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也门西南部伊卜省学童肠道寄生虫感染患病率及相关危险因素:一项横断面研究

Prevalence of Intestinal Parasitic Infections and Associated Risk Factors Among Schoolchildren in Ibb Governorate, Southwest Yemen: A Cross-Sectional Study.

作者信息

Al-Fakih Abdulkawi Ali, Al-Wrafi Essam Ali, Al-Motawkil Amat Al-Haleem Abdu Al-Jabar, Shabalah Al-Zahra Ali, Aqeel Asma Faisal, Mahdi Mohammed Abdallah, Al-Hubaishi Haneen Abdualkareem, Marsh Yahya Mansour, Joyer Bothina Hassan, Al-Shoga'a Ghada Hossain

机构信息

Department of Medical Microbiology, Faculty of Science, Ibb University, Ibb, Yemen.

Faculty of Allied Medical Sciences, Aljazeera University, Ibb, Yemen.

出版信息

Pediatric Health Med Ther. 2022 Sep 19;13:325-333. doi: 10.2147/PHMT.S374475. eCollection 2022.

Abstract

INTRODUCTION

Intestinal parasitic infections (IPIs) among schoolchildren are important public health problem, especially in developing countries, and monitoring of such infections and associated risk factors are necessary for intervention strategies. In line with this view, the aim of this study was to determine the prevalence of IPIs and associated risk factors among schoolchildren in Ibb governorate, southwest Yemen.

METHODS

A cross-sectional study was carried out during February to April 2020 on 600 schoolchildren selected from 6 districts of Ibb governorate. Fecal specimens were examined using saline and iodine wet mount and formal-ether concentration techniques. Socio-demographic data were collected using pre-designed, structured questionnaires. The results were analyzed using SPSS for Windows version 25 (SPSS Inc., Chicago, IL, USA).

RESULTS

Out of 600 participants, the overall prevalence of IPIs was 66.3% (398/600). The prevalence rate of protozoan infections (56.3%, 338/600) was largely higher than helminthic infections (10%, 60/600). The most common intestinal parasite was / (28.5%, 171/600). infection showed higher infection rate in males (5.3%) than in females (0.4%), with statistically significant difference (P = 0.001). Univariate analysis showed that the age was only significantly associated with protozoan infections, with statistically significant differences (P = 0.002). Regarding to clinical symptoms, the presence of IPIs was significantly associated with diarrhea, dysentery, and abdominal pain.

CONCLUSION

The present study revealed that there was a relatively high prevalence of IPIs, especially protozoan parasites, in schoolchildren of the study area, with / being the most prevalent parasite. The results showed that age was only significantly associated with IPIs. According to the results of this study, IPIs are still among the main public health problems in the study area. Thus, effective prevention and control strategies are important to reduce the incidence of IPIs in this area of the country.

摘要

引言

在校学生的肠道寄生虫感染是一个重要的公共卫生问题,尤其是在发展中国家,监测此类感染及相关风险因素对于制定干预策略至关重要。基于这一观点,本研究旨在确定也门西南部伊卜省在校学生肠道寄生虫感染的患病率及相关风险因素。

方法

2020年2月至4月期间,对从伊卜省6个区选取的600名在校学生开展了一项横断面研究。粪便标本采用生理盐水和碘液湿片法以及甲醛-乙醚浓缩技术进行检查。使用预先设计的结构化问卷收集社会人口学数据。结果采用美国伊利诺伊州芝加哥市SPSS公司的Windows版SPSS 25进行分析。

结果

600名参与者中,肠道寄生虫感染的总体患病率为66.3%(398/600)。原生动物感染的患病率(56.3%,338/600)远高于蠕虫感染(10%,60/600)。最常见的肠道寄生虫是/(2并.5%,171/600)。/感染在男性中的感染率(5.3%)高于女性(0.4%),差异有统计学意义(P = 0.001)。单因素分析表明,年龄仅与原生动物感染显著相关,差异有统计学意义(P = 0.002)。关于临床症状,肠道寄生虫感染的存在与腹泻、痢疾和腹痛显著相关。

结论

本研究表明,研究区域的在校学生中肠道寄生虫感染,尤其是原生动物寄生虫感染的患病率相对较高,/是最普遍的寄生虫。结果表明,年龄仅与肠道寄生虫感染显著相关。根据本研究结果,肠道寄生虫感染仍是研究区域的主要公共卫生问题之一。因此,有效的预防和控制策略对于降低该国该地区肠道寄生虫感染的发病率很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a4a/9507973/b02ab755ec87/PHMT-13-325-g0001.jpg

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