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万博市腹泻儿童肠道寄生虫病的患病率及相关危险因素

Prevalence and risk factors associated with intestinal parasitosis in children with diarrhoea in the Huambo municipality.

作者信息

Sachocal Ednogildo Domingos Miguel, da Costa Sandra Cristina Ribeiro Buta, Chitumba Hermenegildo Osvaldo

机构信息

Department of Medicine, School of Medicine, José Eduardo dos Santos University, Huambo, Angola.

Paediatrics Department, Huambo General Hospital, Huambo, Angola.

出版信息

PLoS Negl Trop Dis. 2025 Jul 21;19(7):e0013314. doi: 10.1371/journal.pntd.0013314. eCollection 2025 Jul.

Abstract

Intestinal parasitic infections are classified as neglected tropical diseases and represent a serious public health issue, particularly in developing countries, where they often manifest as diarrhoeal syndromes. A prospective, cross-sectional, observational study was conducted with the aim of describing the prevalence of intestinal parasites in children aged 9 months to 14 years who were hospitalised with a diagnosis of diarrhoeal disease in the paediatric department of Huambo General Hospital. Of the 173 stool samples analysed, 47 (27.2%) were positive, with a predominance of helminths (22.5%), among which Necator americanus (46.81%) and Strongyloides stercoralis (46.81%) were the most prevalent. The only protozoan identified was Giardia lamblia (12.77%) and Taenia spp. (4.26%). Although found in low percentages, this study demonstrated the presence of three groups of parasites infecting children, with helminths being the most predominant, followed by protozoa and cestodes. Additionally, the variables studied (age, sex, origin, education level, parents' occupation, source of drinking water, hygiene practices, and open defecation) did not constitute risk factors for the prevalence of intestinal parasitic infections.

摘要

肠道寄生虫感染被归类为被忽视的热带病,是一个严重的公共卫生问题,在发展中国家尤为如此,在这些国家,肠道寄生虫感染通常表现为腹泻综合征。开展了一项前瞻性、横断面观察性研究,旨在描述在万博总医院儿科因腹泻病诊断住院的9个月至14岁儿童中肠道寄生虫的感染率。在分析的173份粪便样本中,47份(27.2%)呈阳性,以蠕虫为主(22.5%),其中美洲板口线虫(46.81%)和粪类圆线虫(46.81%)最为常见。唯一鉴定出的原生动物是蓝氏贾第鞭毛虫(12.77%)和带绦虫属(4.26%)。尽管感染率较低,但本研究表明存在三组寄生虫感染儿童,其中蠕虫最为常见,其次是原生动物和绦虫。此外,所研究的变量(年龄、性别、出身、教育水平、父母职业、饮用水来源、卫生习惯和露天排便)并非肠道寄生虫感染率的风险因素。

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