Ataş Ahmet Duran
Sivas Cumhuriyet Üniversitesi Tıp Fakültesi, Tıbbi Parazitoloji Anabilim Dalı, Sivas, Türkiye
Turkiye Parazitol Derg. 2020 Mar 20;44(1):25-30. doi: 10.4274/tpd.galenos.2020.6619.
The aim of this study was to determine the distribution of intestinal parasites in patients admitted to our hospital with gastrointestinal complaints in our city harboring sociocultural and economic changes, and to show the relationship between these parasites and variables such as age, sex and year.
The distribution of intestinal parasites in patients who suffered from gastrointestinal symptoms and were referred to our microbiology/parasitology laboratory from various clinics of the Sivas Cumhuriyet University Training and Research Hospital between January 2006 and December 2018 was determined. After macroscopic examination, 19,760 stool specimens were examined with Nativ-lugol, if necessary, flotation, sedimentation, trichrome and modified acid-fast, Certest Combo Card test Crypto + Giardia + Entamoeba (CerTest Biotec S.L., SPAIN) methods and 5,814 cellophane tape samples were examined with direct microscopy and the results were evaluated retrospectively.
Three protozoa and six helminth species were identified in the samples studied. The most frequent parasite was found to be Giardia intestinalis (6.9% n=1.363) from protozoa and (10.8% n=627) from helminths. (1.5% n=289), (0.3% n=53), (0.2% n=41), (0.1% n=23), (0.1% n=21), (2.1% n=299) and (0.01% n=1) were among other intestinal parasites.
Between 2006-2018, while decreases in soil-borne parasitoses were observed, there was no statistically significant decrease in annual positive case rates. Despite the development of the infrastructure, parasitoses transmitted by lack of sanitation/cleaning, are still important in our province.
本研究旨在确定在我们这个经历社会文化和经济变革的城市中，因胃肠道不适而入住我院的患者体内肠道寄生虫的分布情况，并揭示这些寄生虫与年龄、性别和年份等变量之间的关系。
确定了2006年1月至2018年12月期间，从锡瓦斯 Cumhuriyet 大学培训与研究医院各诊所转诊至我们微生物学/寄生虫学实验室、有胃肠道症状患者体内肠道寄生虫的分布情况。经过宏观检查后，对19760份粪便标本采用纳氏-卢戈氏碘液法检查，必要时采用浮选法、沉淀法、三色染色法和改良抗酸染色法、Certest Combo Card 检测隐孢子虫+贾第虫+溶组织内阿米巴（Certest Biotec S.L.，西班牙）方法进行检测；对5814份透明胶带样本采用直接显微镜检查，并对结果进行回顾性评估。
在所研究的样本中鉴定出三种原生动物和六种蠕虫。最常见的寄生虫原生动物为肠贾第虫（6.9%，n = 1363），蠕虫为[此处原文缺失蠕虫名称]（10.8%，n = 627）。其他肠道寄生虫包括[此处原文缺失寄生虫名称]（1.5%，n = 289）、[此处原文缺失寄生虫名称]（0.3%，n = 53）、[此处原文缺失寄生虫名称]（0.2%，n = 41）、[此处原文缺失寄生虫名称]（0.1%，n = 23）、[此处原文缺失寄生虫名称]（0.1%，n = 2）、[此处原文缺失寄生虫名称]（2.1%，n = 299）和[此处原文缺失寄生虫名称]（[此处原文缺失百分比和具体数字]）。
2006 - 2018年间，虽然土源性寄生虫病有所减少，但年阳性病例率没有统计学上的显著下降。尽管基础设施有所发展，但因卫生/清洁不足传播的寄生虫病在我省仍然很重要。
