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中国四川南部农村地区留守儿童深受肠道蠕虫感染之苦。

RURAL LEFT-BEHIND CHILDREN ARE SERIOUSLY AFFLICTED WITH INTESTINAL HELMINTH INFECTIONS IN SOUTHERN SICHUAH, CHINA.

机构信息

School of Medicine, Huzhou University, 759 Er Huan Rd., Huzhou, Zhejiang, Peoples Republic of China.

Key Laboratory of Vector Biology and Pathogen Control of Zhejiang Province, Huzhou University, Huzhou, Zhejiang, Peoples Republic of China.

出版信息

J Parasitol. 2022 Jan 1;108(1):53-56. doi: 10.1645/20-173.

Abstract

Rural children are seriously afflicted with intestinal helminth infections in China. Of note, the term rural children includes rural left-behind children (LBC) and rural non-left-behind children (NLBC); the difference in the prevalence of intestinal helminths between the 2 groups remains unclear. In this study, Gulin and Xuyong counties in southern Sichuan were chosen for investigation in 2019. The Kato Katz thick smear method was used to detect the presence of intestinal helminth eggs in rural children. For children aged 3-6 yr, the adhesive tape perianal swab method was used to detect Enterobius vermicularis and tapeworm eggs. Statistical differences in infection rates between the 2 groups were determined by the chi-square test. In total, 1,608 rural children, 911 LBC and 697 NLBC, participated in the investigation. Six species of intestinal helminths were detected. A total of 358 (39.3%) and 130 (18.7%) intestinal helminth positives were found among LBC and NLBC, respectively; the former had a higher (P < 0.05) infection level. Moreover, an analysis of double worm infection rates among intestinal helminth positive LBC and NLBC showed a difference between the 2 groups that was also statistically significant. These surveys indicated that the risk of intestinal helminth infection was substantially higher and the severity of infection much worse in rural LBC in southern Sichuan. More attention should be paid to the parasitic infection of LBC.

摘要

中国农村儿童深受肠道蠕虫感染的困扰。值得注意的是,农村儿童包括农村留守儿童(LBC)和农村非留守儿童(NLBC);两组儿童肠道蠕虫感染率的差异尚不清楚。本研究于 2019 年在四川南部的古蔺县和叙永县进行了调查。采用加藤厚涂片法检测农村儿童肠道蠕虫卵。对于 3-6 岁的儿童,采用肛拭子胶纸带法检测蛲虫和绦虫卵。用卡方检验比较两组儿童感染率的差异。共有 1608 名农村儿童(911 名 LBC 和 697 名 NLBC)参加了此次调查。共检出 6 种肠道蠕虫。LBC 和 NLBC 组肠道蠕虫阳性率分别为 358(39.3%)和 130(18.7%),前者感染率更高(P<0.05)。此外,对肠道蠕虫阳性的 LBC 和 NLBC 双重蠕虫感染率的分析显示,两组之间存在差异,且具有统计学意义。这些调查表明,川南农村地区 LBC 的肠道蠕虫感染风险更高,感染程度更严重。应更加关注 LBC 的寄生虫感染。

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