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莫桑比克南部一个训练中心陆军新兵肠道寄生虫感染的地区差异:一项横断面研究

Regional Differences in Intestinal Parasitic Infections among Army Recruits in a Southern Mozambique Training Center: A Cross-Sectional Study.

作者信息

Casmo Verónica, Chicumbe Sérgio, Chambisse Rosa, Nalá Rassul

机构信息

Instituto Nacional de Saúde (INS) EN1, Bairro da Vila-Parcela n 3943, Distrito de Marracuene, Maputo C.P. 264, Mozambique.

Department of Cell and Molecular Biology, Institute of Cell and Microbiology, Uppsala University, 76124 Uppsala, Sweden.

出版信息

Pathogens. 2023 Aug 29;12(9):1105. doi: 10.3390/pathogens12091105.

Abstract

Due to the high prevalence and diversity of clinical manifestations, intestinal parasitic infections (IPIs) represent a public health problem. The objective of the work was to determine the prevalence of IPIs among army recruits at a practice and training center in southern Mozambique. Sociodemographic information was obtained through semi-structured interviews. Single urine and stool samples were collected from 362 recruits. Parasite diagnosis was made by filtration, formaldehyde-ether and Kato-Katz techniques. Positive individuals underwent abdominal ultrasound. Then, descriptive statistics and cross-tabulations were performed, and -values < 0.05 were considered significant. The prevalence of infection with at least one parasite was 25.1% (95% CI: 20.5-29.6; n = 91). The most common parasites were (10.7%; 95% CI: 7.4-13.7; n = 37) and (6.1%; 95% CI: 4.6-9.9; n = 25). Parasitic infection was associated with the origin of the participant (-value < 0.001), and the province of Sofala had the highest prevalence among the provinces studied (70.6%; 95% CI: 47.0-87.8; 12/17). Since oral fecal transmission occurs for several parasites, routine screening and deworming prior to enrollment at the army training center is recommended to reduce transmission of intestinal parasites among recruits.

摘要

由于临床表现的高流行率和多样性,肠道寄生虫感染(IPIs)成为一个公共卫生问题。这项工作的目的是确定莫桑比克南部一个实践和训练中心的新兵中肠道寄生虫感染的流行率。通过半结构化访谈获取社会人口统计学信息。从362名新兵中采集单次尿液和粪便样本。采用过滤法、甲醛乙醚法和加藤厚涂片法进行寄生虫诊断。对阳性个体进行腹部超声检查。然后,进行描述性统计和交叉表分析,P值<0.05被认为具有统计学意义。至少感染一种寄生虫的流行率为25.1%(95%CI:20.5 - 29.6;n = 91)。最常见的寄生虫是[此处原文缺失具体寄生虫名称](10.7%;95%CI:7.4 - 13.7;n = 37)和[此处原文缺失具体寄生虫名称](6.1%;95%CI:4.6 - 9.9;n = 25)。寄生虫感染与参与者的籍贯有关(P值<0.001),在研究的省份中,索法拉省的流行率最高(70.6%;95%CI:47.0 - 87.8;12/17)。由于几种寄生虫通过粪口传播,建议在新兵进入军队训练中心之前进行常规筛查和驱虫,以减少新兵中肠道寄生虫的传播。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7523/10534989/c1656b1279ad/pathogens-12-01105-g001.jpg

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