圣伊丽莎白综合医院诊断的 和 感染患者中伤寒传播方式的流行情况和认知度。
Prevalence and awareness of mode of transmission of typhoid fever in patients diagnosed with and infections at the Saint Elisabeth General Hospital Shisong, Bui Division, Cameroon.
机构信息
Department of Biomedical Sciences PO Box 067, University of Dschang, Dschang, Cameroon.
Pfizer Scholar, One Young World (OYW), 10 Queen Street Place, London, United Kingdom.
出版信息
Pan Afr Med J. 2021 Oct 7;40:83. doi: 10.11604/pamj.2021.40.83.16893. eCollection 2021.
INTRODUCTION
typhoid fever is a systemic infectious disease caused by the bacteria Salmonella enterica subspecies (typhi). It is a major cause of morbidity and mortality worldwide. This cross-sectional descriptive study aimed at determining the prevalence and awareness of the mode of transmission of Salmonella typhi among patients at the Saint Elisabeth General Hospital Shisong of Cameroon.
METHODS
the study carried out from March 1, 2017 to May 31, 2017 recruited patients who presented at the hospital with clinical signs and symptoms of typhoid fever and who had lab requests for stool culture requested by the resident physician. The prevalence of Salmonella typhi infections among the patients and the proportion of patients with adequate knowledge on the mode of transmission of Salmonella typhi were estimated at a 95% CI. Data were analyzed using Epi info7.1.3.3.
RESULTS
out of the 172 patients recruited for the studies, 52 (30.1%) were diagnosed with Salmonella typhi, 59.6% of which were male. Also, 3 (5.8%) were diagnosed with Salmonella paratyphoid A. A positive correlation between knowledge on the mode of transmission of Salmonella typhi and the level of education was established, showing that 92% of participants with a higher level of education indicating that typhoid fever can be contracted through consumption of contaminated water.
CONCLUSION
high prevalence of typhoid fever was observed in our study. The unawareness of the patients on typhoid fever and its contraction through contaminated water and food was positively correlated to the level of educations of the patients. These findings, therefore, suggest a public health challenge faced by inhabitants in this region where typhoid fever remains endemic. Scarcity of potable water, improper drainage systems, and problems of unsanitary toilets in Cameroon require urgent intervention.
简介
伤寒是一种由沙门氏菌亚种（伤寒）引起的全身性传染病。它是全球发病率和死亡率的主要原因。本横断面描述性研究旨在确定在喀麦隆 Shisong 的圣伊丽莎白综合医院就诊的患者中，伤寒沙门氏菌的传播方式的流行率和知晓率。
方法
该研究于 2017 年 3 月 1 日至 5 月 31 日进行，招募了有伤寒临床症状和体征且驻院医师要求进行粪便培养的患者。在 95%置信区间内估计患者中伤寒沙门氏菌感染的流行率和对伤寒沙门氏菌传播方式有足够了解的患者比例。使用 Epi info7.1.3.3 分析数据。
结果
在招募的 172 名患者中，有 52 名（30.1%）被诊断为伤寒沙门氏菌，其中 59.6%为男性。此外，有 3 名（5.8%）被诊断为甲型副伤寒沙门氏菌。知识传播方式与教育水平之间存在正相关关系，表明 92%的受过高等教育的参与者表明伤寒可以通过食用受污染的水传播。
结论
我们的研究观察到伤寒的高流行率。患者对伤寒及其通过受污染的水和食物传播的认识不足，与患者的教育水平呈正相关。这些发现表明，伤寒在该地区仍然流行，这对居民构成了公共卫生挑战。喀麦隆缺乏饮用水、排水系统不当和卫生厕所问题需要紧急干预。
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