Department of Medical Laboratory Science, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Department of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
BMC Infect Dis. 2018 Aug 29;18(1):435. doi: 10.1186/s12879-018-3330-3.
Epidemiological information on the burden of various parasitic infections and associated factors in different localities is indispensable to develop appropriate control and prevention measures as well as to monitor and evaluate existing programs. Hence the aim of the present study was to assess the prevalence and associated factors of intestinal helminths among school age children in Arbaminch Zuria district, Southern Ethiopia.
A community based cross-sectional study was conducted by recruiting 391 primary school age children. Participants were selected using simple random sampling technique. Pre-tested structured questionnaire was used to collect data about socio-demographic characteristics and perceived factors associated with intestinal parasitosis. Stool microscopic examination was done following standard protocol. Data were analyzed using Statistical Package for Social Science version 22.
Among 391 children participated, 181 (46.3%; 95% CI: 41.9-51.5) were infected with intestinal helminths. The magnitudes of single and double infections were 40.2% and 6.1% respectively. Seven helminths were detected among which Ascaris lumbricoides was with the highest frequency (56, 14.3%) followed by hookworms (55, 14.1%). Not washing fruits and vegetables before consumption (AOR = 2.16; 95%CI: 1.10-4.25, p = 0.026) and habit of swimming (AOR = 1.17; 95%CI: 1.03-1.95, p = 0.045) were significantly associated with helminthic infection.
High prevalence of intestinal helminthic infections among school age children demands integration of deworming with water, hygiene and sanitation as well as consistent health education.
了解不同地区各种寄生虫感染的负担和相关因素的流行病学信息，对于制定适当的控制和预防措施以及监测和评估现有方案是必不可少的。因此，本研究旨在评估埃塞俄比亚南部 Arbaminch Zuria 区学龄儿童肠道蠕虫的流行情况及其相关因素。
本研究采用基于社区的横断面研究方法，共招募了 391 名小学生。采用简单随机抽样技术选择参与者。使用经过预测试的结构化问卷收集有关社会人口统计学特征和与肠道寄生虫病相关的感知因素的数据。按照标准方案进行粪便显微镜检查。使用 Statistical Package for Social Science 版本 22 分析数据。
在 391 名参与的儿童中，有 181 名（46.3%；95%置信区间：41.9-51.5）感染了肠道蠕虫。单一和双重感染的比例分别为 40.2%和 6.1%。共检测到 7 种寄生虫，其中以蛔虫感染率最高（56 例，14.3%），其次是钩虫（55 例，14.1%）。未在食用前清洗水果和蔬菜（AOR=2.16；95%CI：1.10-4.25，p=0.026）和游泳习惯（AOR=1.17；95%CI：1.03-1.95，p=0.045）与感染显著相关。
学龄儿童肠道蠕虫感染率高，需要将驱虫与水、卫生和环境卫生以及持续的健康教育相结合。
