Martínez-Palomo A, Martínez-Báez M
Rev Infect Dis. 1983 Nov-Dec;5(6):1093-102. doi: 10.1093/clinids/5.6.1093.
The human parasite Entamoeba histolytica has a worldwide distribution. The majority of infected individuals suffer few symptoms; nonetheless, a variable proportion experience dysentery, hepatic abscesses, or invasion of other extraintestinal organs. Invasive amebiasis is a major health problem, particularly in certain developing countries. The aim of this review is to clarify, as much as possible, controversial issues about the biology of the parasite, the clinical features of amebiasis, and the estimations of morbidity and mortality rate as the basis for defining strategies for control of amebiasis by primary health care workers. The eradication of invasive amebiasis lies basically in potentially political and economic actions at the governmental level. Preventive and control measures include (1) provision of water supplies and sanitation, (2) health education, (3) adequate diagnosis and correct treatment of invasive amebiasis, and (4) implementation of surveillance and control programs.
人体寄生虫溶组织内阿米巴在全球范围内均有分布。大多数感染者几乎没有症状；然而，仍有一定比例的人会出现痢疾、肝脓肿或其他肠外器官的侵袭。侵袭性阿米巴病是一个主要的健康问题，尤其是在某些发展中国家。本综述的目的是尽可能阐明有关该寄生虫生物学、阿米巴病临床特征以及发病率和死亡率估计等有争议的问题，以此作为初级卫生保健工作者制定阿米巴病控制策略的基础。侵袭性阿米巴病的根除基本上取决于政府层面潜在的政治和经济行动。预防和控制措施包括：（1）提供供水和卫生设施；（2）健康教育；（3）对侵袭性阿米巴病进行充分诊断和正确治疗；（4）实施监测和控制项目。
