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北塞浦路斯一所大学医院肠道寄生虫流行病学:一项为期 4 年的回顾性研究。

Epidemiology of Intestinal Parasites in a University Hospital in Northern Cyprus: A 4-year Retrospective Experience.

机构信息

Yakın Doğu Üniversitesi Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü, Lefkoşa, Kuzey Kıbrıs Türk Cumhuriyeti

Yakın Doğu Üniversitesi Tıp Fakültesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Lefkoşa, Kuzey Kıbrıs Türk Cumhuriyeti

出版信息

Turkiye Parazitol Derg. 2021 Jun 7;45(2):128-132. doi: 10.4274/tpd.galenos.2021.6847.

DOI:10.4274/tpd.galenos.2021.6847
PMID:34103290
Abstract

OBJECTIVE

Intestinal parasitic infections (IPI) are considered as one of the most important public health problems that cause morbidity and mortality. For this reason, to determine their prevalence it is critical for prevention. This study aimed to determine the prevalence of intestinal parasites.

METHODS

In our study, a total of 4.957 patients registered to our hospital with gastrointestinal symptoms between January 2016 and December 2019 were retrospectively analysed. Their stool samples were examined macroscopically and microscopically. In the microscopy, native-lugol and formol ethyl acetate concentration methods were used. Crypto-Giardia-Entamoeba antigen test was applied. All cases were evaluated in terms of age, gender, year and season.

RESULTS

In our study group, 239 (4.8%) patients were detected as positive for intestinal parasites. Among these patients, 129 (54%) were male and 110 (46%) were female. No statistically significant difference was found between IPI and gender (p=0.228). (76.2%) and (12.1%) were the most common parasites. According to age groups, most intestinal parasites are found in 16-45 years old and least in 0-15-years-old (p=0.0001). A significant increase was found in positive intestinal parasite cases especially after 2018 (p=0.0001). Our study determined that intestinal parasites were observed most frequently in autumn (p=0.033).

CONCLUSION

The prevalence of IPI in our country is low. However, due to the increasing trend of IPI since 2018, necessary measures must be implemented to prevent further increase in the number of cases. In addition, reasons behind the rising cases of intestinal parasites during the autumn months in which rainfall begins require further investigation.

摘要

目的

肠道寄生虫感染(IPI)被认为是导致发病率和死亡率的最重要的公共卫生问题之一。因此,确定其流行率对于预防至关重要。本研究旨在确定肠道寄生虫的流行率。

方法

在我们的研究中,回顾性分析了 2016 年 1 月至 2019 年 12 月期间因胃肠道症状在我院登记的 4957 例患者。对他们的粪便样本进行了宏观和微观检查。在显微镜下,使用了原生 lugol 和福尔马林乙酸乙酯浓缩方法。应用隐孢子虫-肠内阿米巴抗原检测。所有病例均按年龄、性别、年份和季节进行评估。

结果

在我们的研究组中,239 例(4.8%)患者被检测出肠道寄生虫呈阳性。在这些患者中,129 例(54%)为男性,110 例(46%)为女性。IPI 与性别之间无统计学差异(p=0.228)。(76.2%)和(12.1%)是最常见的寄生虫。按年龄组划分,肠道寄生虫最常见于 16-45 岁人群,而 0-15 岁人群最少(p=0.0001)。阳性肠道寄生虫病例尤其在 2018 年后明显增加(p=0.0001)。我们的研究表明,肠道寄生虫在秋季最为常见(p=0.033)。

结论

在我国,IPI 的流行率较低。然而,由于自 2018 年以来 IPI 的趋势呈上升趋势,必须采取必要措施防止病例进一步增加。此外,还需要进一步调查秋季降雨开始时肠道寄生虫病例增加的原因。

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