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埃及阿拉伯共和国伊斯梅利亚西部的胃肠道寄生虫感染:患病率及危险因素

Gastrointestinal parasitic infections: Prevalence and risk factors in West Ismailia, Arab Republic of Egypt.

作者信息

Ahmed Shahira Abdelaziz Ali, Mohamed Samar Farag, El-Mahallawy Heba Sayed, Quattrocchi Annalisa, Karanis Panagiotis

机构信息

Department of Parasitology, Faculty of Medicine, Suez Canal University, Ismailia, 41522, Egypt.

Department of Family Medicine, Faculty of Medicine, Suez Canal University, Ismailia, 41522, Egypt.

出版信息

Gut Pathog. 2024 Jun 19;16(1):29. doi: 10.1186/s13099-024-00622-y.

Abstract

BACKGROUND

This study aimed to determine the prevalence of gastrointestinal parasites (GIP) in the rural community of West Ismailia and its associated risk factors. Human infection by GIP is natural and expected. There are few records concerning parasitic infection in the rural areas of the Ismailia Governorate.

METHODS

From 520 individuals, sociodemographic and risk factors information were retrieved. Fecal samples were collected, concentrated, and tested for GIP infection using a microscopic examination.

RESULTS

The West Ismailia study population had a 40.4% prevalence of GIP infection, including single and concomitant parasite infections. The most common cause of GIP infection was protists (38%). Entamoeba sp., Blastocystis sp., and G. duodenalis were the most common parasites. Poly-parasitism was prevalent within the West Ismailia region. Age, abdominal symptoms, perianal itching, ownership of numerous animal species, exposure to turbid water, previous parasitic infection (PPI), and non-treatment reception of PPI were all considered significant factors associated with GIP infection. Specific individuals from the same family have been observed to have identical GIP.

CONCLUSION

GIP infection remains underestimated in rural areas. Periodic screening and treatment for GIP infection in children and public education on GIP hazards and prevention, focusing on personal hygiene, are recommended. Family members of affected individuals should be screened and treated for GIP.

摘要

背景

本研究旨在确定伊斯梅利亚西部农村社区胃肠道寄生虫(GIP)的流行情况及其相关危险因素。人类感染GIP是自然且常见的。关于伊斯梅利亚省农村地区寄生虫感染的记录较少。

方法

从520名个体中获取社会人口统计学和危险因素信息。收集粪便样本,进行浓缩,并通过显微镜检查检测GIP感染情况。

结果

伊斯梅利亚西部研究人群中GIP感染率为40.4%,包括单一寄生虫感染和混合寄生虫感染。GIP感染最常见的原因是原生生物(38%)。溶组织内阿米巴、芽囊原虫和十二指肠贾第虫是最常见的寄生虫。多重寄生虫感染在伊斯梅利亚西部地区很普遍。年龄、腹部症状、肛周瘙痒、拥有多种动物、接触浑浊水、既往寄生虫感染(PPI)以及未接受PPI治疗均被认为是与GIP感染相关的重要因素。观察到来自同一家庭的特定个体患有相同的GIP。

结论

农村地区GIP感染仍被低估。建议对儿童进行GIP感染的定期筛查和治疗,并针对GIP的危害和预防开展公众教育,重点关注个人卫生。受影响个体的家庭成员应接受GIP筛查和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa69/11186246/789fbec24ecb/13099_2024_622_Fig1_HTML.jpg

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