Farghly Adel M, Mohamed Sabah M A, Abdel-Rahman Sara A, Mohammed Faten E, El-Bahaie Enas S, El-Shafey Mahmoud A
Medical Parasitological Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Clinical Pathology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
J Parasit Dis. 2016 Sep;40(3):1021-9. doi: 10.1007/s12639-014-0627-z. Epub 2014 Dec 20.
Soil transmitted helminths are highly prevalent throughout the developing countries of the world and Egypt is categorized as one of the developing countries. This study aimed to detect the relation between the presence and prevalence of STH in the soil and their reflection on the prevalence among school-children living in rural and urban areas in Zagazig district, Egypt. The present study was carried out on (859) school-children aged 6-13 years in Zagazig district all over the year 2013. They were subjected to stool examination. Out of them 100 suspected children were serotested for anti-TES IgG antibodies Toxocara spp. Soil samples also were collected from their places and regions. The results showed overall prevalence of parasitic infections was 21.07 % for helminthic infection and 39.46 % for protozoa. The prevalence of parasitic infections was more among children in rural areas (28, 49.2, 11.1 %) than those who live in urban areas (6.4, 18, 2.2 %) for helminths, protozoa and Toxocara as the most prevalent helminth respectively. Highly significant association was found between soil-transmitted helminthic infections detected by stool examination of the studied children group and the prevalence of geohelminthes in the examined soil samples, taken from residency areas of those children. This association was missed regarding protozoal infections. According to the results, low level of education and consequently poor socio-economic and hygienic conditions of families appear to be powerful determinants of infection. Thus, improving environmental sanitation is imperative for the control of soil-transmitted helminths.
土源性蠕虫在世界上所有发展中国家都高度流行,埃及被归类为发展中国家之一。本研究旨在检测土壤中土源性蠕虫的存在和流行情况与它们对埃及扎加齐格地区城乡学龄儿童感染率的影响之间的关系。本研究于2013年全年对扎加齐格地区859名6至13岁的学龄儿童进行。他们接受了粪便检查。其中100名疑似儿童接受了抗弓首线虫属IgG抗体的血清检测。还从他们的居住地和地区采集了土壤样本。结果显示,寄生虫感染的总体患病率为:蠕虫感染21.07%,原生动物感染39.46%。农村地区儿童的寄生虫感染率高于城市地区儿童,分别为:蠕虫感染(28,49.2,11.1%)、原生动物感染(6.4,18,2.2%),最常见的蠕虫为弓首线虫。通过对研究儿童组粪便检查检测到的土源性蠕虫感染与从这些儿童居住地区采集的土壤样本中geohelminthes的患病率之间存在高度显著的关联。原生动物感染方面未发现这种关联。根据结果,教育水平低以及家庭社会经济和卫生条件差似乎是感染的有力决定因素。因此,改善环境卫生对于控制土源性蠕虫至关重要。