妊娠期肠道寄生虫感染的患病率和危险因素:加纳农村地区的一项横断面研究

IF 2.8 2区 医学 Q1 OBSTETRICS & GYNECOLOGY
John Gameli Deku, Faustina Adu Ofosua, Godsway Edem Kpene, Israel Bedzina, Kenneth Ablordey, Florence Shine Edziah, Arnold Togiwe Luuse, Enoch Aninagyei
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引用次数: 0

摘要

背景:肠道寄生虫感染是发展中国家常见的公共卫生问题。由这些感染引起的疾病影响到全世界数百万孕妇,并可能导致不良的孕产妇和胎儿结局。本研究旨在确定在加纳上登基拉西区五旬节医院就诊的孕妇肠道寄生虫感染负担及相关危险因素。方法:在加纳中部地区上登基拉西区的五旬节医院进行了一项基于医院的横断面研究。孕妇于2021年6月至10月被招募。对参与者进行问卷调查,以获得社会人口统计学,行为和产科特征。由参与者制作非重复的新鲜粪便样本,并通过直接湿挂载、甲醛-醚浓度和Ziehl-Neelsen染色技术进行寄生虫检测。结果:纳入了227名孕妇。其中年龄在20 - 29岁之间的占61.8%。肠道寄生虫病的总体患病率为19.3% (95% CI: 14.2-25.3)。共鉴定出8种寄生虫,其中以钩虫(4.8%)居多,采用直接湿贴法(4.8%)和甲醚浓度法(3.4%)鉴定。有过流产经历的孕妇感染寄生虫的几率是无流产记录的孕妇的2.912倍[aOR = 2.912, 95% CI: 1.210-7.011;p值= 0.017]。结论:孕妇肠道寄生虫感染普遍存在,以钩虫为主。风险因素包括流产史和洗手习惯。出乎意料的是,用肥皂和水洗手的女性感染率更高。公共卫生干预措施对于减轻这些感染对孕产妇和胎儿健康的影响至关重要。
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 risk factors of intestinal parasitic infections in pregnancy: a cross-sectional study in a rural district in Ghana.

Background: Intestinal parasitic infection is a common public health problem in developing countries. The disease caused by these infections affects millions of pregnant women worldwide, and may lead to adverse maternal and foetal outcomes. This study aimed to determine the burden of intestinal parasitic infections and the associated risk factors among pregnant women attending Pentecost Hospital in the Upper Denkyira West District of Ghana.

Methods: A hospital-based cross-sectional study was conducted at Pentecost Hospital in the Upper Denkyira West district in the Central region of Ghana. Pregnant women were recruited from June to October 2021. Questionnaires were administered to the participants to obtain socio-demographic, behavioural, and obstetrics characteristics. Non-repetitive fresh stool samples were produced by the participants and processed for parasite detection by direct wet mount, formol-ether concentration, and Ziehl-Neelsen staining technique.

Results: Two hundred and seven pregnant women were enrolled. Most (61.8%) of them were between 20 and 29 years. The overall prevalence of intestinal parasitosis was 19.3% (95% CI: 14.2-25.3). Eight different parasitic species were identified, among which hookworm (4.8%) was the majority, and identified by both direct wet mount (4.8%) and formol-ether concentration (3.4%) methods. Pregnant women who have experienced a pregnancy loss had 2.912 times increased odds of parasitic infection compared to those with no record of pregnancy loss [aOR = 2.912, 95% CI: 1.210-7.011; p-value = 0.017].

Conclusion: Intestinal parasitic infection was prevalent among pregnant women, with hookworm being the most common parasite. Risk factors included a history of pregnancy loss and handwashing practices. Unexpectedly, women who washed their hands with soap and water had higher infection rates. Public health interventions are essential to mitigate the impact of these infections on maternal and foetal health.

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来源期刊
BMC Pregnancy and Childbirth
BMC Pregnancy and Childbirth OBSTETRICS & GYNECOLOGY-
CiteScore
4.90
自引率
6.50%
发文量
845
审稿时长
3-8 weeks
期刊介绍: BMC Pregnancy & Childbirth is an open access, peer-reviewed journal that considers articles on all aspects of pregnancy and childbirth. The journal welcomes submissions on the biomedical aspects of pregnancy, breastfeeding, labor, maternal health, maternity care, trends and sociological aspects of pregnancy and childbirth.
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