Shiferaw Melashu Balew, Zegeye Amtatachew Moges, Mengistu Agmas Dessalegn
Amhara Public Health Institute, P.O. Box 641, Bahir Dar, Ethiopia.
North Shoa Zonal Health Department, Debre Birhan, Ethiopia.
BMC Res Notes. 2017 Jul 12;10(1):274. doi: 10.1186/s13104-017-2609-6.
Helminth infections have a terrible impact on child growth and development, and harm pregnant women. Regular treatment and long term preventive interventions are important measures to break the transmission routes. Hence, identifying the status of helminth infection and practices of prevention and control measures among pregnant women is important in different geographical areas of Ethiopia including our setting.
A cross-sectional study was conducted on 180 pregnant women from March to June, 2015. About 2 g of stool was collected and examined to identify helminth infections. Proportions and risk factors of helminth infections were calculated using SPSS version 20.
Among the total 180 study participants, 38 (21.1% [95% CI 15.2-27.0%]) pregnant women had helminth infections. Hookworm and Schistosoma mansoni were the only identified helminth species. Thirty-six (20.0% [95% CI 14.3-25.7%]) and 4 (2.2% [95% CI 0.2-4.2%]) pregnant women had hookworm and S. mansoni infections, respectively. Of which, double infection (hookworm and S. mansoni) was found in two pregnant women. Only 32 (17.8%) pregnant women had proper hand wash practice after toilet, 48 (26.7%) drank treated water, and 40 (22.2%) wore shoes regularly. Those pregnant women who did not take albendazole or mebendazole dewormers (AOR 3.57; 95% CI 1.19-10.69; P 0.023) were more infected from helminth infections.
This study showed that there was a high intestinal helminth infection among pregnant women, and low practice of prevention and control measures. Thus, prevention and control measures should be strengthened in the setting.
蠕虫感染对儿童生长发育有严重影响,并对孕妇造成伤害。定期治疗和长期预防性干预是阻断传播途径的重要措施。因此,在埃塞俄比亚不同地理区域(包括我们所在地区),确定孕妇蠕虫感染状况以及预防和控制措施的实施情况非常重要。
2015年3月至6月对180名孕妇进行了一项横断面研究。收集约2克粪便进行检查以确定蠕虫感染情况。使用SPSS 20版计算蠕虫感染的比例和危险因素。
在总共180名研究参与者中,38名(21.1%[95%置信区间15.2 - 27.0%])孕妇有蠕虫感染。钩虫和曼氏血吸虫是唯一确定的蠕虫种类。分别有36名(20.0%[95%置信区间14.3 - 25.7%])和4名(2.2%[95%置信区间0.2 - 4.2%])孕妇感染钩虫和曼氏血吸虫。其中,两名孕妇存在双重感染(钩虫和曼氏血吸虫)。只有32名(17.8%)孕妇在便后有正确的洗手习惯,48名(26.7%)饮用经过处理的水,40名(22.2%)经常穿鞋。未服用阿苯达唑或甲苯达唑驱虫药的孕妇感染蠕虫的可能性更高(比值比3.57;95%置信区间1.19 - 10.69;P = 0.023)。
本研究表明孕妇肠道蠕虫感染率高,预防和控制措施实施率低。因此,该地区应加强预防和控制措施。