Situation of reinfection and factors related to soil – transmitted helminth reinfection in primary school students in Hau Giang province after interacting with Mebendazole 500mg, in 2019-2020

Thanh Tung Nguyen, Hoang Lan Vo Thi, Hoang Nhut Luu, Ngoc Anh Nguyen, My Ngoc Pham Thi, Thanh Diep Do, Thanh Vu Le, Vien Phuong Nguyen Thi, Trung Dung Tran, Ngoc Binh Pham, Thi Nhi Nguyen
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Abstract

* Background: Soil-transmitted helminthiasis is a fairly common disease, the estimated 24% of the world's population infected with soil-transmitted helminth (STH), of which over 43% are in preschool and school-aged students. The study was conducted to provide information on the situation of re-infection, factors related to STH reinfection. The study was carried out from June 2019 to October 2020 on primary school students in Hau Giang province. * Methods: Community intervention study on 206 primary school students infected with STH by Mebendazole 500mg single dose. Data processing on SPSS 18.0 software, using descriptive statistical calculations and analyzing the relationship between worm reinfection with related factors by squared (χ²) test with p < 0.05. * Results: The general SHT reinfection rate of the pupils after 12 months of intervention was 11.2%. The re-infection rate at 3 months was 1.5%, at 6 months it was 2.0%, at 9 months it was 3.5% and at 12 months it was 4.7%. The study observed the relationship between reinfection with STH and the habit of walking barefoot, not wearing shoes in the house and garden, eating raw vegetables, playing with sandy soil, dogs and cats, and the structure of the floor of the school is the ground, the student's family has livestock and poultry running around in the house and the student has unclean hands (p<0.05). * Conclusion: The rate of the general reinfection of the SHT in elementary school students after 12 months of intervention was 11.2%. It is necessary to strengthen propaganda and advocacy to change students' behavior, to clean the house and the school and to guide them to prevent the STH infection. Keywords: soil-transmitted helminth reinfection, soil-transmitted helminthiasis.
2019-2020年厚江省小学生甲苯达唑500mg交互作用后再感染情况及土源性蠕虫再感染相关因素分析
*背景:土壤传播蠕虫病是一种相当常见的疾病,估计全世界24%的人口感染土壤传播蠕虫(STH),其中超过43%为学龄前和学龄学生。这项研究的目的是提供再感染的情况,以及与STH再感染有关的因素。该研究于2019年6月至2020年10月在后江省的小学生中进行。*方法:采用甲苯达唑500mg单剂对206名小学生感染STH进行社区干预研究。数据处理采用SPSS 18.0软件进行描述性统计计算,采用χ 2检验分析蠕虫再感染与相关因素的关系,p < 0.05。*结果:干预12个月后,小学生总SHT再感染率为11.2%。3个月时再感染率为1.5%,6个月时为2.0%,9个月时为3.5%,12个月时为4.7%。本研究观察到STH再感染与赤脚行走、在房屋和花园不穿鞋、吃生蔬菜、玩沙土、玩狗和猫的习惯、学校地板结构为地面、学生家中有家畜和家禽在房屋内乱跑、学生手不干净等因素的关系(p<0.05)。*结论:干预12个月后,小学生SHT总再感染率为11.2%。有必要加强宣传和倡导,改变学生的行为,清洁房屋和学校,引导他们预防STH感染。关键词:土传蠕虫再感染;土传蠕虫病;
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