Bartolini Andrea, Zorzi Giulia, Besutti Valeria
Azienda Ospedaliera, Università di Padova, UOC di Microbiologia e Virologia, Padova, Italy.
Infez Med. 2017 Jun 1;25(2):133-141.
The aim of this study was to evaluate the distribution of parasitic intestinal infections in patients attending Padua teaching hospital during a two-year period. Between 1st March 2011 and 28th February 2013, we examined stool specimens from 7341 patients (6127 Italians, 1214 non-Italians) for ova and parasites using microscopy, rapid enzyme immunoassays, culture techniques and molecular methods. Stools of 1080 patients (14.71%) were positive for parasites; a total of 1349 intestinal parasites were counted. Protozoa were detected in 1028/1080 patients (95.19%), while helminths were present in 80/1080 patients (7.41%). The protozoa most commonly detected were Blastocystis spp., Dientamoeba fragilis and Giardia duodenalis. Enterobius vermicularis was the helminth most frequently encountered. Of the 1080 infected patients, 227 (21.02%) had more than one parasite in their stool. To conclude, in Italy intestinal parasitoses must be unquestionably considered in differential diagnoses of gastrointestinal diseases. For this purpose, sound knowledge of epidemiology is essential.
本研究的目的是评估帕多瓦教学医院患者在两年期间肠道寄生虫感染的分布情况。在2011年3月1日至2013年2月28日期间,我们使用显微镜检查、快速酶免疫测定、培养技术和分子方法,对7341例患者(6127例意大利人,1214例非意大利人)的粪便标本进行了虫卵和寄生虫检测。1080例患者(14.71%)的粪便寄生虫检测呈阳性;共发现1349种肠道寄生虫。1028/1080例患者(95.19%)检测到原生动物,而80/1080例患者(7.41%)存在蠕虫。最常检测到的原生动物是芽囊原虫属、脆弱双核阿米巴和十二指肠贾第虫。蠕形住肠线虫是最常遇到的蠕虫。在1080例感染患者中,227例(21.02%)粪便中有不止一种寄生虫。总之,在意大利,肠道寄生虫病在胃肠道疾病的鉴别诊断中必须被明确考虑。为此,了解流行病学知识至关重要。