PBO 蚊帐(Olyset Plus®)在喀麦隆贝尔图阿分发 12 个月后的耐用性

IF 2 Q3 INFECTIOUS DISEASES
Diane Leslie Nkahe , Edmond Kopya , Nasser Idriss Ngangue Siewe , Paulette Ndjeunia Mbiakop , Nelly Armanda Kala Chouakeu , Rémy Mimpfoundi , Sévilor Kekeunou , Parfait Awono-Ambene , Christophe Antonio-Nkondjio
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引用次数: 0

摘要

背景拟除虫菊酯抗药性的迅速蔓延导致了策略的改变,即从使用拟除虫菊酯的蚊帐改为使用 PBO + 拟除虫菊酯处理过的蚊帐。尽管这些新蚊帐可能会大大改善对抗除虫菊酯蚊子的控制,但它们在野外的耐久性仍未得到充分证实。本研究调查了喀麦隆贝尔图阿市中心和农村地区奥利塞特加蚊帐的耐用性和耐洗性。在每个地点,对至少 190 户拥有奥利赛特加长型蚊帐的家庭进行了半结构式问卷调查。对蚊帐的使用、物理完整性和生物功效等因素进行了记录。对收集的蚊帐进行了生物测定,以评估其生物功效和耐洗性。对野生冈比亚按蚊进行了测试。未使用过的蚊帐和基苏木菌株作为对照。对蚊帐的清洗和锥度测试按照世界卫生组织的标准协议进行。结果 城市地区儿童使用蚊帐的比例较高(89.1% (106/119)),而农村地区为 39.7% (118/297)。在农村地区和城市中心,分别有 82.2% (162/197)和 88% (206/234)的奥利赛特-Plus 蚊帐状况良好(孔洞指数<64)。农村和城市分别只有 5.6% 和 6.8% 的渔网破损严重。城市中心的蚊帐更经常清洗。88.1%的城市居民表示至少清洗过一次蚊帐,而农村居民只有 62%。蚊帐生物功效测试表明,未清洗的蚊帐死亡率为 66%,至少清洗过一次的蚊帐死亡率为 86.7%。在贝尔图阿市,蚊帐的生物功效因清洗频率、浸泡时间、肥皂类型和晾晒地点的不同而有显著差异,而在农村,只有清洗(清洗或未清洗)和浸泡状态(浸泡或未浸泡)对 Olyset-Plus 蚊帐的生物功效有显著影响。在大规模分发蚊帐的过程中,对社区进行常规监测并向其宣传使用和处理蚊帐的最佳方法,可能会提高蚊帐在社区中的耐用性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Durability of PBO nets (Olyset Plus®), 12 months after their distribution in Bertoua, Cameroon

Background

The rapid spread of pyrethroid resistance has led to a change in strategy, going from pyrethroid-based nets to PBO + pyrethroid-treated nets. Although these new nets may significantly improve the control of pyrethroid-resistant mosquitoes, their durability in the field remain not yet well documented. This study investigates the durability and washing resistance of Olyset-Plus nets in the city centre and rural areas of Bertoua, Cameroon. In each site, a semi-structured questionnaire was administered to at least 190 households with an Olyset-Plus net. Factors such as net use, physical integrity and bioefficacy were recorded. Bioassays were conducted on the collected nets to assess their bioefficacy and resistance to washing. They were tested against wild Anopheles gambiae sensus lato (s.l.). Unused nets and the Kisumu strain were used as controls. Washing and cone testing of the nets was carried out according to standard WHO protocols.

Results

A high rate of net use by children was recorded in the urban area (89.1% (106/119)) compared to the rural area (39.7% (118/297)). The majority of Olyset-Plus nets inspected 82.2% (162/197) in the rural area and 88% (206/234) in the urban centre were in good condition (Hole Index<64). Only 5.6% and 6.8% of nets were badly torn in rural and urban sites respectively. Nets were washed more regularly in the urban centre. 88.1% of urban dwellers reported having washed their nets at least once compared to only 62% of rural dwellers. Bioefficacy tests with nets indicated a mortality rate ranging from 66% for unwashed nets to 86.7% for nets washed at least once. Bioefficacy varied significantly in the city of Bertoua according to net washing frequency, soaking time, soap type and drying location, whereas in the rural village, only washing(washed or unwashed) and soaking status (soaked or unsoaked) significantly influenced the bioefficacy of Olyset-Plus nets.

Conclusions

This study revealed different handling practices of bed nets in rural and urban settings which could significantly affect Olyset-Plus nets bio-efficacy and durability. Routine monitoring and sensitization of communities to best practices concerning bed nets usage and handling during mass distribution might enhance the net durability in the community.

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来源期刊
Parasite Epidemiology and Control
Parasite Epidemiology and Control Medicine-Infectious Diseases
CiteScore
5.70
自引率
3.10%
发文量
44
审稿时长
17 weeks
期刊介绍: Parasite Epidemiology and Control is an Open Access journal. There is an increasing amount of research in the parasitology area that analyses the patterns, causes, and effects of health and disease conditions in defined populations. This epidemiology of parasite infectious diseases is predominantly studied in human populations but also spans other major hosts of parasitic infections and as such this journal will have a broad remit. We will focus on the major areas of epidemiological study including disease etiology, disease surveillance, drug resistance and geographical spread and screening, biomonitoring, and comparisons of treatment effects in clinical trials for both human and other animals. We will also look at the epidemiology and control of vector insects. The journal will also cover the use of geographic information systems (Epi-GIS) for epidemiological surveillance which is a rapidly growing area of research in infectious diseases. Molecular epidemiological approaches are also particularly encouraged.
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