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拉普拉塔(阿根廷布宜诺斯艾利斯)城郊地区犬类和儿童肠道寄生虫病的横断面研究:人畜共患病的重要性及对公共卫生的影响

A cross-sectional study of intestinal parasitoses in dogs and children of the periurban area of La Plata (Buenos Aires, Argentina): Zoonotic importance and implications in public health.

作者信息

Cociancic P, Zonta M L, Navone G T

机构信息

Centro de Estudios Parasitológicos y de Vectores (CEPAVE-CONICET-UNLP), La Plata, Buenos Aires, Argentina.

出版信息

Zoonoses Public Health. 2018 Feb;65(1):e44-e53. doi: 10.1111/zph.12408. Epub 2017 Oct 5.

Abstract

A cross-sectional study was performed between school term dates 2014 and 2015 to diagnose intestinal parasites in dogs and children living with them. The socio-environmental characteristics and hygiene practices of the children were also evaluated in terms of risk factors for parasitic infection of periurban neighbourhoods of La Plata (Buenos Aires, Argentina). Serial coproparasitological samples of 78 dogs and 211 children were analysed by means of concentration and flotation techniques. Socio-environmental variables and hygiene practices of children were evaluated through semi-structured questionnaires which were answered by every family. The study showed that 82.1% of dogs were parasitized. The specific richness was of 11 species; Ancylostoma caninum (69.2%), Uncinaria stenocephala (41.0%), Trichuris vulpis (28.2%) and Toxocara canis (21.8%) were the most prevalent. The study also revealed that 67.8% of children were positive. Also, 11 species were identified and the most prevalent were Blastocystis sp. (36.0%), Enterobius vermicularis (27.5%) and Giardia lamblia (21.3%). The risk for parasitosis was higher in 6-year-old children and older (OR = 1.9, 95% IC: 1.0-3.7) and in those who did not wash their hands or did it occasionally after playing with their pets (OR = 2.8, 95% IC: 1.4-5.5). Blastocystis sp. and Entamoeba coli infection risks were greater in children whose parents had a basic level of education (OR = 3.4, 95% IC: 1.3-8.7 and OR = 3.6, 95% IC: 0.8-15.9, respectively). In addition, the risk of infection for E. coli was higher in children who lived in floodable houses (OR = 4.4, 95% IC: 0.9-16.6). Likewise, the risk of infection for E. vermicularis was greater in children with onychophagia (OR = 1.6, 95% IC: 0.7-3.7) and in 6 year olds and older whose parents completed only primary studies (OR = 3.6, 95% IC: 1.4-9.1). The results obtained show the existence of a worrying epidemiological scenario that stresses the importance of zoonotic parasitosis as a serious problem of public health.

摘要

在2014年至2015年学期期间开展了一项横断面研究,以诊断狗及其共同生活的儿童体内的肠道寄生虫。还根据阿根廷布宜诺斯艾利斯省拉普拉塔市城郊社区寄生虫感染的风险因素,评估了儿童的社会环境特征和卫生习惯。通过浓缩和浮选技术对78只狗和211名儿童的系列粪便寄生虫学样本进行了分析。通过半结构化问卷对每个家庭进行调查,评估儿童的社会环境变量和卫生习惯。研究表明,82.1%的狗感染了寄生虫。具体种类有11种;犬钩虫(69.2%)、窄头钩虫(41.0%)、狐毛首线虫(28.2%)和犬弓首蛔虫(21.8%)最为常见。研究还显示,67.8%的儿童呈阳性。同样鉴定出11种,最常见的是芽囊原虫(36.0%)、蠕形住肠线虫(27.5%)和蓝氏贾第鞭毛虫(21.3%)。6岁及以上儿童患寄生虫病的风险更高(比值比=1.9,95%置信区间:1.0-3.7),以及那些在与宠物玩耍后不洗手或偶尔洗手的儿童(比值比=2.8,95%置信区间:1.4-5.5)。父母只有基础教育水平的儿童感染芽囊原虫和结肠内阿米巴的风险更大(比值比分别为3.4,95%置信区间:1.3-8.7和3.6,95%置信区间:0.8-15.9)。此外,居住在易洪水房屋中的儿童感染大肠杆菌的风险更高(比值比=4.4,95%置信区间:0.9-16.6)。同样,有咬甲癖的儿童感染蠕形住肠线虫的风险更大(比值比=1.6,95%置信区间:0.7-3.7),以及父母仅完成小学学业的6岁及以上儿童(比值比=3.6,95%置信区间:1.4-9.1)。所获得的结果表明存在一个令人担忧的流行病学情况,强调了人畜共患寄生虫病作为一个严重的公共卫生问题的重要性。

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