Ekobol Nuttapon, Boonjaraspinyo Sirintip, Artchayasawat Atchara, Boonmars Thidarut
Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.
Cholangiocarcinoma Research Institute, Khon Kaen University, Khon Kaen 40002, Thailand.
Trop Med Infect Dis. 2023 Feb 23;8(3):135. doi: 10.3390/tropicalmed8030135.
Monks cannot cook received raw meat dishes and should walk barefoot while working. This population lacks both a survey of parasitic infection and a proper prevention and control policy. Five hundred and fourteen monks from the Ubolratana, Ban Haet, and Ban Phai Districts of Kh on Kaen Province were enrolled in this study. A stool container and questionnaire were collected from each study participant. Stool samples were processed by formalin ethyl acetate concentration and agar plate culture techniques. We then analyzed the results and risk factors to demonstrate associations. The prevalence of overall parasites, liver flukes, and skin-penetrating helminths were 28.8%, 11.1%, and 19.3%, respectively. Raw fish dish offerings were associated with opisthorchiasis (OR 3.32; 95% CI 1.53-7.20). The risk factors for skin-penetrating helminths were older age (OR 5.02; 95% CI 2.2-11.17), being a long-term ordinate (OR 3.28; 95% CI 1.15-9.34), smoking (OR 2.03; 95% CI 1.23-3.36), and chronic kidney disease with other underlying disease (OR 20.7; 95% CI 2.54-190.1). The protective factors for skin-penetrating helminths were secular education above primary education (OR 0.41; 95% CI 0.25-0.65) and having received health education about parasitic infection (OR 0.47; 95% CI 0.28-0.80). Wearing shoes at times other than alms work does not show a protective effect against skin-penetrating helminths (OR 0.86; 95% CI 0.51-1.46). These findings support the recommendation for a strict Rule of Discipline regarding raw meat ingestion and allowing shoes to be worn for protection against skin-penetrating helminths in high-risk situations.
僧侣不能烹制生肉菜肴，工作时应赤脚行走。这一群体既缺乏寄生虫感染调查，也没有适当的防控政策。来自孔敬府乌汶叻差他尼、班海特和班派区的514名僧侣参与了本研究。从每位研究参与者那里收集了粪便容器和问卷。粪便样本采用福尔马林乙酸乙酯浓缩法和琼脂平板培养技术进行处理。然后我们分析结果和风险因素以证明其关联性。总体寄生虫、肝吸虫和经皮肤感染的蠕虫的患病率分别为28.8%、11.1%和19.3%。供奉生鱼菜肴与华支睾吸虫病相关（比值比3.32；95%置信区间1.53 - 7.20）。经皮肤感染蠕虫的风险因素为年龄较大（比值比5.02；95%置信区间2.2 - 11.17）、长期为僧（比值比3.28；95%置信区间1.15 - 9.34）、吸烟（比值比2.03；95%置信区间1.23 - 3.36）以及患有慢性肾病合并其他基础疾病（比值比20.7；95%置信区间2.54 - 190.1）。经皮肤感染蠕虫的保护因素为小学以上的世俗教育（比值比0.41；95%置信区间0.25 - 0.65）以及接受过关于寄生虫感染的健康教育（比值比0.47；95%置信区间0.28 - 0.80）。在非托钵工作时间穿鞋对经皮肤感染蠕虫没有保护作用（比值比0.86；95%置信区间0.51 - 1.46）。这些发现支持了关于严格禁止摄入生肉以及在高风险情况下允许穿鞋以防经皮肤感染蠕虫的戒律建议。
