Ying-Dan Chen, Ting-Jun Zhu, Long-Qi Xu, Bin Zhen, Yan-Hong Xiong, Chang-Hai Zhou
National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, WHO Collaborating Centre for Tropical Diseases; National Center for International Research on Tropical Diseases, Ministry of Science and Technology; Key Laboratory of Parasite and Vector Biology, Ministry of Health, Shanghai 200025, China.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2017 Oct 17;29(5):538-540. doi: 10.16250/j.32.1374.2017108.
infection is carcinogenic to human, which results in cholangiocarcinoma, confirmed by the World Health Organization. An investigation in 2005 indicated that the standardized infection rate was 0.58%, with 12 490 000 infected people estimated in the clonorchiasis endemic areas in China. In the world, 80% of infected people were distributed in China. Diagnostic Criteria for Clonorchiasis (WS309-2009) was compiled by the ex-Ministry of Health of the People's Republic of China and it was issued and implemented in March 13, 2009. The Diagnostic Criteria for Clonorchiasis is composed of six chapters, including the Range of Application, Terms and Definitions, Diagnostic Basis, Diagnostic Principle, Diagnostic Standard, and Differential Diagnosis. Three informative appendices (etiology, epidemiology, clinical manifestation; enzyme-linked immunosorbent assay; differential diagnosis) and one normative appendix (laboratory examination) are appended. The Criteria provides the technical reference for diagnosis of clonorchiasis in medical institutions and disease control institutions. Combined with the current epidemic situation of clonorchiasis in China, this paper interprets the main contents of the Diagnostic Criteria for Clonorchiasis (WS309-2009), so as to promote its learning and implementing.
感染对人类具有致癌性,可导致胆管癌,这已得到世界卫生组织的证实。2005年的一项调查表明,标准化感染率为0.58%,据估计中国华支睾吸虫病流行区有1249万人感染。在全球范围内,80%的感染者分布在中国。《华支睾吸虫病诊断标准》(WS309-2009)由中华人民共和国原卫生部编制,于2009年3月13日发布实施。《华支睾吸虫病诊断标准》共六章,包括适用范围、术语和定义、诊断依据、诊断原则、诊断标准和鉴别诊断。附录包括三个资料性附录(病因、流行病学、临床表现;酶联免疫吸附测定;鉴别诊断)和一个规范性附录(实验室检查)。该标准为医疗机构和疾病控制机构诊断华支睾吸虫病提供了技术参考。结合我国华支睾吸虫病的当前流行情况,本文对《华支睾吸虫病诊断标准》(WS309-2009)的主要内容进行解读,以促进其学习与实施。