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[委内瑞拉玻利瓦尔城学生中的蛲虫病]

[Enterobiasis in students from Ciudad Bolivar, Venezuela].

作者信息

Devera R, Pérez C, Ramos Y

机构信息

Departamento de Parasitología y Microbiología, Escuela de Medicina, Universidad de Oriente, Ciudad Bolívar, Venezuela.

出版信息

Bol Chil Parasitol. 1998 Jan-Jun;53(1-2):14-8.

PMID:9830718
Abstract

Enterobius vermicularis is a nematode with a peculiar biological cycle, thus requiring a special diagnostic technique. In order to determine the prevalence of E. vermicularis infection among schoolchildren in Ciudad Bolívar, Venezuela, 282 children aged 5-14 years old were evaluated between november 1995 and august 1996 by the Graham technique (three perianal swabs with adhesive cellulose tape). The prevalence of enterobiasis in the studied children was estimated 19.1% (54/282). There was no difference between sexes (P > 0.05), but there was a difference between ages (x2 = 13.8; 1.g. = 4), being the infection more frequent between 5 and 8 years. Symptoms were observed in 90.7% of the schoolchildren. Anal pruritus was the most common clinical finding (81.6%). Other less frequent manifestations were enuresis (28.6%) and vulvitis in girls (26.1%). This intestinal parasitosis occurs with high frequency among schoolchildren in Ciudad Bolívar with characteristic and identifiable symptoms in most cases. The Graham method must be used for its diagnosis. This test is not routinely performed in our laboratories unless specifically requested by the attending physician.

摘要

蛲虫是一种具有独特生命周期的线虫,因此需要特殊的诊断技术。为了确定委内瑞拉玻利瓦尔城学童中蛲虫感染的流行情况,1995年11月至1996年8月期间,采用格雷厄姆技术(用粘性纤维素胶带进行三次肛周拭子采样)对282名5至14岁的儿童进行了评估。研究儿童中蛲虫病的患病率估计为19.1%(54/282)。性别之间无差异(P>0.05),但年龄之间存在差异(x2 = 13.8;自由度= 4),5至8岁儿童感染更为频繁。90.7%的学童出现了症状。肛门瘙痒是最常见的临床发现(81.6%)。其他不太常见的表现包括遗尿(28.6%)和女童外阴炎(26.1%)。这种肠道寄生虫病在玻利瓦尔城的学童中高发,大多数情况下具有特征性且可识别的症状。必须使用格雷厄姆方法进行诊断。除非主治医生特别要求,我们实验室一般不常规进行此项检测。

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