Vázquez Fátima Aidée, Ramírez Dora Rafaela, Echague Gloria, Sosa Liliana, Cabello María Águeda, Samudio Margarita, Luciañez Ana, de Assis Dalva María
Ministerio de Salud Pública y Bienestar Social, Asunción, Paraguay.
Instituto de Investigaciones en Ciencias de la Salud, Universidad Nacional de Asunción, San Lorenzo, Paraguay.
Rev Chilena Infectol. 2018;35(5):501-508. doi: 10.4067/s0716-10182018000500501.
Currently, Paraguay has no data on the prevalence of soil-transmitted geohelminth infection in schoolchildren aged 6 to 12 years.
To determine the prevalence and intensity of infection by Ascaris lumbricoides, Trichuris trichiura and hookworms and the socio-cultural-environmental characteristics of the affected population.
Descriptive, cross-sectional study, in three semi-tropical climatic zones: continental, semi steppe and humid. A total of 1,404 schoolchildren from 20 schools in eight departments were selected from the country's three climate zones. Copro-parasitological exams were analyzed in situ with the Kato-Katz method.
The national prevalence for geohelminthiasis was 3.73% (95% CI = 2.8-4.8). The risk factors found were consumption of well water OR: 2.88 (95% CI = 1.64-2.07), ground floor in housing OR: 2.56 (95% CI = 1.45-4.50) and lack of flushing water baths in households OR: 2.29 (95% CI = 1.23-4.28).
Although the national prevalence of geohelminthiasis was low, it is recommended to promote good hygienic practices, use of footwear, and safe water consumption, as well as designing interventions with all relevant sectors to improve access to safe water and improved basic sanitation facilities.
目前,巴拉圭尚无6至12岁学童土壤传播的蠕虫感染患病率数据。
确定蛔虫、鞭虫和钩虫的感染患病率及感染强度,以及受影响人群的社会文化环境特征。
在大陆性、半草原性和湿润性这三个亚热带气候区开展描述性横断面研究。从该国三个气候区的八个省份的20所学校中选取了1404名学童。采用改良加藤厚涂片法现场分析粪便寄生虫学检查结果。
该国土壤传播蠕虫病的患病率为3.73%(95%置信区间=2.8 - 4.8)。发现的风险因素包括饮用井水(比值比:2.88,95%置信区间=1.64 - 2.07)、居住在底层(比值比:2.56,95%置信区间=1.45 - 4.50)以及家庭中没有冲水式浴室(比值比:2.29,95%置信区间=1.23 - 4.28)。
尽管该国土壤传播蠕虫病的患病率较低,但建议推广良好的卫生习惯、穿鞋习惯以及安全的用水方式,并与所有相关部门共同设计干预措施,以改善安全用水的可及性并改善基本卫生设施。