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[大加那利岛南部蛲虫病确诊患者的人口统计学和临床特征:抽样评估]

[Demographic and clinical features of diagnosed individuals of enterobiasis in the southern Gran Canaria: sampling assessment].

作者信息

Carrillo-Quintero D, Del Otero Sanz L, Hernández-Egido S, Martín Sánchez A M

机构信息

Sara Hernández-Egido,Servicio de Microbiología y Parasitología. Complejo Asistencial Universitario de Salamanca. Paseo de San Vicente 58 CP 37007. Salamanca, Spain.

出版信息

Rev Esp Quimioter. 2016 Dec;29(6):302-307. Epub 2016 Oct 7.

Abstract

OBJECTIVE

Enterobius vermicularis, also known as pinworn, is the responsible agent for Human Enterobiasis. It is one of the most prevalent, but underrated, parasitic disease in children population. Diagnosis involves demonstration of either eggs or adult worms by Graham test. The aim of this study is to describe the clinical, demographic and microbiological features of patients with suspected diagnosis of Enterobiasis in southern Gran Canaria.

METHODS

Descriptive and prospective study of perianal samples evaluated by Graham test in the Microbiology Department of `Insular de Gran Canaria´ University Hospital between November 2014 and November 2015. Descriptive analysis to evaluate the correlation between clinical and demographic variables and the results of Graham test microbiological observation.

RESULTS

1,128 samples were analyzed. E. vermicularis was found in 11.4% of the samples. Among the positives samples, 88.4% belonged to children under 14 years, and 53.5% were male. Abdominal pain (18.6%), anal itching (11.6%), eosinophilia (8.5%) and intestinal parasitosis suspicion (7.8%) were the reasons of parasitological investigation request in positive samples. Nevertheless, a high proportion of the requests was not founded in a suspicious diagnosis or was unrelated to Enterobiasis.

CONCLUSIONS

Enterobiasis is a common disease in primary health care and is of great importance in Gran Canaria. Quality in sample collection as well as diagnosis suspicious information are necessary for a good microbiological analysis.

摘要

目的

蠕形住肠线虫,又称蛲虫,是人类蛲虫病的致病原。它是儿童中最普遍但却未得到充分重视的寄生虫病之一。诊断需通过格雷厄姆试验证明虫卵或成虫的存在。本研究的目的是描述大加那利岛南部疑似蛲虫病患者的临床、人口统计学和微生物学特征。

方法

对2014年11月至2015年11月间在大加那利岛大学医院微生物科通过格雷厄姆试验评估的肛周样本进行描述性和前瞻性研究。进行描述性分析以评估临床和人口统计学变量与格雷厄姆试验微生物学观察结果之间的相关性。

结果

共分析了1128份样本。在11.4%的样本中发现了蠕形住肠线虫。在阳性样本中,88.4%属于14岁以下儿童,53.5%为男性。腹痛(18.6%)、肛门瘙痒(11.6%)、嗜酸性粒细胞增多(8.5%)和肠道寄生虫病疑似(7.8%)是阳性样本中进行寄生虫学检查的原因。然而,很大一部分检查请求并非基于可疑诊断,或与蛲虫病无关。

结论

蛲虫病在初级卫生保健中是一种常见疾病,在大加那利岛具有重要意义。良好的微生物学分析需要高质量的样本采集以及诊断可疑信息。

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