East African medical journal最新文献_第5页

Injection safety knowledge and practices among clinical health care workers in Garissa provincial general hospital 加里萨省总医院临床卫生保健工作者的注射安全知识和做法

Q4 Medicine

East African medical journal

Pub Date : 2015-01-01 DOI: 10.4314/EAMJ.V92I1

F. M. Mwangangi, J. Mweu, Theresa Odero, A. Kirui, J. Kinuthia, S. Bett, C. Musee

Marfan’s syndrome is a rare genetic disease, autosomal dominant. The most affected organs are eyes (myopia, subluxation of the lens); skeleton (hyperlaxity, arachnodactyly, scoliosis, dolichostenomelia) and cardiovascular system (aortic pathology). The severity of this disease is related to its cardiovascular damage. We proposed to carry out a review of the literature from the first case reported in the ophthalmology department of the University Hospital of Brazzaville.

背景:世界卫生组织估计，发展中国家每年大约进行160亿次注射。因此，注射安全对于预防职业接触和血源性病原体感染至关重要，因此预防是保护卫生工作者、患者和维持安全环境的任何综合计划的重要组成部分。目的:了解加里萨省总医院临床医护人员注射安全知识和实践情况。设计:横断面描述性研究。工作地点:2011年9月至2012年7月在加里萨省总医院。结果:注射安全知识得分较高，在16个项目中得分为12.65 (SD±2.3)。大多数答复者报告了适当的注射安全做法。知识水平与被调查者人口学特征无显著相关(p>0.05)，但与洗手行为显著相关(p<0.05)。结论是适当的注射安全措施，如不盖针、洗手和适当的废物管理。不同科室的给药实践存在差异(p=0.043)，针头重新包扎与培训(p=0.047)、名称(p=0.02)和部署区域(p=0.017)显著相关。结论:患者对注射安全知识知晓率较高，但报告和实践情况低于规定标准。观察到重新盖上使用过的注射器、重复使用一次性注射器和过度填充尖锐盒等危险做法。注射安全设备供应不足，废物处理不当，个人防护装备不足。不必要注射的过度处方很普遍。

引用次数: 2

Truncus Arteriosus in a 43 year old Male: Case Report 43岁男性动脉干1例

Q4 Medicine

East African medical journal

Pub Date : 2015-01-01 DOI: 10.4314/EAMJ.V92I12

TK Ng’eno, M. Koech, R. Yanoh, M. C. Foster, E. Velazquez, G. Bloomfield

In truncus arteriosus, the embryologic truncus fails to properly divide in-utero resulting in the pulmonary, aortic and coronary arteries arising from a single ascending portion of this trunk. This condition is usually fatal within the first year of life without correction. Over the past two decades, there has been a dramatic expansion in access to diagnostic echo cardiography in Kenya and greater ability to diagnose congenital heart diseases. We present the case of a 43 year old male from western Kenya, newly diagnosed with heart failure due to truncus arteriosus. This case highlights the value of echo-cardiography in Kenya, and supports the need for surgical and interventional cardiac services to grow in tandem with these diagnostic capabilities.

在动脉干中，胚胎干在子宫内不能正常分裂，导致肺动脉、主动脉和冠状动脉从该干的单个上升部分产生。如果不加以纠正，这种情况通常在出生后一年内是致命的。在过去的二十年里，肯尼亚在获得超声心动图诊断方面有了显著的扩大，并且在诊断先天性心脏病方面也有了更大的能力。我们提出的情况下，一个43岁的男性从肯尼亚西部，新诊断为心力衰竭由于动脉干。该病例突出了超声心动图在肯尼亚的价值，并支持外科和介入心脏服务与这些诊断能力同步增长的需求。

引用次数: 0

OBSTACLES TO FAMILY PLANNING USE AMONG RURAL WOMEN IN ATIAK HEALTH CENTER IV, AMURU DISTRICT, NORTHERN UGANDA. 乌干达北部阿穆鲁区atiak第四保健中心农村妇女使用计划生育的障碍。

Q4 Medicine

East African medical journal

Pub Date : 2015-01-01

S Ouma, M Turyasima, H Acca, F Nabbale, K O Obita, M Rama, C C Adong, A Openy, M O Beatrice, E I Odongo-Aginya, S Awor

Background: Uganda's rapid population growth (3.2%) since 1948 has placed more demands on health sector and lowered living standard of Ugandans resulting into 49% of people living in acute poverty especially in post conflict Northern Uganda. The population rise was due to low use of contraceptive methods (21% in rural areas and 43% in urban areas) and coupled with high unmet need for family planning (41%). This indicated poor access to reproductive health services. Effective use of family planning could reduce the rapid population growth.

Objective: To determine obstacles to family planning use among rural women in Northern Uganda.

Design: A descriptive cross-sectional analytical study.

Setting: Atiak Health Centre IV, Amuru District, rural Northern Uganda.

Subjects: Four hundred and twenty four females of reproductive ages were selected from both Inpatient and Outpatient Departments of Atiak Health Centre IV.

Results: There was high level of awareness 418 (98.6%), positive attitude 333 (78.6%) and fair level of utilisation 230 (54.2%) of family planning. However, significant obstacles to family planning usage included; long distance to Health facility, unavailability of preferred contraceptive methods, absenteeism of family planning providers, high cost of managing side effects, desire for big family size, children dying less than five years old, husbands forbidding women from using family planning and lack of community leaders' involvement in family planning programme.

Conclusions: In spites of the high level of awareness, positive attitude, and free family planning services, there were obstacles that hindered family planning usage among these rural women. However, taking services close to people, reducing number of children dying before their fifth birthday, educating men about family planning, making sure family planning providers and methods are available, reducing cost of managing side effects and involving community leaders will improve utilisation of family planning and thus reduce the rapid population growth and poverty.

背景:乌干达自1948年以来人口的快速增长(3.2%)对卫生部门提出了更多的要求，降低了乌干达人的生活水平，导致49%的人生活在严重贫困中，特别是在冲突后的乌干达北部。人口增长的原因是避孕方法使用率低(农村地区21%，城市地区43%)，加上计划生育需求未得到充分满足(41%)。这表明很难获得生殖健康服务。计划生育的有效实施可以减缓人口的快速增长。目的:确定乌干达北部农村妇女实施计划生育的障碍。设计:描述性横断面分析研究。地点:乌干达北部农村阿穆鲁区Atiak第四保健中心。对象:选取阿提亚克第四保健中心住院部和门诊部育龄女性共224人。结果:对计划生育的知晓率为418人(98.6%)，对计划生育的态度为333人(78.6%)，对计划生育的利用程度为230人(54.2%)。但是，计划生育使用的重大障碍包括;保健设施距离远、没有首选避孕方法、计划生育提供者缺职、管理副作用的费用高、渴望大家庭、儿童在五岁以下死亡、丈夫禁止妇女使用计划生育以及社区领导人缺乏参与计划生育方案。结论:尽管农村妇女对计划生育的认识水平高，态度积极，计划生育服务免费，但仍存在阻碍计划生育使用的障碍。然而，使服务贴近人们，减少儿童在5岁生日前死亡的人数，对男子进行计划生育教育，确保提供计划生育提供者和方法，降低管理副作用的成本，并让社区领导人参与，将改善计划生育的利用，从而减少人口的快速增长和贫困。

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引用次数: 0

Incidence of Ventilator-associated pneumonia in the critical care unit at Kenyatta National Hospital, a public tertiary care hospital 肯雅塔国立医院(一家公立三级保健医院)重症监护病房呼吸机相关肺炎的发病率

Q4 Medicine

East African medical journal

Pub Date : 2015-01-01 DOI: 10.4314/EAMJ.V95I6

F.A.A. Sattar, D. S. Quadros, P. Olang, T. Chokwe

Background: Human Immunodeficiency virus infected children are highly susceptible to opportunistic infections of the respiratory system which are the most common cause of morbidity and mortality. The chest radiograph is the most frequently requested examination for the evaluation of respiratory disease. Its applications include screening, diagnosis and monitoring response to medication of respiratory illnesses.Objective: To determine the prevalence of abnormal chest radiograph findings among HIV infected children. Design: Prospective cross-sectional descriptive study Setting: Kenyatta National Hospital and Mbagathi Level 5 Nairobi County hospital Subjects: The chest radiographs and clinical history of 123 HIV infected children below 15 years were studied between November 2014 and February 2015. Results: The age range of the children was 1-15 years with a median age of 24 months. The male: female ratio was 1:1.02. Normal chest radiographs were found in 54/123 (44%) while 69/123 (56%) had abnormal chest radiographic findings. Pulmonary opacities were identified in the majority of patients with abnormal chest radiographs (67%) while almost 51% showed lymphadenopathy. In the pulmonary opacities, “other infiltrate’’ (61%) was found to be more common than consolidation (39%). Pleural effusions were not common while cavitary lesions and pneumothorax were not identified. There was no significant association between the radiographic findings and the children’s age and sex. The findings of this study correlated well with similar studies in Africa. Conclusion: HIV infected children especially those below the age of 5 years, are highly susceptible to chest infections. This was seen in the high prevalence of cough and severe respiratory distress as well as the significant number of abnormal chest radiograph findings. The high prevalence of ‘other infiltrate’ in this study may indicate that the causative pathogen may not respond to standard antibiotic regimes; and further clinical studies to confirm this are required.

背景:呼吸机相关性肺炎(VAP)是一种严重类型的医院获得性肺炎，发生在机械通气开始后48-72小时。目的:本研究旨在利用临床肺部感染评分(CPIS)来确定VAP的发病率，CPIS将临床、放射学、生理学和微生物学数据结合为数值结果，范围从0到12，并确定与VAP发展相关的危险因素。第二个目的是评估气管吸入致病菌阳性培养在预测迷你支气管肺泡灌洗(Mini-BAL)阳性培养中的诊断效用。设计:2015年1月1日至2015年3月31日进行的以医院为基础的前瞻性横断面研究。环境:肯雅塔国家医院，三级保健医院。受试者:92名符合纳入标准的受试者被纳入。结果:92例患者中，50例CPIS≥6，发生率为54.4% (ci 44.0 ~ 64.7%)。显示与VAP相关的因素包括有记录的误吸(OR 2.0)、高护患比(OR 4.0)、术后患者(OR 2.5)、鼻插管患者(OR 4.0)和口腔念珠菌病患者(OR 3.5)。在CPIS≥6的50例患者中，46例(92%)患者气管抽吸培养阳性，31例(62%)患者mini-BAL培养阳性。气管抽吸阳性预测min-BAL培养阳性的敏感性和特异性分别为100% (C.I 88.7-100.0%)和21.1% (C.I 6.2-45.6%)。阴性预测值为100.0% (C.I 40.2-100.0%)，阳性预测值为67.4% (C.I 52.0-80.5%)。结论:我们的研究是东非首次有文献记载的研究，发现VAP的发病率很高。需要进一步的研究来比较各种有创和无创检查对VAP诊断的诊断效用。

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引用次数: 1

The role of endoscopic ultrasound elastography in diagnosis of pancreatic lesions 内镜超声弹性成像在胰腺病变诊断中的作用

Q4 Medicine

East African medical journal

Pub Date : 2015-01-01 DOI: 10.4314/eamj.v92i2

M. Mutua, J. Wanyoike, N. Kihara, JB Oyieke

Objective : To evaluate the accuracy of elastography in differentiating benign from malignant pancreatic masses for patients. Design : A prospective, consecutive, study Setting : Kasr Alini hospital department of internal Medicine , university of Cairo, Egypt. Subjects : Thirty patients had a solid-appearing pancreatic mass at conventional ultrasound, EUS and CT abdomen were included in the study. Results : A total of 30 patients were included in the study. The age of the Patients ranged between 38 and 70 years with a mean value of 54± 8.6 Years. The study included 22 (73.3%) males and eight (26.7%) females. The mean size of pancreatic masses was 35.6 ± 11.8 mm. The final diagnosis were pancreatic adenocarcinoma (n =25) papillary adenocarcinoma (n =1), papillary adenoma (n =2) and chronic pancreatitis ( n =2). The strain ratio was significantly higher among patient with pancreatic malignant tumour compare with those with inflammatory masses. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy for elastograpgy to Differentiate malignant from benign pancreatic masses were: 88%, 80%, 95.6%, 57.14% and 86% respectively (area under receiver operating curve 0 .974). Conclusion : EUS elastography is a useful tool for differentiating malignant from benign pancreatic masses through objective evaluation of tissue stiffness.

目的:评价弹性成像鉴别胰腺良恶性肿块的准确性。设计:前瞻性、连续性研究环境:埃及开罗大学Kasr Alini医院内科。研究对象:30例在常规超声、EUS及CT腹部均有胰腺实性肿块的患者。结果:共纳入30例患者。患者年龄38 ~ 70岁，平均54±8.6岁。其中男性22例(73.3%)，女性8例(26.7%)。胰腺肿物平均大小为35.6±11.8 mm。最终诊断为胰腺腺癌(n =25)、乳头状腺癌(n =1)、乳头状腺瘤(n =2)和慢性胰腺炎(n =2)。胰腺恶性肿瘤患者的应变比明显高于炎性肿块患者。弹性成像鉴别胰腺良性肿块的敏感性、特异性、阳性预测值、阴性预测值和准确性分别为88%、80%、95.6%、57.14%和86%(受者工作曲线下面积为0.974)。结论:EUS弹性成像通过客观评价组织硬度，是鉴别胰腺肿块良恶性的有效工具。

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引用次数: 15

Necrotising haemorrhagic pancreatitis with intra-abdominal hypertension: Case report 坏死性出血性胰腺炎合并腹腔内高压1例

Q4 Medicine

East African medical journal

Pub Date : 2015-01-01 DOI: 10.4314/eamj.v92i8

C. Kwobah, F. Some, F. Ndiangui, J. Abuya

Severe necrotising haemorrhagic pancreatitis is a challenging clinical condition that carries a high mortality especially in resource-limited settings. The management requires a multidisciplinary approach in a well-equipped critical care unit. The decision for operative versus conservative management is a close call and one that continues to challenge clinicians. In this case report, we present a 36 years old HIV-infected African male who presented at a tertiary care teaching and referral hospital in Kenya with worsening intra-abdominal bleeding. We highlight the management challenges faced by clinicians and review the literature on this subject.

严重坏死性出血性胰腺炎是一种具有挑战性的临床疾病，具有很高的死亡率，特别是在资源有限的环境中。管理需要在设备齐全的重症监护病房采用多学科方法。选择手术治疗还是保守治疗是一个艰难的决定，也是对临床医生的一个挑战。在这个病例报告中，我们提出了一个36岁的艾滋病毒感染的非洲男性谁提出了三级护理教学和转诊医院在肯尼亚腹内出血恶化。我们强调了临床医生面临的管理挑战，并回顾了有关这一主题的文献。

引用次数: 0

Kidney function predictors and associated serum electrolytes changes in HIV out patients attending Jaramogi Oginga Odinga teaching and referral hospital, Kisumu county, Kenya 肯尼亚基苏木县Jaramogi Oginga Odinga教学和转诊医院艾滋病毒门诊患者的肾功能预测指标和相关血清电解质变化

Q4 Medicine

East African medical journal

Pub Date : 2015-01-01 DOI: 10.4314/eamj.v92i11

W. Opiyo, A. Ng’wena, A. Ofulla

Background: Kidney disease has been recognised as one of the health challenges complicating HIV infection, prognosis and management. Early recognition, diagnosis and treatment are therefore key to ameliorating the deleterious impacts of kidney disease in HIV infected patients. Objectives: To assess serum kidney function markers in order to highlight the state of kidney health and the impact of its functional impairment on other serum electrolytes and body fluids parameters Design: A case-control study. Setting: At Jaramogi Oginga Odinga Teaching and Referral Hospital’s Patient support centre. Subjects: Eight Hundred HIV positive and 406 HIV negative participants above 18 years of age. Results: Mean serum creatinine and urea levels was significantly elevated in HIV – infected individuals than the healthy control group (95.2μmol/l v/s 86.2μmol/l, p<0.0001 and 4.6mmol/l v/s 4.1mmol/l, p<0.0001 respectively). The prevalence of pathological levels of serum creatinine, urea and sodium was higher in HIV-infected patients than HIV-negative participants (26.1% v/s 11.8%, p<0.0001; 4.4% v/s 0.5%, P<0.0001and 26.1% v/s 10.6%, p=0.001 respectively). Females experienced more serum creatinine disorders than their male counterparts (31.8% v/s 18.1%, p<0.0001). Age and antiretroviral treatment were not predictors of aberrations in levels of kidney function markers in HIV infected patients. AIDS defining CD4 depletion was associated with enhanced deterioration of kidney function. However, kidney function anomalies were not sufficient explanation for co-existing electrolyte anomalies as clinically altered creatinine states only correlated and co-varied with urea states (r =0.715) while sodium states co-varied with chloride levels (r = 0.296). Conclusion: Kidney function disorders are not infrequent in HIV infected individuals. Serum sodium aberration is observed more frequently in seropositive than in seronegative individuals. Routine review of kidney health status in local HIV infected individuals ought to be adopted for comprehensive management of HIV patients, more so among the female gender.

背景:肾脏疾病已被认为是使HIV感染、预后和管理复杂化的健康挑战之一。因此，早期识别、诊断和治疗是改善艾滋病毒感染患者肾脏疾病有害影响的关键。目的:评估血清肾功能标志物，以突出肾脏健康状况及其功能损害对其他血清电解质和体液参数的影响。地点:在贾拉莫吉奥加加奥廷加教学和转诊医院的病人支持中心。研究对象:年龄在18岁以上的艾滋病病毒感染者800人，艾滋病病毒阴性者406人。结果:HIV感染者血清肌酐和尿素水平显著高于健康对照组(95.2μmol/l v/s 86.2μmol/l, p<0.0001)和4.6mmol/l v/s 4.1mmol/l, p<0.0001)。hiv感染患者的血清肌酐、尿素和钠的病理水平患病率高于hiv阴性参与者(26.1% v/s 11.8%， p<0.0001;4.4% v/s为0.5%，P<0.0001; 26.1% v/s为10.6%，P =0.001)。女性比男性出现更多的血清肌酐紊乱(31.8% vs . 18.1%， p<0.0001)。年龄和抗逆转录病毒治疗不是HIV感染患者肾功能标志物水平异常的预测因子。艾滋病定义CD4耗竭与肾功能恶化加剧相关。然而，肾功能异常并不能充分解释共存的电解质异常，因为临床改变的肌酐状态仅与尿素状态相关并共变(r =0.715)，而钠状态与氯化物水平共变(r = 0.296)。结论:肾功能障碍在HIV感染者中并不少见。血清钠异常在血清阳性人群中比在血清阴性人群中更为常见。对艾滋病患者的综合管理应采取对当地HIV感染者肾脏健康状况的常规检查，尤其是对女性患者。

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引用次数: 2

Perception of Labour Pain among Rural Women Presenting to A Tertiary Hospital in Kenya 在肯尼亚某三级医院就诊的农村妇女对分娩疼痛的感知

Q4 Medicine

East African medical journal

Pub Date : 2015-01-01 DOI: 10.4314/EAMJ.V92I3

W. Waweru-Siika

Background : Childbirth results in severe pain for many women. In many hospitals in Resource-Limited Countries (RLCs), women endure the pain of labour with little or no pain relief. There have not been any studies done within 36 hours of a recent delivery to determine how rural Kenyan women perceive the pain of labour, and whether they have embraced the concept of labour analgesia. Objectives : To find out how rural women who had recently given birth at the Moi Teaching and Referral Hospital (MTRH) rate the severity of their pain, and whether the expectations of these women with regards to pain relief for labour were met. Design : A retrospective cohort study. Setting : The Moi Teaching and Referral Hospital (MTRH) post-natal wards. Subjects : Women who had had a normal vaginal delivery in the preceding 36 hours. Intervention s: A structured questionnaire was administered. Results : Three hundred and eighy nine women who fulfilled the eligibility criteria were interviewed. Two hundred and eighty seven (73.8%) of 389 women rated their pain as severe to unbearable. Only 43 (11.0%) received any labour analgesia. This was in the form of an anti-spasmodic injection (Buscopan®). Thirty four (79%) of the 43 women who received an anti-spasmodic rated the pain relief obtained as good to very good. The level of knowledge of possible labour analgesia options was very low. Three hundred and thirty four (86%) of 389 women indicated that they would want to be given analgesia for future deliveries. Conclusion : The majority of rural women who give birth at the MTRH do so without any labour analgesia. Although the level of knowledge is low regarding possible labour analgesia options, the majority of these women would welcome medical intervention that would reduce their discomfort. There is need to establish a formal labour analgesia service at MTRH and to educate rural Kenyan women on the various labour analgesia options, to enable them make informed choices regarding their use.

背景:对许多妇女来说，分娩会导致剧烈的疼痛。在资源有限国家(rlc)的许多医院里，妇女忍受着分娩的痛苦，很少或根本没有疼痛缓解。目前还没有任何在分娩后36小时内进行的研究，以确定肯尼亚农村妇女如何感知分娩的痛苦，以及她们是否接受了分娩镇痛的概念。目的:了解最近在莫伊教学和转诊医院(MTRH)分娩的农村妇女对其疼痛严重程度的评价，以及这些妇女对分娩疼痛缓解的期望是否得到满足。设计:回顾性队列研究。环境:Moi教学和转诊医院(MTRH)产后病房。研究对象:36小时内正常阴道分娩的妇女。干预措施:采用结构化问卷。结果:对389名符合入选标准的女性进行了访谈。389名女性中有277名(73.8%)认为她们的疼痛严重到无法忍受。只有43例(11.0%)接受了分娩镇痛。这是以抗痉挛注射(Buscopan®)的形式进行的。接受抗痉挛药物治疗的43名女性中，有34名(79%)认为疼痛缓解效果良好至非常好。对可能的分娩镇痛选择的知识水平非常低。389名妇女中有334名(86%)表示她们希望在以后的分娩中使用镇痛药。结论:大多数农村妇女在分娩时没有使用任何分娩镇痛。虽然对可能的分娩镇痛方法的了解程度较低，但这些妇女中的大多数都欢迎能够减轻其不适的医疗干预。有必要在妇幼保健中心建立正式的分娩镇痛服务，并对肯尼亚农村妇女进行各种分娩镇痛方法的教育，使她们能够在知情的情况下作出使用这些药物的选择。

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引用次数: 1

Prevalence and intensity of intestinal parasitic infections and factors associated with transmission among school going children 学龄儿童肠道寄生虫感染的流行程度和强度以及与传播有关的因素

Q4 Medicine

East African medical journal

Pub Date : 2015-01-01 DOI: 10.4314/EAMJ.V92I6

Ek Kamande, Zipporah Ng’ang’a, LN Muthami, JH Ouma

Objective : To determine the prevalence and intensity of intestinal parasitic infections and factors associated with transmission among primary school going children. Design : Cross-sectional descriptive study. Setting : Muthithi Location situated in Murang’a County, Kenya. Subjects : Multi-stage sampling was used to select 418 children. Stool specimens were examined using Kato-katz technique to determine the number of helminthes eggs per gram of stool and formol ether concentration technique to detect the different protozoan cysts. Data were analysed using Statistical Package format (SPSS version 20.0). Pearson’s Chi-square test was used to establish the association between categorical variables. Multivariate analysis was used to determine the factors associated with the infections. Results : The study established that 53.8% (225 out of 418) were infected with one or more of intestinal parasite. Five species of helminthes were identifiedwith prevalence of 11.5%; the predominant helminth parasite identified was Ascaris lumbricoides 9.1% (38 cases). Intestinal protozoan identified in this population was Entamoeba histolytica with prevalence of 42.3% (177 cases). The factors established to be independently associated with presence of intestinal parasitic infection were: age 11-15 years P<0.001, use of plain water for hand washing P<0.05, eating food without spoon P<0.05, consuming raw vegetables P<0.001, untrimmed finger nails P<0.001 and source of drinking water [river P<0.001 and mixed sources (river, well and tap) P<0.05]. Conclusion : This study revealed that intestinal parasites still pose a public health problem to school going children. Despite lack of school based deworming programme in this area, treatment combined with health education and other interventions in school age children is recommended as a way of controlling transmission.

目的:了解小学生肠道寄生虫感染的流行程度、强度及传播相关因素。设计:横断面描述性研究。环境:Muthithi地点位于肯尼亚穆朗阿县。研究对象:采用多阶段抽样方法抽取儿童418名。粪便标本采用Kato-katz法测定每克粪便中蠕虫卵的数量，福尔摩醚浓度法检测不同类型的原虫囊肿。数据分析采用SPSS 20.0统计软件包格式。使用皮尔逊卡方检验来确定分类变量之间的相关性。采用多变量分析确定与感染相关的因素。结果:418人中有225人(53.8%)感染了一种或多种肠道寄生虫。共检出寄生虫5种，阳性率11.5%;检出优势寄生虫为类蚓蛔虫(38例，9.1%)。人群中发现的肠道原生动物为溶组织内阿米巴原虫，患病率为42.3%(177例)。与肠道寄生虫感染存在独立相关的因素有:年龄11-15岁P<0.001、使用白开水洗手P<0.05、进食无勺食物P<0.05、食用生蔬菜P<0.001、未修剪指甲P<0.001和饮用水来源[河流P<0.001和混合水源(河流、井和自来水)P<0.05]。结论:本研究表明，肠道寄生虫仍对学龄儿童构成公共卫生问题。尽管该地区缺乏以学校为基础的驱虫方案，但建议将治疗与健康教育和学龄儿童的其他干预措施相结合，作为控制传播的一种方式。

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引用次数: 2

Eruptive syringoma mimicking keloid scars: Case report 酷似瘢痕疙瘩的爆发性注射器瘤1例报告

Q4 Medicine

East African medical journal

Pub Date : 2015-01-01 DOI: 10.4314/EAMJ.V92I9

E. Bayonne, PC Essouli, A. Gathsé

The eruptive syringoma represent a rare variant of syringomas. It is a benign tumour derived from eccrine ductal elements. The disease is manifested by papules that arise on the front side of body, usually in young subjects. The eruptive syringoma is asymptomatic, but it may sometimes be pruritic. We report a 25-year-old woman presented with eruptive syringoma resembling keloids scars.

突发性水疱瘤是一种罕见的水疱瘤。它是一种良性肿瘤，起源于内分泌导管。该病表现为出现在身体前部的丘疹，通常发生在年轻人身上。爆发性水疱瘤是无症状的，但有时可能会瘙痒。我们报告一位25岁的女性，表现为类似瘢痕疙瘩疤痕的爆发性注射器瘤。

引用次数: 0