Dudlová Adriána, Jarčuška Pavol, Jurišová Silvia, Vasilková Zuzana, Krčméry Vladimír, Juriš Peter
St Elisabeth University of Health Care and Social Work, Námestie 1. mája, 080 00 Bratislava, Slovak Republic.
Department of Infectology and Travel Medicine, Faculty of Medicine, University of P. J. Šafárik, Rastislavova 43, 041 90 Košice, Slovak Republic.
Acta Parasitol. 2018 Dec 19;63(4):819-825. doi: 10.1515/ap-2018-0100.
The aim of the research was to determine the prevalence of non-pathogenic protozoa circulating in the human population of Slovakia. We particularly focused on the socially deprived areas with poor sanitation conditions, as they are one of the factors affecting the transmission of these infections. Within this study, 2760 people were coprologically screened for the presence of protozoan cysts. The analyzed group comprised 1173 men and 1587 women from different regions of Slovakia. The total prevalence (2.03%) of non-pathogenic protozoa species was determined. The prevalence of Entamoeba coli was 0.80%, the prevalence of Endolimax nana 0.58%, and the prevalence of Blastocystis hominis was 0.65%. The presence of non-pathogenic protozoa was more frequent in women than that in men, in all age groups. The highest incidence of Entamoeba coli was found in children aged one month - seven years (0.79%), the lowest in the age group of 19-88 years (0.66%). Endolimax nana was most frequent in 8-18 year-olds (0.95%), where the statistical significance was found (p<0.05). The prevalence of Blastocystis hominis by the age group ranged from 0.39 to 0.95%. We did not find any statistical significance (p>0.05) for Entamoeba coli, and similarly for Blastocystis hominis associated with the sex and age. Although the circulation of non-pathogenic protozoa in the human population is far from being limited to the developing countries, their occurrence is also frequent in the population of developed countries. Despite their controversial pathogenicity, they should not be neglected, particularly in the patients with gastrointestinal symptoms.
该研究的目的是确定斯洛伐克人群中循环的非致病性原生动物的流行情况。我们特别关注卫生条件差的社会贫困地区，因为它们是影响这些感染传播的因素之一。在这项研究中，对2760人进行了粪便检查，以检测原生动物囊肿的存在。分析组包括来自斯洛伐克不同地区的1173名男性和1587名女性。确定了非致病性原生动物物种的总流行率（2.03%）。结肠内阿米巴的流行率为0.80%，微小内蜒阿米巴为0.58%，人芽囊原虫为0.65%。在所有年龄组中，女性中非致病性原生动物的存在比男性更频繁。结肠内阿米巴的最高发病率出现在1个月至7岁的儿童中（0.79%），在19至88岁年龄组中最低（0.66%）。微小内蜒阿米巴在8至18岁人群中最常见（0.95%），具有统计学意义（p<0.05）。人芽囊原虫按年龄组的流行率在0.39%至0.95%之间。我们没有发现结肠内阿米巴以及与人芽囊原虫相关的性别和年龄有任何统计学意义（p>0.05）。尽管非致病性原生动物在人群中的传播远不限于发展中国家，但在发达国家的人群中也很常见。尽管它们的致病性存在争议，但不应被忽视，特别是在有胃肠道症状的患者中。
