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三剂量阿苯达唑治疗土源性蠕虫感染的有效性

The Effectiveness of Triple Dose Albendazole in Treating Soil Transmitted Helminths Infection.

作者信息

Sungkar Saleha, Putri Kartika Q, Taufik Muhammad I S, Gozali Meutia N, Sudarmono Pratiwi

机构信息

Department of Parasitology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.

Department of Microbiology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.

出版信息

J Parasitol Res. 2019 Feb 4;2019:6438497. doi: 10.1155/2019/6438497. eCollection 2019.

Abstract

Soil transmitted helminths (STH) infection is a major health problem in tropical countries such as Indonesia. Albendazole is an effective and widely used anthelmintic agent to treat STH; however, it is not effective towards and its effectiveness varies between populations. Hence, we conducted a study to determine the effectiveness of triple dose albendazole in children of Perobatang village, Southwest Sumba, Indonesia. A pre-post study was carried out in Perobatang village on July 2016. Children aged 1-15 years old were enrolled in the study and asked to collect stool samples which were then examined using Kato-Katz method. The children infected with STH were given albendazole 400 mg for three consecutive days. From 246 subjects examined, 192 (78%) were positive for any STH consisting of (64%), (60%), and hookworms (10%). After treatment, the prevalence of STH decreased significantly (McNemar test, p<0.001) to 27%, 25%, 2%, and hookworm 0%. Cure rate for and hookworms was 61%, 97%, and 100%, respectively. Significant decrease of eggs per gram of feces was found in all STH (Wilcoxon test, p value <0.001 for and , p value = 0.027 for hookworms); egg reduction rate for was 91% was 100%, and hookworms was 100%. In conclusion, triple dose albendazole is effective in controlling STH in children of Perobatang village, Southwest Sumba, Indonesia.

摘要

土壤传播的蠕虫(STH)感染是印度尼西亚等热带国家的一个主要健康问题。阿苯达唑是一种有效且广泛使用的驱虫剂,用于治疗STH;然而,它对某些寄生虫无效,并且其有效性在不同人群中有所差异。因此,我们开展了一项研究,以确定三剂阿苯达唑对印度尼西亚松巴岛西南部佩罗巴唐村儿童的有效性。2016年7月在佩罗巴唐村进行了一项前后对照研究。1至15岁的儿童参与了该研究,并被要求收集粪便样本,然后使用加藤厚涂片法进行检测。感染STH的儿童连续三天服用400毫克阿苯达唑。在接受检查的246名受试者中,192名(78%)感染了任何一种STH,其中蛔虫感染率为64%,鞭虫感染率为60%,钩虫感染率为10%。治疗后,STH的感染率显著下降(麦克尼马尔检验,p<0.001),蛔虫感染率降至27%,鞭虫感染率降至25%,钩虫感染率降至2%,钩虫感染率为0%。蛔虫和钩虫的治愈率分别为61%、97%和100%。在所有STH感染中,每克粪便中的虫卵数均显著减少(威尔科克森检验,蛔虫和鞭虫的p值<0.001,钩虫的p值=0.027);蛔虫的虫卵减少率为91%,鞭虫为100%,钩虫为100%。总之,三剂阿苯达唑对印度尼西亚松巴岛西南部佩罗巴唐村儿童控制STH感染有效。

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