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尼日利亚贝努埃州农村和城市学龄前儿童肠道寄生虫感染的患病率及其与营养状况的关联

Prevalence of Intestinal Parasitic Infections and their Association with Nutritional Status of Rural and Urban Pre-School Children in Benue State, Nigeria.

作者信息

Tyoalumun Kpurkpur, Abubakar Sani, Christopher Nongu

机构信息

Nutrition Unit, Department of Biochemistry, Ahmadu Bello University Zaria, Kaduna State, Nigeria.

Laboratory Unit, University Medical Centre, Ahmadu Bello University Zaria, Kaduna, Nigeria.

出版信息

Int J MCH AIDS. 2016;5(2):146-152.

Abstract

BACKGROUND AND OBJECTIVES

Intestinal parasitic infections are highly prevalent in developing countries, contributing to high incidence of malnutrition and morbidity. This study aimed to find the prevalence of intestinal parasitic infections and their association with nutritional status of children in Benue State, Nigeria.

METHODS

A cross sectional study conducted from January-June 2016, among 418 school children under-5 years of age. Anthropometric data, height-for-age, weight-for-height, and weight-for-age Z-scores from each child and fecal samples were collected and screened for intestinal parasites using standard laboratory methods.

RESULTS

Among the intestinal parasitic infections detected, the prevalence of was higher (51.0% and 29.0%) than all other parasites encountered in rural and urban pupils (P<0.05). Other parasites were Hookworm (46.2% and 24.8%); (11.5% and 8.6%); and (2.4% and 5.2%). The prevalence of stunting (HAZ<-2), in rural and urban pupils were 43.8% and 32.9%; 64.4% and 39.0% rural and urban pupils were underweight (WAZ<-2), while 30.3% and 24.3% were wasted (WHZ<-2). Infected children had significantly (P<0.05) higher z-scores than the uninfected children.

CONCLUSION AND GLOBAL HEALTH IMPLICATIONS

Benue State is among the Nigerian states with the highest burden of tropical diseases with a current plan of elimination implemented through mass drug administration. This study identify/evaluate some essential information that will support the planning and implementation of the State's ongoing efforts.

摘要

背景与目的

肠道寄生虫感染在发展中国家极为普遍,是导致营养不良和发病率居高不下的重要因素。本研究旨在查明尼日利亚贝努埃州儿童肠道寄生虫感染的流行情况及其与营养状况的关联。

方法

于2016年1月至6月对418名5岁以下学童开展了一项横断面研究。收集了每名儿童的人体测量数据、年龄别身高、身高别体重和年龄别体重Z评分,并采集粪便样本,采用标准实验室方法筛查肠道寄生虫。

结果

在所检测出的肠道寄生虫感染中,[此处原文缺失寄生虫名称]的感染率较高(农村和城市学生中分别为51.0%和29.0%),高于所发现的所有其他寄生虫(P<0.05)。其他寄生虫为钩虫(46.2%和24.8%);[此处原文缺失寄生虫名称](11.5%和8.6%);以及[此处原文缺失寄生虫名称](2.4%和5.2%)。农村和城市学生中发育迟缓(身高别年龄Z评分<-2)的发生率分别为43.8%和32.9%;农村和城市学生中体重不足(年龄别体重Z评分<-2)的比例分别为64.4%和39.0%,而消瘦(身高别体重Z评分<-2)的比例分别为30.3%和24.3%。感染儿童的Z评分显著高于未感染儿童(P<0.05)。

结论及对全球健康的影响

贝努埃州是尼日利亚热带疾病负担最重的州之一,目前正通过大规模药物投放实施消除计划。本研究确定/评估了一些重要信息,将为该州当前工作的规划和实施提供支持。

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