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伊朗北部3至15岁儿童中弓蛔虫属感染的血清阳性率、危险因素及临床症状

Seroprevalence, risk factors, and clinical symptoms of Toxocara spp. infection among children 3-15 years old in northern Iran.

作者信息

Cheraghali Fatemeh, Fadaei Jouybari Fatemeh, Tohidi Farideh, Ghasemikhah Reza, Taghipour Ali, Sharbatkhori Mitra

机构信息

Department of Pediatric Diseases, Golestan University of Medical Sciences, Gorgan, Iran.

Student Research Committee, Golestan University of Medical Sciences, Gorgan, Iran.

出版信息

Comp Immunol Microbiol Infect Dis. 2021 Jun;76:101643. doi: 10.1016/j.cimid.2021.101643. Epub 2021 Mar 27.

Abstract

The World Health Organization has categorized toxocarosis as a neglected tropical disease despite its significant impact on high-risk groups such as children. This study aimed to investigate the seroprevalence, risk factors, and clinical symptoms of Toxocara spp. infection among children 3-15 years old in northern Iran. A total of 386 children were enrolled in the study. All serum samples were tested for the presence of IgG antibodies against Toxocara spp. infection using an enzyme-linked immunosorbent assay. Moreover, relevant risk factors and clinical symptom data were obtained using questionnaires. Data analysis was performed using the SPSS software version 24. The overall seroprevalence of Toxocara spp. infection was found 2.85 % (11/386). However, Toxocara spp. infection was high for some risk factors, including eating soil (14.3 %), contacting cats (6.7 %), and consuming raw vegetables (3.7 %). However, there were no statistically significant differences regarding the risk factors and socio-demographic characteristics. Considering the clinical symptoms, Toxocara spp. infection was different in children with eosinophilia (20 %), ocular disorders (8.3 %), skin disorders (7.7 %), liver disorders (4.5 %), and stomach ache (4.2 %), although not statistically significant. The results revealed that the seroprevalence of Toxocara spp. infection was relatively low in children in northern Iran. It is suggested to conduct more studies in different parts of Iran to gain a deeper understanding of the toxocarosis seroprevalence and its status in high-risk groups such as children with asthma, hypereosinophilic syndrome, allergic skin disorders, and epilepsy.

摘要

尽管弓蛔虫病对儿童等高风险群体有重大影响,但世界卫生组织仍将其归类为被忽视的热带病。本研究旨在调查伊朗北部3至15岁儿童中弓蛔虫属感染的血清流行率、危险因素及临床症状。共有386名儿童参与了该研究。所有血清样本均采用酶联免疫吸附测定法检测针对弓蛔虫属感染的IgG抗体。此外,通过问卷获取相关危险因素及临床症状数据。使用SPSS 24版软件进行数据分析。结果发现弓蛔虫属感染的总体血清流行率为2.85%(11/386)。然而,某些危险因素导致的弓蛔虫属感染率较高,包括食土(14.3%)、接触猫(6.7%)和食用生蔬菜(3.7%)。不过,在危险因素和社会人口学特征方面没有统计学上的显著差异。考虑到临床症状,在嗜酸性粒细胞增多(20%)、眼部疾病(8.3%)、皮肤疾病(7.7%)、肝脏疾病(4.5%)和胃痛(4.2%)的儿童中,弓蛔虫属感染情况有所不同,尽管差异无统计学意义。结果显示,伊朗北部儿童中弓蛔虫属感染的血清流行率相对较低。建议在伊朗不同地区开展更多研究,以更深入了解弓蛔虫病的血清流行率及其在哮喘、高嗜酸性粒细胞综合征、过敏性皮肤病和癫痫等高危儿童群体中的状况。

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