Özel Asyam Özel Eğitim ve Rehabilitasyon Merkezi, Iğdır, Türkiye
Van Yüzüncü Yıl Üniversitesi Tıp Fakültesi, Parazitoloji Anabilim Dalı, Van, Türkiye
Turkiye Parazitol Derg. 2022 Mar 1;46(1):39-44. doi: 10.4274/tpd.galenos.2021.65375.
This study aimed to determine the frequency of intestinal parasites in children who were presented to health centers with a complaint of diarrhea and to reveal the importance of these parasites.
The study was conducted on children within the age range of 1-16 who were presented to Iğdır State Hospital and Private Bulut Hospital between 2020 February-April 2020 with a complaint of diarrhea. A total of 300 children comprising 141 girls and 159 boys were enrolled in the study. The control group was composed of 100 children (girls=50, boys=50) without any chronic disease and diarrhea. Stool samples were evaluated by the native-Lugol method and the modified acid-fast staining method.
Intestinal parasite positivity was found in 105 (35%) out of the 300 children in the patient group and in 17 (17%) out of the 100 children in the control group. In terms of parasitic positivity, a statistically significant difference was found between children with diarrhea and the healthy control group (p=0.001). (13%), spp. (3%), and (2%) were found in the patient group. Intestinal parasitic positivity was found in 30.2% and 40.4% of the boys and girls in the patient group, respectively, whereas it was found in 14% and 20% of the boys and girls in the control group, respectively. When evaluated statistically according to gender, a significant difference (comparison for boys: p=0.008; comparison for girls: p=0.004) was noted between the patient group and control group for each gender. In terms of the relationship between the frequency of parasites and some living conditions of the patients, a statistically significant relationship was found in the comparison of "whether or not livestock" (p=0.004) and "whether there is a sewerage network" (p=0.002). Additionally, a significant difference was found between parasitic positivity and abdominal pain (p=0.008) and nausea (p=0.003).
The present study concludes that children with clinical symptoms, such as diarrhea, abdominal pain, and nausea, should be evaluated for intestinal parasites. Furthermore, it has been understood that intestinal parasites remain an important health problem among the pediatric cohort.
本研究旨在确定因腹泻就诊于卫生中心的患儿中肠道寄生虫的频率，并揭示这些寄生虫的重要性。
本研究于 2020 年 2 月至 4 月在伊迪尔州立医院和私人布卢特医院就诊的年龄在 1-16 岁之间、主诉腹泻的儿童中进行。共纳入 300 名儿童，其中 141 名女孩和 159 名男孩。对照组由 100 名无任何慢性疾病和腹泻的儿童（女孩=50，男孩=50）组成。粪便样本通过自然-卢戈氏液法和改良酸性快速染色法进行评估。
300 名患儿中有 105 例（35%）患儿组和 100 名对照组中有 17 例（17%）患儿组粪便寄生虫阳性。与健康对照组相比，腹泻患儿寄生虫阳性率有统计学差异（p=0.001）。在患儿组中，发现 105 例患儿寄生虫阳性，其中 （59.1%）、 spp.（3%）和 （2%）。患儿组中男孩和女孩的肠道寄生虫阳性率分别为 30.2%和 40.4%，而对照组中男孩和女孩的阳性率分别为 14%和 20%。按性别进行统计学评估时，发现患儿组和对照组之间存在显著差异（男孩比较：p=0.008；女孩比较：p=0.004）。关于寄生虫频率与患者一些生活条件的关系，在“是否有牲畜”（p=0.004）和“是否有污水管网”（p=0.002）的比较中发现了统计学上的显著关系。此外，寄生虫阳性与腹痛（p=0.008）和恶心（p=0.003）之间存在显著相关性。
本研究表明，有腹泻、腹痛和恶心等临床症状的患儿应进行肠道寄生虫检查。此外，已经了解到肠道寄生虫仍然是儿科人群中的一个重要健康问题。
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