MVZ Labor 28, Mecklenburgische Str. 28, 14197, Berlin, Germany.
Department of Microbiology and Infection Immunology, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12200, Berlin, Germany.
Eur J Clin Microbiol Infect Dis. 2019 Apr;38(4):719-723. doi: 10.1007/s10096-019-03495-1. Epub 2019 Feb 2.
The pinworm (Enterobius vermicularis) causes mostly mild infections characterised by nocturnal anal pruritus, mainly in children. Still, the infection is stigmatising and sleep disturbances may lead to lack of concentration. For Germany, no epidemiological data are available. Laboratory data of all patients for whom detection of E. vermicularis by cellulose tape test had been requested between 2007 and November 2017 were analysed retrospectively. E. vermicularis was detected in 971/5578 (17.4%) samples collected from 3991 patients. The detection rate increased significantly within the period of investigation. It was higher in male than in female patients (20.0 vs. 15.4%). Children 4 to 10 years old and, if also examined, their relatives were most frequently affected. Control investigations at an interval of at least 1 month, which could indicate insufficient therapy or re-infection, were performed in 90/714 patients (12.6%). While parasite detection in children < 6 years was evenly distributed throughout the year, in older patients, it peaked between October and December. In conclusion, in the area of investigation, the frequency of E. vermicularis is higher in males than in females and is subject to a hitherto undescribed seasonality. The causes of the increased frequency of parasite detection warrant further investigations.
蛲虫（Enterobius vermicularis）主要引起轻度感染，特征为夜间肛门瘙痒，主要发生在儿童中。然而，这种感染具有污名性，睡眠障碍可能导致注意力不集中。德国目前尚无流行病学数据。回顾性分析了 2007 年至 2017 年 11 月间所有因纤维素胶带试验检测到蛲虫而要求检测的患者的实验室数据。在 3991 名患者采集的 5578 份样本中，971 份（17.4%）检测到蛲虫。在此期间，检测率显著上升。男性患者的检出率高于女性患者（20.0%比 15.4%）。4 至 10 岁的儿童及其受检亲属是最常受影响的人群。在至少 1 个月的间隔进行了 90/714 例患者（12.6%）的对照检查，这可能表明治疗不足或再次感染。虽然 6 岁以下儿童的寄生虫检测全年分布均匀，但在年龄较大的患者中，其感染高峰期在 10 月至 12 月之间。总之，在研究区域，男性蛲虫感染的频率高于女性，且具有前所未有的季节性。寄生虫检测频率增加的原因需要进一步调查。
