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埃塞俄比亚北绍阿德布雷伯尔汉转诊医院5岁以下儿童肠道寄生虫感染的患病率。

Prevalence of intestinal parasitic infections in children under the age of 5 years attending the Debre Birhan referral hospital, North Shoa, Ethiopia.

作者信息

Zemene Telanesh, Shiferaw Melashu Balew

机构信息

Parasitology Reference Laboratory, Amhara Public Health Institute, P.O. Box 641, Bahir Dar, Ethiopia.

出版信息

BMC Res Notes. 2018 Jan 22;11(1):58. doi: 10.1186/s13104-018-3166-3.

Abstract

OBJECTIVE

Intestinal parasitic infection is one of the major childhood health problems in developing countries. In Ethiopia, epidemiological data for several localities is limited. Hence, the aim of this study is to assess intestinal parasitic infections among under-five children attending in Debre Birhan referral hospital, which could help to decrease morbidity and mortality in children. A cross-sectional study was conducted in February, 2014. Stool specimens were collected and examined using concentration method.

RESULTS

Out of the 247 under-five children participated, 17.4% (95% CI 12.7-22.1%) of the children were infected with at least one or more protozoa parasites (14.2% [95% CI 9.9-18.5%]) and helminthes (3.2% [95% CI 1.0-5.4%]). Giardia lamblia (8.5%), Entamoeba histolytica/dispar (5.7%), Trichuris trichiura (1.6%) and Ascaris lumbricoides (1.2%) were the most identified parasites. Parasitic infection was higher in children who had source of drinking water from the river (36.8%), among children from mothers with poor hand washing practice (31.7%), and among children born from illiterate mothers (27.5%). This revealed that intestinal parasites affect the health of under-five children in the setting. Hence, improving environmental hygiene and inadequate water sanitation, and health education for behavioral changes to personal hygiene would be crucial for effective control of the parasite infections.

摘要

目的

肠道寄生虫感染是发展中国家儿童主要的健康问题之一。在埃塞俄比亚,几个地区的流行病学数据有限。因此,本研究的目的是评估德布雷伯尔汉转诊医院五岁以下儿童的肠道寄生虫感染情况,这有助于降低儿童的发病率和死亡率。2014年2月进行了一项横断面研究。收集粪便标本并采用浓缩法进行检测。

结果

在参与研究的247名五岁以下儿童中,17.4%(95%可信区间12.7 - 22.1%)的儿童感染了至少一种或多种原生动物寄生虫(14.2% [95%可信区间9.9 - 18.5%])和蠕虫(3.2% [95%可信区间1.0 - 5.4%])。最常见的寄生虫为蓝氏贾第鞭毛虫(8.5%)、溶组织内阿米巴/迪斯帕内阿米巴(5.7%)、鞭虫(1.6%)和蛔虫(1.2%)。饮用水源为河水的儿童(36.8%)、母亲洗手习惯差的儿童(31.7%)以及母亲为文盲的儿童(27.5%)中寄生虫感染率较高。这表明肠道寄生虫影响该地区五岁以下儿童的健康。因此,改善环境卫生和水卫生设施不足的状况,以及开展个人卫生行为改变的健康教育对于有效控制寄生虫感染至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed0c/5778703/4c60cb298589/13104_2018_3166_Fig1_HTML.jpg

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