Poggensee G, Kiwelu I, Saria M, Richter J, Krantz I, Feldmeier H
Institut für Tropenmedizin, Charité, Humboldt-Universität zu Berlin, Germany.
Am J Trop Med Hyg. 1998 Nov;59(5):782-3. doi: 10.4269/ajtmh.1998.59.782.
The individual and public health impact of female genital schistosomiasis (FGS) has been studied and FGS as a risk factor for acquiring human immunodeficiency virus is discussed. In a community-based study in Tanzania, 40% of the women of child-bearing age (n=543) showed excretion of Schistosoma haematobium eggs in the urine (median=2.2 eggs/10 ml of urine) and 32% (n=263) had S. haematobium eggs in their cervical tissue. Urinary and genital schistosomiasis coexisted in 62% of the women, but S. haematobium eggs were found in the cervix without detectable egg excretion in the urine in 23%. Only 43% of the FGS cases had hematuria. Since FGS frequently exists in women with scanty or no egg excretion in the urine and because this disease manifestation is a considerable individual and public health hazard in S. haematobium-endemic areas, mass treatment targeted to women of child-bearing age should be considered.
女性生殖器血吸虫病（FGS）对个人和公共健康的影响已得到研究，并讨论了FGS作为获得人类免疫缺陷病毒的一个风险因素。在坦桑尼亚进行的一项基于社区的研究中，40%的育龄妇女（n = 543）尿液中出现埃及血吸虫卵（中位数 = 2.2个卵/10毫升尿液），32%（n = 263）的宫颈组织中有埃及血吸虫卵。62%的女性同时存在泌尿和生殖器血吸虫病，但23%的女性宫颈中发现了埃及血吸虫卵，而尿液中未检测到虫卵排出。只有43%的FGS病例有血尿。由于FGS在尿液中虫卵排出少或无虫卵排出的女性中经常存在，并且鉴于这种疾病表现是埃及血吸虫流行地区相当大的个人和公共健康危害，应考虑针对育龄妇女进行群体治疗。
