Assefa Adane, Damtie Demekech, Abeje Getu, Almaw Andargachew, Berhan Ayenew, Debsh Habtu, Getie Molla
Department of Medical Parasitology, College of Medical and Health Sciences University of Gondar Gondar Ethiopia.
Department of Biomedical sciences, College of Medical and Health Sciences Samara University Samara Ethiopia.
Health Sci Rep. 2024 Apr 17;7(4):e2041. doi: 10.1002/hsr2.2041. eCollection 2024 Apr.
Soil-transmitted helminths are one of the most prevalent causes of both intellectual and physical disability in the world. Albendazole (ALB) is a drug recommended for mass treatment of the high burden of soil-transmitted helminths in schoolchildren, particularly in developing countries. However, some researchers have reported that the efficacy of albedazole against soil-transmitted helminths is inconsistent. Monitoring the programs is crucial to evaluating the effectiveness of 400 mg of ALB against soil-transmitted helminths, as well as any changes in its therapeutic efficacy. Thus, the purpose of this study was to evaluate ALB effectiveness in treating soil-transmitted helminthes in Salgy Primary School Children.
An uncontrolled experimental study was conducted at Salgy Primary School Children, Northwest Ethiopia, from March to May 2020. A total of 439 schoolchildren were enrolled and screened for soil-transmitted helminths by stratified proportionate systematic random sampling to get 228 positive schoolchildren. Students in grades one through eight were grouped based on their educational attainment. Using the Kato-Katz thick smear technique, the selected stool sample collected from school children was examined using the Kato-Katz thick smear technique to determine the cure and egg reduction rates. The statistical package for social science software, version 20, was used to analyze the data. To determine the relationship between CR (cure rate) and ERR (egg reduction rate) by age, a chi-square test ( ) was employed and significance was considered at A 95% confidence interval and Value ( < 0.05).
A 400 mg single dosage of ALB showed a 99.35% CR and a 97.30% egg reduction rate against . Additionally, a 400 mg dose of ALB showed a 95.75% CR and an 82.07% egg reduction rate, suggesting questionable effectiveness against hookworm infections. showed a decreased efficacy, with a 43.53% CR and a 23.12% egg reduction rate.
A single dose of 400 mg ALB is effective (satisfactory), doubtful, and unsatisfactory against , hookworm, and infections, respectively. Further studies using different brands, doses, and routes will be needed to treat hookworm and infections successfully by using a larger sample size.
土壤传播的蠕虫是全球智力和身体残疾的最常见原因之一。阿苯达唑(ALB)是一种推荐用于大规模治疗学童中高负担土壤传播蠕虫的药物,特别是在发展中国家。然而,一些研究人员报告称阿苯达唑对土壤传播蠕虫的疗效并不一致。监测这些项目对于评估400毫克阿苯达唑对土壤传播蠕虫的有效性及其治疗效果的任何变化至关重要。因此,本研究的目的是评估阿苯达唑在治疗萨尔吉小学儿童土壤传播蠕虫方面的有效性。
2020年3月至5月在埃塞俄比亚西北部的萨尔吉小学儿童中进行了一项非对照实验研究。通过分层按比例系统随机抽样,共招募了439名学童并对其进行土壤传播蠕虫筛查,以获得228名阳性学童。一至八年级的学生根据其教育程度进行分组。使用改良加藤厚涂片技术,对从学童中采集的选定粪便样本进行检查,以确定治愈率和虫卵减少率。使用社会科学统计软件包第20版对数据进行分析。为了确定治愈率(CR)和虫卵减少率(ERR)与年龄之间的关系,采用卡方检验(),并在95%置信区间和P值(<0.05)下考虑显著性。
400毫克单剂量阿苯达唑对蛔虫的治愈率为99.35%,虫卵减少率为97.30%。此外,400毫克剂量的阿苯达唑对钩虫感染的治愈率为95.75%,虫卵减少率为82.07%,表明其有效性存疑。对鞭虫感染的疗效降低,治愈率为43.53%,虫卵减少率为23.12%。
单剂量400毫克阿苯达唑分别对蛔虫、钩虫和鞭虫感染有效(满意)、效果存疑和效果不佳。需要使用不同品牌、剂量和给药途径进行进一步研究,以通过更大样本量成功治疗钩虫和鞭虫感染。