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埃塞俄比亚奥罗米亚地区贝勒盖斯加尔医院营养不良儿童的肠道寄生虫感染及其相关危险因素

Intestinal Parasitic Infections and the Associated Risk Factors Among Malnourished Children Attending Bele Gesgar Hospital in Oromia Region, Ethiopia.

作者信息

Firdu Zewdineh, Amente Dejene

机构信息

Department of Biology, Madda Walabu University, Bale-Robe, Ethiopia.

出版信息

J Parasitol Res. 2025 Apr 10;2025:5295102. doi: 10.1155/japr/5295102. eCollection 2025.

Abstract

Human intestinal parasites are identified as causes of morbidity and mortality throughout the world, particularly in underdeveloped countries. This study was conducted to assess the status of intestinal parasitic infections (IPIs) among malnourished children attending Bele Gesgar Primary Hospital and investigate the possible risk factors of infections. A case-control study design was employed in this study. The parasites were detected using a wet mount, formalin-ether concentration, and modified Ziehl-Neelsen methods. There were 422 children under the age ≤ 14 who took part in the study. The overall prevalence of IPIs was 31.75% (134/422) among sampled children, 44.07% in malnourished, and 19.43% in well nourished. Among malnourished children, the most prevalent parasites were (11.37%), followed by (9.48%) and (3.79%). The highest protozoal and parasite (helminths) infections were detected in the age groups below 5 years (46.24%) and the lowest in the age group of 11-14 (13.98%). Having no toilet ( = 3.541; = 0.023), not handwashing after toilet (aOR = 3.074; = 0.010), having contact with animals (aOR = 0.095; = 0.001), and playing with mud and soil (aOR = 13.210; = 0.001) were found as significant risk factors of parasitic infection among the malnourished children according to multivariate logistic regression analysis. In general, this study indicated that the status of parasite infections in children showed variation based on age and sex. In addition, not toilet usage, not washing hands with soap after toilet, having contact with animals, and playing with mud and soil were significant risk factors ( < 0.05) for IPIs in malnourished children.

摘要

人体肠道寄生虫被认为是全球发病和死亡的原因,尤其是在不发达国家。本研究旨在评估贝勒·格斯加尔小学医院营养不良儿童肠道寄生虫感染(IPIs)的状况,并调查可能的感染风险因素。本研究采用病例对照研究设计。使用湿片法、福尔马林-乙醚浓缩法和改良齐-尼氏法检测寄生虫。共有422名年龄≤14岁的儿童参与了该研究。抽样儿童中IPIs的总体患病率为31.75%(134/422),营养不良儿童中为44.07%,营养良好儿童中为19.43%。在营养不良儿童中,最常见的寄生虫是(11.37%),其次是(9.48%)和(3.79%)。原生动物和寄生虫(蠕虫)感染率在5岁以下年龄组最高(46.24%),在11-14岁年龄组最低(13.98%)。根据多因素逻辑回归分析,没有厕所(比值比=3.541;P=0.023)、便后不洗手(调整后比值比=3.074;P=0.010)、接触动物(调整后比值比=0.095;P=0.001)以及玩泥土(调整后比值比=13.210;P=0.001)被发现是营养不良儿童寄生虫感染的重要风险因素。总体而言,本研究表明儿童寄生虫感染状况因年龄和性别而异。此外,不使用厕所、便后不用肥皂洗手、接触动物以及玩泥土是营养不良儿童IPIs的重要风险因素(P<0.05)。

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