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坦桑尼亚多多马米伦贝国家心理健康医院收治患者肠道寄生虫的患病率及相关因素

Prevalence and Correlates of Intestinal Parasites among Patients Admitted to Mirembe National Mental Health Hospital, Dodoma, Tanzania.

作者信息

Nyundo Azan A, Munisi David Z, Gesase Ainory P

机构信息

Department of Internal Medicine and Child Health, Psychiatry Division, School of Medicine, College of Health Science, The University of Dodoma, Dodoma, Tanzania.

Department of Anatomy and Histology, College of Health Science, The University of Dodoma, Dodoma, Tanzania.

出版信息

J Parasitol Res. 2017;2017:5651717. doi: 10.1155/2017/5651717. Epub 2017 May 22.

Abstract

BACKGROUND

Neglected tropical diseases continue to be one of the leading causes of morbidity and mortality in the developing world. Psychiatric patients are among groups at risk for parasitic infection although control and monitoring programs largely overlook this population. This study aimed at determining prevalence and factors associated with intestinal parasitic infection among patients admitted to a psychiatric facility.

METHOD

The study followed cross-sectional design; all the residing patients that met the inclusion criteria were included in the survey. Stool samples were collected and examined by direct wet preparation and formol-ether concentration. Data were analyzed with STATA version 12.1; Chi-square test was computed to determine the level of significance at value < 0.05.

RESULTS

Of all 233 patients who returned the stool samples, 29 (12.45%) screened were positive for an intestinal parasite. There was no significant association between parasite carriage and age, sex, or duration of hospital stay.

CONCLUSION

The study shows that intestinal parasitic infection is common among patients in a psychiatric facility and highlights that parasitic infections that enter through skin penetration may be a more common mode of transmission than the oral route. Furthermore, the study underscores the need for surveillance and intervention programs to control and manage these infections.

摘要

背景

被忽视的热带病仍然是发展中世界发病和死亡的主要原因之一。精神科患者是寄生虫感染的高危人群之一,尽管控制和监测项目在很大程度上忽视了这一人群。本研究旨在确定一家精神科机构收治患者中肠道寄生虫感染的患病率及相关因素。

方法

本研究采用横断面设计;所有符合纳入标准的住院患者均纳入调查。采集粪便样本,通过直接湿片法和甲醛乙醚浓缩法进行检查。数据采用STATA 12.1版进行分析;计算卡方检验以确定显著性水平,P值<0.05。

结果

在所有233例返回粪便样本的患者中,29例(12.45%)筛查出肠道寄生虫阳性。寄生虫携带与年龄、性别或住院时间之间无显著关联。

结论

该研究表明,肠道寄生虫感染在精神科机构的患者中很常见,并强调经皮肤侵入的寄生虫感染可能是比经口途径更常见的传播方式。此外,该研究强调了开展监测和干预项目以控制和管理这些感染的必要性。

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