Department of Biomedical Sciences, University of Cape Coast, Cape Coast, Central Region, Ghana.
Twifo Atti/ Morkwa District Hospital, Twifo Praso, Central Region, Ghana.
BMC Infect Dis. 2024 Sep 19;24(1):1004. doi: 10.1186/s12879-024-09928-3.
Schistosomiasis, an endemic neglected tropical disease in areas with poor sanitation, causes physical and mental defects in both children and adults. Various strategies, especially drug administration for morbidity control, have been implemented to combat the disease in Ghana and globally. Despite these efforts, schistosomiasis remains prevalent in Ghana, negatively impacting children's academic performance, growth, and overall quality of life. This study aimed to determine the prevalence of schistosomiasis in school children at Esuekyir, a peri-urban community in Ghana. A cross-sectional study using simple random sampling technique to select participants and collect stool and urine samples from 246 school children in Esuekyir was adopted. Microscopy of urine and stool samples was performed involving urine sedimentation and stool formol-ether sedimentation techniques to analyse for parasite eggs. Questionnaires were developed to help detect risk factors that expose these children to the disease. The prevalence of urogenital schistosomiasis in children at Esuekyir was 15.45% while that of intestinal schistosomiasis was 6.957.0%. There was one case of co-infection of urogenital and intestinal schistosomiasis from a 13 year old primary student. Children in primary school had higher risks of infection due to their activities around the water body. There was a significant association between class groups and urogenital schistosomiasis (p-value = 0.042). The presence of schistosomiasis in school children highlights the importance of targeted interventions and public health initiatives in addressing this specific disease condition especially in primary school children. Findings from the research revealed a higher prevalence of urogenital schistosomiasis in the study population as compared to intestinal schistosomiasis.
血吸虫病是一种在卫生条件差的地区流行的被忽视的热带病,会给儿童和成人造成身体和精神上的缺陷。加纳和全球都采取了各种策略,特别是通过药物控制发病率来对抗这种疾病。尽管做出了这些努力,血吸虫病在加纳仍然很普遍,对儿童的学业成绩、成长和整体生活质量产生了负面影响。本研究旨在确定加纳 peri-urban 社区 Esuekyir 地区学童中血吸虫病的流行情况。采用横断面研究,采用简单随机抽样技术选择参与者,并从 Esuekyir 的 246 名学童中采集粪便和尿液样本。对尿液和粪便样本进行显微镜检查,采用尿液沉淀和粪便福尔马林-乙醚沉淀技术分析寄生虫卵。制定了问卷来帮助发现使这些儿童易患该疾病的危险因素。Esuekyir 地区儿童的尿路血吸虫病患病率为 15.45%,而肠道血吸虫病患病率为 6.957.0%。一名 13 岁的小学生同时感染了尿路和肠道血吸虫病。由于他们在水体周围的活动,小学生感染的风险更高。学校班级与尿路血吸虫病之间存在显著关联(p 值=0.042)。学童中存在血吸虫病,突显了针对这一特定疾病状况采取有针对性的干预措施和公共卫生倡议的重要性,特别是在小学生中。研究结果显示,研究人群中尿路血吸虫病的患病率高于肠道血吸虫病。