environmental sanitation and de-worming programmes for children, as ways of reducing burden of the infections.

摘要

背景

肠道蠕虫感染的患病率和易感风险因素差异很大。尼日利亚瓜瓜瓦拉达地区尚未记录儿童肠道蠕虫感染的风险因素,因此有必要开展本研究。

目的

确定尼日利亚瓜瓜瓦拉达地区1至15岁儿童肠道蠕虫病的风险因素。

方法

2011年6月至11月在公立学校采用多阶段随机抽样进行横断面研究。确定风险因素和蠕虫种类。使用改良加藤厚涂片法分析多个粪便样本。参与者进行一次肛门拭子检查以寻找蛲虫卵。

结果

在评估的220名受试者中,肠道蠕虫感染的患病率为73.2%。鉴定出的最常见蠕虫是蛔虫(40.9%),最少见的是毛圆线虫属(2.3%)。逻辑回归分析表明,受试者中肠道蠕虫病的显著预测因素为女性(P = 0.028)、排便后不洗手(P < 0.01)、饮用水来源多样(P = 0.011)以及食用未清洗的水果/蔬菜(P = 0.012)。

结论

本研究确定了瓜瓜瓦拉达地区儿童肠道蠕虫病的预测因素。应努力开展定期健康教育、提供饮用水、环境卫生以及为儿童开展驱虫计划,以减轻感染负担。

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