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埃塞俄比亚西南部淋巴丝虫病的临床流行病学研究

Clinico-epidemiological study of lymphatic filariasis southwestern Ethiopia.

作者信息

Jemaneh L, Kebede D

机构信息

Department of Microbiology and Parasitology, Faculty of Medicine, Addis Abeba University, Ethiopia.

出版信息

Ethiop Med J. 1995 Jul;33(3):143-53.

PMID:7588653
Abstract

Clinical and parasitological night blood surveys have been carried out for lymphatic filariasis in people living in two communities adjacent to the Baro River, near the town of Gambella in 1993. The survey covered more than 90% of the population in Tektak and Ketch. Inhabitants were registered and detailed information on prevalence, and intensity of microfilaremia and clinical symptoms was obtained. The overall microfilaria prevalence, using the counter chamber technique, was 20.7% with males and females showing microfilaria rates of 23.7% and 18.5%, respectively. Infection densities varied between 40 and 1540 microfilariae (mf) per ml of blood among the infected, giving a geometric mean intensity of 309 mf/ml of blood which was much more pronounced in females than in males. In males, 20.3% had hydrocoele and this condition was noted above the age of 35. About 40% of those with hydrocoele had microfilaremia. Groin gland enlargement was recorded in 40.0% of the examined. No case of elephantiasis was encountered. This disease has not received much attention in Ethiopia. The possible reasons will be discussed in connection with the results of this study.

摘要

1993年,针对居住在甘贝拉镇附近巴罗河相邻两个社区的人群,开展了淋巴丝虫病的临床和寄生虫学夜间血液调查。该调查覆盖了泰克塔克和凯奇90%以上的人口。对居民进行了登记,并获取了有关微丝蚴血症患病率、强度及临床症状的详细信息。采用计数室技术得出的总体微丝蚴患病率为20.7%,其中男性和女性的微丝蚴率分别为23.7%和18.5%。感染者每毫升血液中的感染密度在40至1540条微丝蚴之间,几何平均强度为每毫升血液309条微丝蚴,女性比男性更为明显。男性中,20.3%患有鞘膜积液,这种情况出现在35岁以上人群中。约40%患有鞘膜积液的人有微丝蚴血症。在所检查的人群中,腹股沟淋巴结肿大的记录为40.0%。未发现象皮肿病例。这种疾病在埃塞俄比亚未受到太多关注。将结合本研究结果讨论可能的原因。

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