Shehab Amel Youssef, Allam Amal Farahat, Saad Awad Abd El Kader, Osman Mervat Mostafa, Ibrahim Heba Said, Moneer Esraa Abdelhamid, Tolba Mona Mohamed
Department of Parasitology, Medical Research Institute, University of Alexandria, Egypt.
Department of Medical Laboratory, Applied Health Sciences Technology, Pharos University, Alexandria, Egypt.
Trop Parasitol. 2023 Jan-Jun;13(1):40-45. doi: 10.4103/tp.tp_46_22. Epub 2023 May 19.
Fecal calprotectin (FC) and fecal occult blood (FOB) were suggested as potential inflammatory markers for assessing intestinal schistosomiasis morbidity that are conventionally detected through invasive methods.
The present work aimed to evaluate FC and FOB as morbidity markers of infection before and after praziquantel treatment.
A total of 205 stool samples (117 schoolchildren and 88 adults) were collected and examined by Kato Katz. A questionnaire enquiring about diarrhea, history of blood in stool, and abdominal pain was designed and applied.
prevalence rates were 20.5% and 11.36% among children and adults, respectively; the majority of cases had light infection intensity. FC and FOB were studied among 25 cured cases (17 children and 8 adults) pre and one-month post treatment. Before treatment, six and four children of moderate and high infection intensity tested positive for FC and FOB, respectively, all turning negative after treatment. FC showed borderline statistical significance before and after treatment among children. However, all adults tested negative for FC and FOB.
FC and FOB could be possibly used as morbidity monitoring tools for infection in children with moderate and high infection intensity.
粪便钙卫蛋白(FC)和粪便潜血(FOB)被认为是评估肠道血吸虫病发病率的潜在炎症标志物,传统上通过侵入性方法进行检测。
本研究旨在评估吡喹酮治疗前后FC和FOB作为感染发病率标志物的情况。
共收集205份粪便样本(117名学童和88名成人),采用加藤厚涂片法进行检测。设计并应用了一份关于腹泻、便血史和腹痛的问卷。
儿童和成人的患病率分别为20.5%和11.36%;大多数病例感染强度较轻。对25例治愈病例(17名儿童和8名成人)治疗前和治疗后1个月进行了FC和FOB研究。治疗前,感染强度为中度和高度的儿童中,分别有6例和4例FC和FOB检测呈阳性,治疗后均转为阴性。儿童治疗前后FC显示出临界统计学意义。然而,所有成人FC和FOB检测均为阴性。
FC和FOB可能作为中度和高度感染强度儿童感染的发病率监测工具。