埃塞俄比亚阿姆哈拉地区北沃罗区沃尔迪亚镇无症状小学生常见肠道寄生虫感染的流行情况及相关危险因素

Shimeles Getawa Abera, Abayneh Unasho Gandile
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摘要

背景:肠道蠕虫感染是一个全球性的健康问题,也是第三世界国家严重关注的问题。最常见的寄生于人体肠道的寄生虫包括线虫(蛔虫)和盘虫(囊虫和吸虫),它们在世界范围内广泛分布。预防和控制包括蠕虫在内的所有寄生虫感染需要开展以寄生虫及其相关易感因素鉴定为基础的研究工作。目的:了解埃塞俄比亚东北部北沃罗区沃尔迪亚镇无症状小学生肠道寄生虫感染的流行情况及相关危险因素。方法:研究设计为基于学校的横断面研究,研究时间为2019年11月至2020年2月。抽样技术采用简单随机抽样方法,样本量根据单人口比例公式计算,共纳入442名研究对象。资料收集方法为实验室显微镜粪便检查,采用直接湿贴法和甲醚浓度法,并对相关危险因素和社会人口因素进行结构化问卷调查。采用主题框架法对数据进行手工分析,包括描述性统计。结果:沃尔迪亚镇无症状小学生肠道寄生虫感染总体患病率为96例(22.7%)。寄生虫的主要肠道寄生虫为木蛔虫40种(9.5%),其次为毛缕虫18种(4.3%)、膜虫13种(3.1%)和钩虫10种(2.4%)。从寄生虫肠道感染总体检出率为96例(22.7%),直接湿贴法检出率为36例(37.5%),甲醛-醚浓度法检出率为60例(62.5%)。此外,研究结果还表明,寄生虫感染与相关易感因素有关。结束语和建议:在本研究中,蠕虫感染的总体患病率相对较低。然而,控制和干预肠道蠕虫感染需要不断提供定期驱虫治疗和关于个人卫生和环境卫生的定期健康教育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence and associated risk factors of common intestinal parasitic infections of helminthes among the asymptomatic primary school children at Woldia Town, North Wollo Zone, Amhara Region, in Ethiopia
Background: Intestinal worm infestation is a global health problem and serious concern for the third world countries. The most common intestinal parasites of helminthes that inhabit in human gut include Nematodes (roundworms) and Platyhelminthes (Cestodes and trematodes) which are wide spread throughout the world. Prevention and control of all parasitic infections including helminthes require research work based on the identification of parasites and associated predisposing factors. Objective: The aim of this study was to determine the prevalence and associated risk factors of intestinal parasitic infections of helminthes among the asymptomatic primary school children at Woldia town, North Wollo Zone North Eastern Ethiopia. Methods: The study design was school based cross sectional study from November 2019 to February 2020. The technique of sampling was simple random sampling method and the sample size was computed based on the formula proposed by single population proportion to include 442 study participants. The method of data collection was laboratory microscopic stool examination using direct wet mount and formol-ether concentration technique and the structured questionnaires about the associated risk factors and sociodemographic factors. Analysis of the data was made manually using the thematic framework method including the descriptive statistics Result: The overall prevalence of intestinal parasitic infections of helminths among the asymptomatic primary school children at woldia town was 96(22.7%). The predominant intestinal parasites of helminthes was Ascaries lumbercoides 40 (9.5%) followed by Trichuris trichiura 18 (4.3%), Hymenolopis nana 13 (3.1%) and Hook worms 10 (2.4%). From the overall prevalence of intestinal parasitic infections of helminthes, 96(22.7%), the results obtained by direct wet mount method was 36(37.5%) while the Formol-ether concentration technique method revealed 60(62.5%). Moreover, the result also showed parasitic infections of helminthes were associated with associated predisposing factors. Concluding remarks and recommendations: In this study the overall prevalence of helminthic infections was relatively lower. However the control and intervention of intestinal helminthic infections requires a constant provision of periodic deworming treatment and regular health educations regarding personal hygiene and environmental sanitations.
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