Gebretsadik Daniel, Tesfaye Melkam, Adamu Aderaw, Zewde Gashaw
Department of Medical Laboratory Science, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Ataye District Hospital, Ataye, North Shoa, Ethiopia.
Pediatric Health Med Ther. 2020 Jun 12;11:179-188. doi: 10.2147/PHMT.S252061. eCollection 2020.
Intestinal parasitic infections (IPIs) are major health problems in many developing countries. School children between the ages of 5 and 15 years suffer the highest infection rate and parasitic burden that are attributed to poor sanitation and hygiene. In Ethiopia, the prevalence of IPIs among school children is high (ranging from 66.7% to 83.8%).
School-based cross-sectional study was conducted in two primary schools at Harbu Town, Northeast Ethiopia from February to May, 2018. Systematic random sampling technique was employed to select study participants from the two school compounds. The sample size was determined by a single population proportion statistical formula and the minimum numbers of study participants defined were 400 school children. Socio-demographic and risk factor-related information were collected using structured questionnaire. Data about detection and identification of intestinal parasites were obtained from laboratory examination of stool specimen by using wet mount and formol-ether concentration techniques. Stool specimen from each study participant was collected using clean, properly labeled and leak-proof stool cup. The data were processed and analyzed using SPSS version 20 software.
Out of a total of 400 study participants, 86 (21.5%) were found with one or more IPIs. Six different types of intestinal parasites were identified, was the most 33 (8.3%) detected parasite followed by 19 (4.8%) and 19 (4.8%). The least identified parasite was , detected only from four study participants. Male study participants showed 2.42 times risk (AOR = 2.42, 95% CI = 1.25-4.7, P = 0.009) of acquiring parasitic infection than female. Presence of water body near to home and having contact with water bodies showed 7.64 (AOR= 7.64, 95% CI= 3.3-17.8, P= 0.000) and 4.6 (AOR=4.6, 95% CI: 2.04-10.57, P= 0.000) times risk of infection with parasitic infection among school children, respectively.
IPIs were highly prevalent health problem among the two primary school children in Harbu Town. Sex, availability of water bodies near to house and contact with water bodies were having significant association with the prevalence of IPIs.
肠道寄生虫感染(IPIs)是许多发展中国家的主要健康问题。5至15岁的学童感染率和寄生虫负担最高,这归因于卫生条件差和个人卫生习惯不良。在埃塞俄比亚,学童中IPIs的患病率很高(范围从66.7%至83.8%)。
2018年2月至5月,在埃塞俄比亚东北部哈尔布镇的两所小学进行了基于学校的横断面研究。采用系统随机抽样技术从两个学校校区中选取研究参与者。样本量通过单总体比例统计公式确定,确定的研究参与者最少数量为400名学童。使用结构化问卷收集社会人口统计学和风险因素相关信息。关于肠道寄生虫检测和鉴定的数据通过使用湿片法和甲醛-乙醚浓缩技术对粪便标本进行实验室检查获得。使用干净、正确标记且防漏的粪便杯收集每个研究参与者的粪便标本。使用SPSS 20版软件对数据进行处理和分析。
在总共400名研究参与者中,86名(21.5%)被发现感染了一种或多种IPIs。鉴定出六种不同类型的肠道寄生虫,最常见的是 ,33名(8.3%)检测到该寄生虫,其次是 19名(4.8%)和 19名(4.8%)。鉴定出最少的寄生虫是 ,仅在四名研究参与者中检测到。男性研究参与者感染寄生虫的风险是女性的2.42倍(比值比[AOR]=2.42,95%置信区间[CI]=1.25 - 4.7,P = 0.009)。家附近有水体以及与水体接触的学童感染寄生虫的风险分别为7.64倍(AOR = 7.64,95% CI = 3.3 - 17.8,P = 0.000)和4.6倍(AOR = 4.6,95% CI:2.04 - 10.57,P = 0.000)。
IPIs是哈尔布镇两所小学学童中高度普遍的健康问题。性别、家附近水体的存在以及与水体接触与IPIs的患病率有显著关联。