埃塞俄比亚东北部沃雷卢卫生中心产前护理中心孕妇肠道寄生虫感染的患病率及其相关危险因素
Prevalence of Intestinal Parasitic Infections and Their Associated Risk Factors among Pregnant Women Attending Antenatal Care Center at Woreilu Health Center, Woreilu, Northeast Ethiopia.
作者信息
Kebede Edosa, Asefa Netsanet, Daba Chala, Gebretsadik Daniel
机构信息
Department of Medical Laboratory Science, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia.
Department of Medical Laboratory Science, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
出版信息
J Parasitol Res. 2022 Apr 11;2022:5242252. doi: 10.1155/2022/5242252. eCollection 2022.
BACKGROUND
Intestinal parasitic infections (IPIs) affect millions of pregnant women worldwide and if left untreated can cause adverse effects for mothers, fetuses, and newborns. This study was aimed at determining the prevalence and associated risk factors of intestinal parasitic infections among pregnant women in Woreilu, Northeast Ethiopia.
METHODS
A cross-sectional study was conducted in Woreilu Health Center from October 2018 to February 2019. A convenient sampling technique was used to select the study subjects. The data related to the sociodemographic information and associated risk factors were collected by the interview technique, and fresh stool samples were collected from each pregnant woman. The microscopic examination of the stool samples was done by using direct wet mount preparations in normal saline and formol ether concentration techniques. Descriptive statistics and binary logistic regression were used. A value < 0.05 was taken as statistically significant.
RESULTS
A total of 331 pregnant women were included. The mean ± standard deviation of age of the participants was 26.3 ± 5.96 years ranging between 16 and 43 years. The overall prevalence of IPIs was 144 (43.5%) with the predominance of (44.4%) followed by (15.7%). Being a student (AOR = 3.35, 95% CI: 1.01-11.09, = 0.047), second trimester (AOR = 3.94, 95% CI: 1.46-10.64, = 0.007), third trimester (AOR = 3.32, 95% CI: 1.15-9.6, = 0.027), and using spring water for drinking (AOR = 2.91, 95% CI: 1.62-5.22, ≤ 0.001) were significantly associated with IPIs.
CONCLUSION
The prevalence of IPIs was high in this study. Being a student, second and third trimester, and using spring water for drinking were associated factors with IPIs. Therefore, improving the sanitation of the students and providing clean drinking water for the women should be strengthened. Screening women and providing health education during their antenatal care (ANC) visits are also recommended.
背景
肠道寄生虫感染（IPIs）影响着全球数百万孕妇，若不治疗，可能会对母亲、胎儿和新生儿造成不良影响。本研究旨在确定埃塞俄比亚东北部沃雷卢地区孕妇肠道寄生虫感染的患病率及相关危险因素。
方法
2018年10月至2019年2月在沃雷卢健康中心进行了一项横断面研究。采用方便抽样技术选择研究对象。通过访谈技术收集与社会人口学信息和相关危险因素有关的数据，并从每位孕妇采集新鲜粪便样本。粪便样本的显微镜检查采用生理盐水直接湿片制备和甲醛乙醚浓缩技术。使用描述性统计和二元逻辑回归分析。P值<0.05被视为具有统计学意义。
结果
共纳入331名孕妇。参与者的年龄均值±标准差为26.3±5.96岁，年龄范围在16至43岁之间。IPIs的总体患病率为144例（43.5%），其中以[此处原文缺失具体寄生虫名称]为主（44.4%），其次是[此处原文缺失具体寄生虫名称]（15.7%）。学生身份（比值比[AOR]=3.35，95%置信区间[CI]：1.01 - 11.09，P = 0.047）、孕中期（AOR = 3.94，95% CI：1.46 - 10.64，P = 0.007）、孕晚期（AOR = 3.32，95% CI：1.15 - 9.6，P = 0.027）以及饮用泉水（AOR = 2.91，95% CI：1.62 - 5.22，P≤0.001）与IPIs显著相关。
结论
本研究中IPIs的患病率较高。学生身份、孕中期和孕晚期以及饮用泉水是与IPIs相关的因素。因此，应加强改善学生的卫生条件并为女性提供清洁饮用水。还建议在产前检查（ANC）期间对女性进行筛查并提供健康教育。
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