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尼泊尔加德满都基特普尔市迪乌拉社区肠道寄生虫的流行情况。

Prevalence of intestinal parasites in Deula community, Kirtipur Municipality, Kathmandu, Nepal.

机构信息

Central Department of Zoology, Tribhuvan University, Kirtipur, Kathmandu, Nepal.

出版信息

Ann Parasitol. 2021;67(4):763-772. doi: 10.17420/ap6704.394.

Abstract

Infections with intestinal protozoans, helminths, and other parasites are major, but overlocked problems in developing countries. Accurate surveys of intestinal parasites in Deula community inform empirical treatment regimens and can assess the impact of community-based drug treatment programs. There is limited information on this topic in Nepal. In a prospective study of intestinal parasites in symptomatic people of the Deula community, January-July 2018, samples were examined by microscopy of a direct and concentrated faecal sample. We studied 150 samples. The median (inter-quartile range) age of the people was 34.5 (16-50.5) years, 52% were female and 48% were male. The proportion of people with abdominal pain was 30.39%, diarrhea 42.16%, anemia 14.71% and malnutrition 3.92%. Altogether 102 (68%) parasitic infections were detected. The most common parasites using all methods of detection were Entamoeba histolytica (35.30%), Giardia lamblia (21.57%), Trichuris trichiura (14.71%), hookworm (13.73%), Ascaris lumbricoides (7.84%) and Strongyloides stercoralis (6.85%). E. histolytica was most common, followed by G. lamblia in all age groups, T. trichiura and A. lumbricoides. Hookworm and S. stercoralis were more common with increasing age. This study substantiate the significance of intestinal parasitic infections in indicative Deula community and the need for adequate facilities for laboratory diagnosis together with education to improve personal hygiene and sanitation.

摘要

肠道原生动物、蠕虫和其他寄生虫感染是发展中国家的主要但被忽视的问题。对 Deula 社区肠道寄生虫的准确调查可以提供经验性治疗方案,并评估基于社区的药物治疗方案的影响。尼泊尔对此主题的信息有限。在对 Deula 社区有症状人群进行的肠道寄生虫前瞻性研究中,我们于 2018 年 1 月至 7 月通过直接和浓缩粪便样本的显微镜检查来检查样本。我们研究了 150 个样本。人群的中位数(四分位间距)年龄为 34.5(16-50.5)岁,52%为女性,48%为男性。腹痛人群的比例为 30.39%,腹泻 42.16%,贫血 14.71%和营养不良 3.92%。共有 102 人(68%)检测出寄生虫感染。使用所有检测方法最常见的寄生虫依次为溶组织内阿米巴(35.30%)、蓝氏贾第鞭毛虫(21.57%)、毛首鞭形线虫(14.71%)、钩虫(13.73%)、蛔虫(7.84%)和粪类圆线虫(6.85%)。溶组织内阿米巴最常见,所有年龄段均以蓝氏贾第鞭毛虫次之,其次是毛首鞭形线虫和蛔虫。随着年龄的增长,钩虫和粪类圆线虫更为常见。本研究证实了肠道寄生虫感染在指示性 Deula 社区的重要性,以及需要适当的实验室诊断设施和教育,以改善个人卫生和环境卫生。

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