埃塞俄比亚东南部德洛梅纳地区小学生的肠道寄生虫感染与营养状况
Intestinal Parasitic Infections and Nutritional Status among Primary School Children in Delo-mena District, South Eastern Ethiopia.
作者信息
Tulu Begna, Taye Solomon, Zenebe Yohannes, Amsalu Eden
机构信息
Dept. of Microbiology, Immunology and Parasitology, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia; Dept. of Microbiology, Immunology and Parasitology, College of Medicine and Health Sciences, Madawalabu University, Goba, Ethiopia.
Dept. of Microbiology, Immunology and Parasitology, College of Medicine and Health Sciences, Madawalabu University, Goba, Ethiopia.
出版信息
Iran J Parasitol. 2016 Oct-Dec;11(4):549-558.
BACKGROUND
Although there are efforts being underway to control and prevent intestinal parasitic infections (IPIs) in Ethiopia, they are still endemic and responsible for significant morbidity. The aim of this study was to evaluate the prevalence of IPIs and their association with nutritional status among primary school children of Delo-Mena district, South Eastern Ethiopia.
METHODS
A cross-sectional study was conducted from April to May 2013. Demographic data was obtained, and IPIs was investigated in a single-stool sample by both direct stool examination and formol-ether concentration techniques. Anthropometric measurements were taken to calculate height for-age (HAZ), BMI-for-age (BAZ) and weight-for-age (WAZ) for the determination of stunting, thinness and underweight, respectively using WHO AntroPlus software. SPSS version 20 was used for statistical analysis and p value less than 0.05 was considered significant.
RESULTS
Among 492 children studied (51% boys, aged 6-18 years, mean 10.93 +2.4) an overall IPIs prevalence of 26.6% was found. The prevalence of , , , , , , , , Hookworms and spp were 9.6%, 7.7%, 5.3%, 3.7%, 2.0%, 1.6%, 1.4%, 1.2%, 0.8% and 0.2% respectively. Stunting and underweightedness were observed in 4.5% and 13.6% of children and associated with IPIs (<0.001) and (=0.001), respectively.
CONCLUSION
IPIs and its associated malnutrition remain a public health concern in Delo-Mena district. Therefore, the overall health promotion activities coupled with snail control and de-worming to the students is crucial. Additionally, initiatives aimed at improving the nutritional status of school children are also important.
背景
尽管埃塞俄比亚正在努力控制和预防肠道寄生虫感染（IPIs），但这些感染仍然流行，并导致了大量发病情况。本研究的目的是评估埃塞俄比亚东南部德洛-梅纳地区小学生中IPIs的患病率及其与营养状况的关联。
方法
于2013年4月至5月进行了一项横断面研究。获取了人口统计学数据，并通过直接粪便检查和甲醛-乙醚浓缩技术对单份粪便样本进行IPIs调查。采用人体测量法，使用世界卫生组织的AntroPlus软件分别计算年龄别身高（HAZ）、年龄别体重指数（BAZ）和年龄别体重（WAZ），以确定发育迟缓、消瘦和体重不足情况。使用SPSS 20版进行统计分析，p值小于0.05被认为具有统计学意义。
结果
在492名研究儿童中（51%为男孩，年龄6 - 18岁，平均10.93 +2.4），发现IPIs总体患病率为26.6%。蛔虫、鞭虫、钩虫、粪类圆线虫、溶组织内阿米巴、结肠内阿米巴、微小内蜒阿米巴、哈氏内阿米巴、贾第虫和隐孢子虫的患病率分别为9.6%、7.7%、5.3%、3.7%、2.0%、1.6%、1.4%、1.2%、0.8%和0.2%。4.5%的儿童存在发育迟缓，13.6%的儿童体重不足，且分别与IPIs（<0.001）和鞭虫感染（=0.001）相关。
结论
IPIs及其相关的营养不良仍然是德洛-梅纳地区的公共卫生问题。因此，全面的健康促进活动以及对学生进行灭螺和驱虫至关重要。此外，旨在改善学童营养状况的举措也很重要。
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