Selek Mehmet Burak, Bektöre Bayhan, Karagöz Ergenekon, Baylan Orhan, Özyurt Mustafa
Gülhane Haydarpaşa Eğitim ve Araştırma Hastanesi, Medikal Mikrobiyoloji Kliniği, İstanbul, Türkiye.
Turkiye Parazitol Derg. 2016 Sep;40(3):137-140. doi: 10.5152/tpd.2016.4533.
Parasitic diseases are among the major public health issues worldwide. A number of tests are available for diagnosis, but the sentivity and specifity of these tests are assumed to be insufficient. Nevertheless, the most common diagnostic method is microscopic examination. In this study, we aimed to introduce the distribution of parasites detected in stool samples of patients admitted to our laboratory on the basis of parameters such as, age, and gender during a 3-year period between 2012 and 2014.
In total, 6757 stool samples were included in the study. After macroscopic examination, wet mounts of all samples were examined under a light microscope using ×100 and ×400 magnification lenses. Wet mounts were prepared with physiological saline and Lugol's iodine.
Parasites were detected in 3.7% (252) of the samples, while no parasites were detected in 96.3% (6505) of the samples. The distribution of intestinal parasites was as follows: Blastocystis hominis (63.5%), Giardia intestinalis (26.2%), Taenia sp. (4.8%), Enterobius vermicularis (2.4%), Entamoeba histolytica/dispar (1.6%), and Hymenolepis nana (1.6%).
When the burden of intestinal parasites on public health is considered, they are still a major health issue in Turkey. The frequency of parasitic diseases can be reduced by the education of individuals and implementation of effective diagnostic methods, treatments, and preventive measures.
寄生虫病是全球主要的公共卫生问题之一。有多种检测方法可用于诊断，但这些检测方法的敏感性和特异性被认为不足。然而，最常见的诊断方法是显微镜检查。在本研究中，我们旨在根据2012年至2014年3年期间患者的年龄、性别等参数，介绍我院实验室收治患者粪便样本中检测到的寄生虫分布情况。
本研究共纳入6757份粪便样本。经过肉眼检查后，所有样本的湿片在光学显微镜下使用×100和×400放大倍数的物镜进行检查。湿片用生理盐水和卢戈氏碘制备。
3.7%（252份）的样本中检测到寄生虫，而96.3%（6505份）的样本中未检测到寄生虫。肠道寄生虫的分布如下：人芽囊原虫（63.5%）、十二指肠贾第虫（26.2%）、带绦虫属（4.8%）、蠕形住肠线虫（2.4%）、溶组织内阿米巴/迪斯帕内阿米巴（1.6%）和微小膜壳绦虫（1.6%）。
考虑到肠道寄生虫对公共卫生的负担，它们在土耳其仍然是一个主要的健康问题。通过对个人进行教育并实施有效的诊断方法、治疗和预防措施，可以降低寄生虫病的发病率。
