Khurana Sumeeta, Sethi Shveta
Department of Medical Parasitology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Trop Parasitol. 2017 Jul-Dec;7(2):86-91. doi: 10.4103/tp.TP_29_17.
Soil-transmitted helminths (STHs) include, i.e., hookworms (, ), roundworm (), whipworm () and . Globally, around 1.5 billion people are infected with STHs. STHs contribute to significant impairment of mental and physical growth, especially in developing countries. Unfortunately, these infections mostly remain undiagnosed due to lack of trained personnel and appropriate technologies. Intermittent shedding of eggs or larvae further makes the diagnosis difficult. Thus, there is a dire need of rapid and accurate tests for the diagnosis of STHs. The diagnostic methods include conventional and molecular methods. Conventional methods include microscopy, culture, and egg counting. Serology has a role, especially in case of S. stercoralis where conventional methods have very poor sensitivities. The rapid, highly sensitive molecular techniques, particularly quantitative polymerase-chain reaction make it suitable for diagnosing STH over insensitive as well as labor-intensive conventional methods. Until now, molecular detection of STH was mainly restricted to the research setting, but now, there is recommendation of adopting molecular tests in the World Health Organization STH elimination programs. Thus, STH infections are important public health problems and should be appropriately diagnosed and managed to reduce the mortality and morbidity significantly.
土源性蠕虫(STHs)包括钩虫(如十二指肠钩虫、美洲钩虫)、蛔虫、鞭虫等。全球约有15亿人感染土源性蠕虫。土源性蠕虫会严重损害身心发育,尤其是在发展中国家。不幸的是,由于缺乏专业人员和适当技术,这些感染大多未被诊断出来。虫卵或幼虫的间歇性排出进一步增加了诊断难度。因此,迫切需要快速准确的土源性蠕虫诊断检测方法。诊断方法包括传统方法和分子方法。传统方法包括显微镜检查、培养和虫卵计数。血清学检测也有作用,特别是对于粪类圆线虫,传统方法的敏感性非常低。快速、高灵敏度的分子技术,尤其是定量聚合酶链反应,使其比不敏感且耗费人力的传统方法更适合诊断土源性蠕虫。到目前为止,土源性蠕虫的分子检测主要局限于研究领域,但现在世界卫生组织的土源性蠕虫消除计划建议采用分子检测方法。因此,土源性蠕虫感染是重要的公共卫生问题,应进行适当诊断和管理,以显著降低死亡率和发病率。