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黎巴嫩肠道寄生虫的流行情况与病因

Prevalence and etiology of intestinal parasites in Lebanon.

作者信息

Araj G F, Abdul-Baki N Y, Hamze M M, Alami S Y, Nassif R E, Naboulsi M S

机构信息

Department of Laboratory Medicine, American University of Beirut Medical Center, Beirut, Lebanon.

出版信息

J Med Liban. 1996;44(3):129-33.

PMID:9260400
Abstract

As there are no studies done on the prevalence of intestinal parasites in Lebanon since 1967, this study was undertaken to reveal the current patterns of intestinal parasitic infestations in Lebanese patients from two geographic regions: Beirut and Tripoli. Analysis was based on 33,253 stool specimens examined at the American University of Beirut Medical Center (AUH) and 11,611 specimens examined at the Islamic Hospital (IH) in Tripoli over five and three years, respectively. The prevalence of intestinal parasites at AUH and IH were 8.47% and 45.35%, respectively (overall 18%). The prevalence in males vs females was almost the same; being 8.23% vs 8.74%, and 44.67% vs 45.88%, at AUH and IH, respectively. Multiple infections were noted in 8.8% and 3.5% of stool specimens at AUH and IH, respectively. Although 18 different types of parasites were encountered, the most common pathogenic parasites found at AUH vs IH were: Giardia lamblia (20.7% vs 10.5% of parasites found), Entamoeba histolytica (19.41% vs 1.25%), Taenia spp. (6.03% vs 4.08%) and Ascaris lumbricoides (2.09% vs 46.97%). The overall yearly or monthly prevalence of parasites recovered from both hospitals did not show clear seasonal patterns. Compared to developed countries, Lebanon still suffers from a high prevalence and a wide spectrum of intestinal parasites.

摘要

由于自1967年以来黎巴嫩尚未开展关于肠道寄生虫患病率的研究,因此本研究旨在揭示黎巴嫩贝鲁特和的黎波里这两个地理区域患者的肠道寄生虫感染现状。分析基于分别在贝鲁特美国大学医学中心(AUH)检查的33253份粪便标本以及在的黎波里伊斯兰医院(IH)检查的11611份标本,时间跨度分别为五年和三年。AUH和IH的肠道寄生虫患病率分别为8.47%和45.35%(总体为18%)。男性与女性的患病率几乎相同;在AUH分别为8.23%和8.74%,在IH分别为44.67%和45.88%。在AUH和IH的粪便标本中,分别有8.8%和3.5%发现了多重感染。尽管共发现了18种不同类型的寄生虫,但在AUH与IH发现的最常见致病寄生虫分别为:蓝氏贾第鞭毛虫(分别占所发现寄生虫的20.7%和10.5%)、溶组织内阿米巴(19.41%和1.25%)、带绦虫属(6.03%和4.08%)以及蛔虫(2.09%和46.97%)。从两家医院回收的寄生虫的总体年度或月度患病率未显示出明显的季节性模式。与发达国家相比,黎巴嫩仍面临着肠道寄生虫的高患病率和广泛种类的问题。

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