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尼日利亚人能赢得抗击泌尿血吸虫病的战争吗?尼日利亚西南部一些农村社区的患病率、感染强度、风险因素及知识评估

Will Nigerians Win the War Against Urinary Schistosomiasis? Prevalence, Intensity, Risk Factors and Knowledge Assessment among Some Rural Communities in Southwestern Nigeria.

作者信息

Awosolu Oluwaseun B, Shariman Yahaya Z, Haziqah M T Farah, Olusi Titus A

机构信息

School of Biological Sciences, Universiti Sains Malaysia, Penang 11800 USM, Malaysia.

Parasitology and Public Health Unit, Department of Biology, Federal University of Technology, Akure PMB 704, Nigeria.

出版信息

Pathogens. 2020 Feb 17;9(2):128. doi: 10.3390/pathogens9020128.

DOI:10.3390/pathogens9020128
PMID:32079189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7168148/
Abstract

Urinary schistosomiasis is a devastating parasitic disease in Nigeria. This study was carried out to investigate the current prevalence, intensity, risk factors and knowledge assessment among some rural communities in southwestern Nigeria. A cross-sectional study was carried out in which a standard urine filtrations technique was used to determine the prevalence and intensity of infection. A well-designed questionnaire was used to collect subject's data on demographic and socioeconomic characteristics. Of the total 620 urine samples examined, overall 346 (55.81%) were positive with a mean egg intensity (S.D) of 65.60 (59.33) egg/10 mL of urine. Significant differences occurred in the analysis. Males had the highest prevalence and intensity of 224 (61.9%) and 69.20 egg/10 mL of urine, respectively. The 10-14 years age group had the highest prevalence of 65.9% while mean intensity of infection among the age group decreases with increasing age, with the highest mean intensity of infection (80.14 egg/10 mL) recorded among the age group ≤ 4 years. Bivariate logistic regression analysis showed that being age group 10-14 (COR 0.27, 95% CI: 0.09-0.79) and dependent on river (COR 0.67, 95% CI: 0.33-1.33) increased the odd of contracting an infection. Similarly, the knowledge of respondents on urinary schistosomiasis was low. Conclusively, urinary schistosomiasis is still persistent at a very high rate in the study area and appropriate control measure should be deployed.

摘要

在尼日利亚,泌尿生殖系统血吸虫病是一种极具破坏性的寄生虫病。本研究旨在调查尼日利亚西南部一些农村社区当前的患病率、感染强度、危险因素及知识认知情况。开展了一项横断面研究,采用标准尿液过滤技术确定感染的患病率和强度。使用精心设计的问卷收集受试者的人口统计学和社会经济特征数据。在总共检测的620份尿液样本中,共有346份(55.81%)呈阳性,平均虫卵强度(标准差)为65.60(59.33)个虫卵/10毫升尿液。分析中出现了显著差异。男性的患病率和感染强度最高,分别为224例(61.9%)和69.20个虫卵/10毫升尿液。10 - 14岁年龄组的患病率最高,为65.9%,而该年龄组的平均感染强度随年龄增长而降低,≤4岁年龄组的平均感染强度最高(80.14个虫卵/10毫升)。二元逻辑回归分析表明,年龄在10 - 14岁(比值比0.27,95%置信区间:0.09 - 0.79)以及依赖河流(比值比0.67,95%置信区间:0.33 - 1.33)会增加感染几率。同样,受访者对泌尿生殖系统血吸虫病的了解程度较低。总之,在研究区域,泌尿生殖系统血吸虫病仍以很高的比例持续存在,应采取适当的控制措施。

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