2017 年，埃塞俄比亚提格雷地区梅开勒监狱囚犯的肠道寄生虫流行情况及相关危险因素。
Prevalence of intestinal parasites and associated risk factors among inmates of Mekelle prison, Tigrai Region, Northern Ethiopia, 2017.
机构信息
Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Adigrat University, Adigrat, Ethiopia.
Unit of Medical parasitology and entomology, Institute of Biomedical Sciences, Mekelle University, Mekelle, Ethiopia.
出版信息
BMC Infect Dis. 2019 May 10;19(1):406. doi: 10.1186/s12879-019-4053-9.
BACKGROUND
In Ethiopia, like other developing countries, intestinal parasitic infections are the major public health problems affecting millions annually. Overcrowding and poor living conditions are the major risk factors. Prison inmates are among the most vulnerable groups to intestinal parasitic infections. However, there is scarcity of epidemiological data regarding intestinal parasites among prison inmates in Ethiopia, notably in Tigrai. Thus, we aimed to determine the prevalence of intestinal parasites and identify the associated factors among inmates of Mekelle prison, Tigrai, Northern Ethiopia.
METHODS
A cross sectional study involving 291 inmates was conducted from February to June 2017 among inmates of Mekelle prison. After systematically selecting subjects, stool specimens were examined using direct wet mount and formol-ether concentration techniques. We used SPSS version 21 for data analysis. We considered p-value less than 0.05 significant at 95% confidence level.
RESULTS
Of the 291 inmates enrolled in the study, 124 (42.6%) harbored one or more intestinal parasites. The protozoan Entamoeba histolytica/dispar/moshkovskii was the predominant parasite accounted for 68 (23.3%) of the infections followed by Giardia lamblia (10.3%) and Entamoeba coli (8.2%). Fourteen (4.8%) participants were co-infected with different parasite species. The co-infections of Entamoeba histolytica/dispar/moshkovskii and Giardia lamblia were detected among 3.1% of the participants. In bivariate analysis, hand fingernail status (COR 1.86, 95% CI, 1.08-3.20) and duration of stay in prison (COR 2.23, 95% CI 1.31-3.79) were statistically associated with intestinal parasite infections. In multivariable regression, inmates who stayed in the prison for one year or less were more likely to harbor intestinal parasitic infections (p = 0.013) than those who stayed longer. No other single predictor variable was found to be significantly associated with intestinal parasitic infections.
CONCLUSIONS
The result of this study showed that intestinal parasites are significant health problems among inmates of Mekelle prison.
背景
在埃塞俄比亚，像其他发展中国家一样，肠道寄生虫感染是影响数百万人的主要公共卫生问题。过度拥挤和恶劣的生活条件是主要的危险因素。囚犯是最容易感染肠道寄生虫的群体之一。然而，关于埃塞俄比亚，特别是提格雷地区监狱囚犯肠道寄生虫的流行病学数据稀缺。因此，我们旨在确定梅克尔监狱囚犯肠道寄生虫的流行率，并确定与肠道寄生虫相关的因素。
方法
这是一项 2017 年 2 月至 6 月期间在梅克尔监狱囚犯中进行的横断面研究，共纳入 291 名囚犯。在系统选择研究对象后，使用直接湿载片和福尔马林乙醚浓缩技术检查粪便标本。我们使用 SPSS 版本 21 进行数据分析。我们认为，在 95%置信水平下，p 值小于 0.05 具有统计学意义。
结果
在纳入研究的 291 名囚犯中，有 124 名（42.6%）携带一种或多种肠道寄生虫。原生动物溶组织内阿米巴/迪斯帕/莫什科夫斯基是最主要的寄生虫，占感染人数的 68 人（23.3%），紧随其后的是蓝氏贾第鞭毛虫（10.3%）和大肠杆菌（8.2%）。有 14 名（4.8%）参与者同时感染了不同的寄生虫物种。溶组织内阿米巴/迪斯帕/莫什科夫斯基和蓝氏贾第鞭毛虫的合并感染在 3.1%的参与者中被检测到。在单变量分析中，手指甲状况（比值比 1.86，95%置信区间 1.08-3.20）和在监狱中的停留时间（比值比 2.23，95%置信区间 1.31-3.79）与肠道寄生虫感染有统计学关联。在多变量回归中，在监狱中停留一年或更短时间的囚犯比停留时间更长的囚犯更容易感染肠道寄生虫（p=0.013）。没有发现其他单一预测变量与肠道寄生虫感染有显著关联。
结论
本研究结果表明，肠道寄生虫是梅克尔监狱囚犯的一个严重健康问题。
Zotero 插件