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喀麦隆滨海地区卢姆学龄儿童血吸虫病和土壤传播蠕虫感染率目前呈下降趋势。

Current decline in schistosome and soil-transmitted helminth infections among school children at Loum, Littoral region, Cameroon.

作者信息

Nkengni Shanti Merveille Mekam, Zoumabo Aurelia Thérèse Condomat, Soppa Naomi Paloma Sangue, Sizono Adèle Besch Ngwem, Vignoles Philippe, Tchuenté Louis-Albert Tchuem, Teukeng Félicité Flore Djuikwo

机构信息

Faculty of Health Sciences, Campus of Banekane, Université des Montagnes, P.O. Box 208, Bangangté, Cameroon.

INSERM U 1094, Institute of Neuroepidemiology and Tropical Neurology, 2, rue du Docteur Raymond Marcland, 87025 Limoges, France.

出版信息

Pan Afr Med J. 2019 Jun 10;33:94. doi: 10.11604/pamj.2019.33.94.18265. eCollection 2019.

DOI:10.11604/pamj.2019.33.94.18265
PMID:31489072
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6713490/
Abstract

INTRODUCTION

Soil-transmitted helminth infections (STHs) and schistosomiasis have serious consequences for the health, education and nutrition of children in developing countries. As Loum is known as a highly endemic commune for these infections, several deworming campaigns have been carried out in the past. The purpose of this study was to determine any changes that have occurred since then in the characteristics of these infections among schoolchildren in this site.

METHODS

A cross-sectional study was conducted in October 2016 on 289 schoolchildren. Stool and urine samples were collected and examined to determine the prevalence and intensity of helminth infections.

RESULTS

The highest prevalence was noted for (34.2%), followed by (8.6%), (4.9%) and (4.9%) in decreasing order. A prevalence of less than 2% was noted for each of the other two helminths. The highest mean intensity was found for (39.6 eggs/10 ml of urine), followed by (24.2 eggs per gram of faeces: epg), (16.6 epg) and (12.3 epg). The prevalence of was significantly higher in boys and that of in children aged 10 years or older, while the differences between other values of prevalence or between egg burdens were not significant.

CONCLUSION

Compared with values reported in 2003, the prevalence and intensity of and STH infections in Loum has sharply decreased in 2016. Confirmation of this decrease in the years to come allowed to space deworming campaigns among schoolchildren.

摘要

引言

土壤传播的蠕虫感染(STH)和血吸虫病对发展中国家儿童的健康、教育和营养有着严重影响。由于卢姆被认为是这些感染的高度流行社区,过去已经开展了几次驱虫运动。本研究的目的是确定自那时以来该地区学童这些感染特征发生的任何变化。

方法

2016年10月对289名学童进行了横断面研究。收集粪便和尿液样本并进行检查,以确定蠕虫感染的患病率和感染强度。

结果

感染率最高的是[具体寄生虫名称1](34.2%),其次是[具体寄生虫名称2](8.6%)、[具体寄生虫名称3](4.9%)和[具体寄生虫名称4](4.9%),按降序排列。其他两种蠕虫的感染率均低于2%。平均感染强度最高的是[具体寄生虫名称1](每10毫升尿液中有39.6个虫卵),其次是[具体寄生虫名称2](每克粪便中有24.2个虫卵:epg)、[具体寄生虫名称3](16.6 epg)和[具体寄生虫名称4](12.3 epg)。[具体寄生虫名称1]的感染率在男孩中显著更高,[具体寄生虫名称2]在10岁及以上儿童中感染率更高,而其他感染率值或虫卵负荷之间的差异不显著。

结论

与2003年报告的值相比,2016年卢姆地区[具体寄生虫名称1]和STH感染的患病率和感染强度大幅下降。在未来几年确认这种下降情况后,可以在学童中安排驱虫运动的间隔时间。

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