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感染:斯洛文尼亚西北部学龄前儿童和学童的横断面研究

Infection: A Cross-sectional Study in Preschool and School Children in the North-Western Part of Slovenia.

作者信息

Sočan M, Štromajer E, Ravnik M, Mrzel M, Grilc E, Grmek Košnik I

机构信息

National Institute of Public Health, Zaloška cesta 29, 1000 Ljubljana Slovenia.

National Laboratory for Health, Environment and Food, Regional Unit Kranj, Gosposvetska ulica 12, 4000 Kranj Slovenia.

出版信息

Helminthologia. 2022 Dec 30;59(4):357-363. doi: 10.2478/helm-2022-0040. eCollection 2022 Dec.

Abstract

is a prevalent intestinal nematode. The objective of the research was to study enterobiasis prevalence in symptomatic children <15 years of age attending community health center in North - Western part of Slovenia in years 2017 - 2022. Perianal tape tests were performed on three consecutive days. The overall prevalence was 34.2 % (296 out of 864 children included). The mean age of children positive for was 5.77 (95 % CI: 5.51 - 6.04) and 4.74 (95 % CI: 4.54 - 4.95), p<0.001 for children with negative test results. The positivity rate was not significantly different for boys compared to girls (boys 37.0 %, 95 % CI: 32.4 % - 41.8 %, girls 31.8 %, 95 % CI: 27.6 % - 36.2 %, p=0.107). The number of boys with all three samples positive in a sample set was higher compared to girls (p - value 0.002). Family size affected the positivity rate - the mean number of siblings was higher in positive children. Significant association with infection was proven by the presence of anal pruritus and absence of abdominal discomfort. High warrants careful monitoring of trends and public health response. It is necessary to encourage the use of hygiene measures in schools and empower parents to recognize enterobiasis timely.

摘要

是一种常见的肠道线虫。该研究的目的是调查2017年至2022年期间在斯洛文尼亚西北部社区卫生中心就诊的15岁以下有症状儿童的蛲虫感染率。连续三天进行肛周胶带试验。总体感染率为34.2%(864名儿童中有296名)。检测呈阳性的儿童平均年龄为5.77岁(95%置信区间:5.51 - 6.04),检测呈阴性的儿童平均年龄为4.74岁(95%置信区间:4.54 - 4.95),p<0.001。男孩的阳性率与女孩相比无显著差异(男孩37.0%,95%置信区间:32.4% - 41.8%,女孩31.8%,95%置信区间:27.6% - 36.2%,p = 0.107)。在一组样本中所有三个样本均呈阳性的男孩数量高于女孩(p值0.002)。家庭规模影响阳性率——阳性儿童的平均兄弟姐妹数量更多。肛门瘙痒的存在和无腹部不适证明与感染有显著关联。高感染率需要对趋势进行仔细监测并做出公共卫生应对措施。有必要鼓励在学校采取卫生措施,并使家长有能力及时识别蛲虫病。

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