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埃塞俄比亚西北部格拉里吉健康中心肠道寄生虫感染的10年趋势分析:对疫情防范的启示

A 10-Year Trend Analysis of Intestinal Parasitic Infections at Grarigy Health Center, Northwest Ethiopia: Implication for Epidemic Preparedness.

作者信息

Abere Aberham, Aschale Yibeltal, Tegegne Banchamlak, Eshetu Tegegne, Derso Adane

机构信息

Department of Medical Parasitology, School of Biomedical and Laboratory Science, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

Department of Medical Laboratory Sciences, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.

出版信息

Infect Drug Resist. 2023 May 23;16:3183-3190. doi: 10.2147/IDR.S413078. eCollection 2023.

Abstract

BACKGROUND

Intestinal parasitic infections (IPI) are one of the most significant health issues around the world. Their burden is significant in Ethiopia with an estimated five million cases reported annually. This study aimed to evaluate the 10-year trend of IPIs at the Grarigy Health Center in northwest Ethiopia.

METHODS

A retrospective analysis was done at Grarigy Health Center to determine the 10-year (2011-2020) trend of IPIs by reviewing stool examination reports from a laboratory logbook. The data was collected by laboratory personnel using data extraction sheets. Then, entered into EpiData, cleaned and analyzed using SPSS-20 software. The chi-square test was used to test for significant differences between variables.

RESULTS

A total of 9541 stool samples were examined over a 10-year period, of which, 5599 (58.7%) were from male participants and 3942 (41.3%) were from female participants. Participants in the study had an average age of 26.11 years. Infection with intestinal parasites was seen in 58.8% of people (n = 5612) (CI: 57.8-59.8). A significant fluctuating pattern of IPIs was observed from 2011 to 2020 (P < 0.05). The highest peak of IPIs was recorded in 2020 (61.9%; 767 cases) and the lowest peak was observed in 2011 (49%; 99 cases). A total of 10 different genera of intestinal parasites were reported, of which, was the predominant (23.5%) followed by (16.6%). The highest cases of all intestinal parasites were reported between the ages of 5 and 14 years except (highest case reported in < 5 years).

CONCLUSION

Prevalence of IPIs is substantial at the Grarigy Health Centre. A fluctuating trend was noticed in the past 10 years. A surveillance system should be in place to bring the burden of IPI down to a level where it has no public health effect.

摘要

背景

肠道寄生虫感染(IPI)是全球最重要的健康问题之一。在埃塞俄比亚,其负担相当严重,每年估计报告有500万例病例。本研究旨在评估埃塞俄比亚西北部格拉里吉健康中心IPI的10年趋势。

方法

在格拉里吉健康中心进行回顾性分析,通过查阅实验室日志中的粪便检查报告来确定IPI的10年(2011 - 2020年)趋势。数据由实验室人员使用数据提取表收集。然后,录入EpiData,清理并使用SPSS - 20软件进行分析。采用卡方检验来检验变量之间的显著差异。

结果

在10年期间共检查了9541份粪便样本,其中5599份(58.7%)来自男性参与者,3942份(41.3%)来自女性参与者。研究参与者的平均年龄为26.11岁。58.8%的人(n = 5612)(置信区间:57.8 - 59.8)被发现感染肠道寄生虫。2011年至2020年观察到IPI有显著的波动模式(P < 0.05)。IPI的最高峰出现在2020年(61.9%;767例),最低峰出现在2011年(49%;99例)。共报告了10种不同属的肠道寄生虫,其中, 是最主要的(23.5%),其次是 (16.6%)。除了 (<5岁报告的病例数最高)外,所有肠道寄生虫报告的最高病例数出现在5至14岁之间。

结论

格拉里吉健康中心IPI的患病率很高。在过去10年中注意到有波动趋势。应建立监测系统,将IPI的负担降低到对公共卫生没有影响的水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dd8/10224691/e591d3f118fe/IDR-16-3183-g0001.jpg

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