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印度北部一家大学医院中,以免疫功能低下和免疫功能正常患者的临床流行病学特征及危险因素为重点的寄生虫感染谱。

The spectrum of parasitic infections with emphasis on the clinico-epidemiological characteristics and risk factors among immunocompromised and immunocompetent patients at a university hospital in Northern India.

作者信息

Kar Mitra, Singh Romya, Tejan Nidhi, Sahu Chinmoy, Tiwari Ritika, Jain Mudra, Kumar Awadhesh, Patel Sangram S, Goyal Urvashi, Ghoshal Ujjala

机构信息

Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Department of Microbiology, Mahamaya Rajkiya Allopathic Medical College, Ambedkar Nagar, Uttar Pradesh, India.

出版信息

J Family Med Prim Care. 2024 Jan;13(1):129-134. doi: 10.4103/jfmpc.jfmpc_726_23. Epub 2024 Feb 8.

Abstract

INTRODUCTION

Intestinal parasitic infections pose a substantial threat to public health and are a huge burden to the economic development of a developing country. We aimed to identify the spectrum of intestinal parasitic infections with an emphasis on demographic and clinical characteristics observed among immunocompromised and immunocompetent patients.

MATERIALS AND METHODS

This observational study was performed in the Parasitology section of the Department of Microbiology from January 2022 to July 2022. A total of 2628 stool samples were obtained from patients presenting with chief complaints of abdominal pain, distension, vomiting, and foul-smelling feces. All the clinical and diagnostic data of the patients enrolled in the above-mentioned period were extracted from the ward files, hospital electronic records, and laboratory registers.

RESULT

A total of 2628 stool samples were sent to the Parasitology section of the Department of Microbiology. Out of the above-mentioned samples, 70 (70/2628, 2.66%) samples yielded gastrointestinal parasites on microscopic examination. The mean age of the patients included in our cohort study was 32.53 ± 16.21 years with a male predominance of 72.86% (51/70, 72.86%). The most common gastrointestinal parasite identified from stool samples was (61/70, 87.14%). All cases of opportunistic gastrointestinal infection caused by . (4/70, 5.71%) in our study cohort were found to infest the immunocompromised patients.

CONCLUSION

This study determines the spectrum of intestinal parasitic infections among the immunocompromised and immunocompetent individuals and guides physicians in starting appropriate anti-parasitic treatment along with the instillation of strict hand hygiene techniques.

摘要

引言

肠道寄生虫感染对公众健康构成重大威胁,也是发展中国家经济发展的巨大负担。我们旨在确定肠道寄生虫感染的范围,重点关注免疫功能低下和免疫功能正常患者的人口统计学和临床特征。

材料与方法

本观察性研究于2022年1月至2022年7月在微生物学系寄生虫学部门进行。共从出现腹痛、腹胀、呕吐和粪便恶臭等主要症状的患者中获取了2628份粪便样本。上述期间纳入研究的患者的所有临床和诊断数据均从病房档案、医院电子记录和实验室登记册中提取。

结果

总共2628份粪便样本被送至微生物学系寄生虫学部门。在上述样本中,70份(70/2628,2.66%)样本在显微镜检查中发现了肠道寄生虫。我们队列研究中患者的平均年龄为32.53±16.21岁,男性占主导,为72.86%(51/70,72.86%)。从粪便样本中鉴定出的最常见肠道寄生虫是 (61/70,87.14%)。在我们的研究队列中,所有由 引起的机会性胃肠道感染病例(4/70,5.71%)均感染了免疫功能低下的患者。

结论

本研究确定了免疫功能低下和免疫功能正常个体中的肠道寄生虫感染范围,并指导医生开始适当的抗寄生虫治疗以及灌输严格的手部卫生技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14bd/10931889/a87947c2ee01/JFMPC-13-129-g001.jpg

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