Abdi Nusa Pangkalpinang College of Health Sciences, Indonesia.
Faculty of Public Health, University of Teuku Umar, Indonesia.
Trop Biomed. 2023 Jun 1;40(2):160-164. doi: 10.47665/tb.40.2.005.
Entamoeba histolytica (E. histolytica), the causative agent of amoebiasis, is still a global public health problem that cannot be controlled, especially in tropical and subtropical countries. This study was conducted to obtain information about the incidence of Entamoeba histolytica/dispar/ moshkovskii complex infection and the factors that influence it. The prevalence of infection with the Entamoeba histolytica/dispar/moshkovskii complex and the factors that influence it in people living on the smallest and outermost island of Indonesia, Sabang Island, Aceh Province. This study involved 335 respondents aged >= 10 years. Respondents were selected by non-probability sampling technique. Interviews and observations were conducted to identify risk factors. The Entamoeba histolytica/dispar/ moshkovskii complex was identified by direct examination, concentration, and Whitley's trichrome staining techniques. A Chi-Square test was performed to analyze the correlation of risk factors with the incidence of infection. The prevalence of infection with the Entamoeba histolytica/dispar/ moshkovskii complex in the people of Sabang Island was 26.6% (89/335). Source and adequacy of clean water correlated with the incidence of Entamoeba histolytica/dispar/moshkovskii complex infection. Demographic variables are not correlated with the incidence of infection. However, the group of women aged > 61 years, unemployed, unmarried, and earning less than the regional minimum wage tend to be more likely to be found with Entamoeba histolytica/dispar/moshkovskii complex infections. Thus it can be concluded that the prevalence of infection with the Entamoeba histolytica/dispar/moshkovskii complex on Sabang Island is in the high category. The prevalence of E. histolytica as the causative agent of amoebiasis cannot be explained with certainty because the two identical non-pathogenic Entamoeba species cannot be distinguished by microscopic identification. Sources and adequacy of clean water correlate with the incidence of Entamoeba histolytica/dispar/moshkovskii complex infection in the people of Sabang Island.
溶组织内阿米巴（E. histolytica）是导致阿米巴病的病原体，仍然是一个无法控制的全球公共卫生问题，特别是在热带和亚热带国家。本研究旨在获取有关溶组织内阿米巴/迪斯帕/莫斯科夫斯基复合物感染的发生率及其影响因素的信息。在印度尼西亚最偏远的小岛萨邦岛上，人们感染溶组织内阿米巴/迪斯帕/莫斯科夫斯基复合物的情况及其影响因素。本研究涉及 335 名年龄>=10 岁的受访者。通过非概率抽样技术选择受访者。通过访谈和观察确定危险因素。通过直接检查、浓缩和惠特利三色染色技术鉴定溶组织内阿米巴/迪斯帕/莫斯科夫斯基复合物。采用卡方检验分析危险因素与感染发生率的相关性。萨邦岛居民感染溶组织内阿米巴/迪斯帕/莫斯科夫斯基复合物的流行率为 26.6%（89/335）。清洁水的来源和充足性与溶组织内阿米巴/迪斯帕/莫斯科夫斯基复合物感染的发生率相关。人口统计学变量与感染发生率不相关。然而，年龄>61 岁、失业、未婚和收入低于地区最低工资的女性群体更有可能被发现患有溶组织内阿米巴/迪斯帕/莫斯科夫斯基复合物感染。因此，可以得出结论，萨邦岛上溶组织内阿米巴/迪斯帕/莫斯科夫斯基复合物感染的流行率属于较高类别。由于无法通过显微镜鉴定来区分两种相同的非致病性内阿米巴物种，因此不能确定溶组织内阿米巴作为阿米巴病病原体的流行率。清洁水的来源和充足性与萨邦岛居民感染溶组织内阿米巴/迪斯帕/莫斯科夫斯基复合物的发生率相关。
