Teja S Sai, Swarna S R, Jeyakumari D, Kanna Vignesh
Department of Microbiology, JIPMER, Karaikal, India.
Trop Parasitol. 2020 Jul-Dec;10(2):79-85. doi: 10.4103/tp.TP_42_19. Epub 2021 Jan 25.
Intestinal parasitic infections (IPIs) play a major role in global disease burden with significant morbidity. The most vulnerable age group was school going children and is transmitted through soil. About 90% of infected individuals remain asymptomatic. The present study was designed to screen for IPI among school children in Karaikal, to identify the asymptomatic infections and to assess the type and occurrence of IPIs.
A cross-sectional study was carried out from July to September 2018 among school children in the age group of 6-14 years after getting ethical clearance. A total of 335 single stool samples were collected. The samples were subjected to macroscopic examination, microscopic examination and subjected to concentration techniques such as salt floatation and formal ether sedimentation technique. Two separate fresh stool smears were made on the microscopic slides for trichrome and modified acid-fast staining. The results were calculated as percentage, frequency/proportion, and Chi-square test using IBM SPSS software version 19.
Only 90 (28%) out of 324 stool samples were positive for the presence of intestinal parasites. The sensitivity of formal ether sedimentation technique (58%) was higher than other techniques. None of the ova of helminths detected. Modified acid-fast staining was negative for coccidian parasites.
The low prevalence of protozoan parasites and total absence of helminths in the study revealed the effective role of nationwide deworming program and Swachh Bharat Abhiyan program. However, anthelminthic does not cover the protozoan parasites and it exists among asymptomatic healthy population.
肠道寄生虫感染(IPIs)在全球疾病负担中起主要作用,发病率很高。最易感染的年龄组是学龄儿童,通过土壤传播。约90%的感染者无症状。本研究旨在筛查卡拉伊卡尔地区学龄儿童中的IPIs,识别无症状感染,并评估IPIs的类型和发生率。
在获得伦理批准后,于2018年7月至9月对6至14岁的学龄儿童进行了一项横断面研究。共收集了335份单一粪便样本。对样本进行肉眼检查、显微镜检查,并采用盐漂浮法和甲醛乙醚沉淀法等浓缩技术。在显微镜载玻片上制作两份单独的新鲜粪便涂片,用于三色染色和改良抗酸染色。使用IBM SPSS软件版本19将结果计算为百分比、频率/比例和卡方检验。
324份粪便样本中只有90份(28%)肠道寄生虫检测呈阳性。甲醛乙醚沉淀技术的敏感性(58%)高于其他技术。未检测到任何蠕虫卵。改良抗酸染色对球虫寄生虫呈阴性。
该研究中原生动物寄生虫的低患病率和蠕虫的完全不存在揭示了全国驱虫计划和“清洁印度”运动计划的有效作用。然而,驱虫药并不覆盖原生动物寄生虫,且其存在于无症状健康人群中。