Soumana A, Kamaye M, Saidou D, Dima H, Daouda B, Guéro T
Service de Pédiatrie, Hôpital National Lamordé, Université Abdou Moumouni.
Service de néonatologie, Maternité Issaka Gazobi, Université Abdou Moumouni.
Mali Med. 2016;31(4):19-28.
According to the WHO, in 2002, 3.5 billion of people worldwide were infected with intestinal parasites. Every year, roundworms, hookworms and amoebae are the cause of 195,000 deaths around the world. Despite this high prevalence, these infections are said to be neglected and attract little interest. And yet, they are sometimes very grave especially when contracted by children where they can lead to malnutrition. This prospective study aims to clarify the overall prevalence of intestinal parasites in children.
The study took place in the pediatric service of the Lamorde national Hospital and the two pediatric services of the Niamey national hospital. This descriptive and analytical study, took place from April to June 2011. Included were children aged 1 month to 59 months, having had a stool examination.
The search for parasites was positive in 66 children (33%). The prevalence is statistically higher (p = 0.02) among children 25-59 months (43.84%) than among those whose age is between 1-24 months (26.77%). Male children were more infected than female with respectively 38.7% and 28.04% infection rates.
Intestinal parasites are frequent in Niamey, despite numerous deworming campaigns. There's been more parasitic protozoa caused by a proportion of 81, 81%, against a proportion of 18, 18 % for metazoans. Conducting a study on the national scale is necessary to understand the general prevalence of intestinal parasites. This would enable a more adapted strategy to the fight against these illnesses.
根据世界卫生组织的数据，2002年全球有35亿人感染肠道寄生虫。每年，蛔虫、钩虫和阿米巴原虫在全球导致19.5万人死亡。尽管感染率如此之高，但这些感染被认为受到忽视，很少受到关注。然而，它们有时非常严重，尤其是儿童感染时，可能导致营养不良。这项前瞻性研究旨在阐明儿童肠道寄生虫的总体感染率。
该研究在拉莫尔德国家医院的儿科以及尼亚美国家医院的两个儿科进行。这项描述性和分析性研究于2011年4月至6月开展。纳入的是年龄在1个月至59个月之间且进行过粪便检查的儿童。
66名儿童（33%）的寄生虫检测呈阳性。25至59个月的儿童（43.84%）的感染率在统计学上高于1至24个月的儿童（26.77%）（p = 0.02）。男童的感染率高于女童，分别为38.7%和28.04%。
尽管开展了多次驱虫运动，但尼亚美地区肠道寄生虫感染仍很常见。寄生虫原生动物感染占比81%，后生动物感染占比18%。有必要在全国范围内开展研究以了解肠道寄生虫的总体感染情况。这将有助于制定更适合的策略来对抗这些疾病。
