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Environmental Factors Influencing the Distribution of Oncomelania hupensis in Central Region, China 影响中部地区湖北钉螺分布的环境因素
Pub Date : 2018-01-01 DOI: 10.4172/2329-891x.1000270
Yi Yuan, Bianrong Chang, J. Qiu, Kequn Liu, Xin-wen Xu, Rendong Li
Schistosomiasis, caused by the snail-borne parasite Schistosoma japonicum, remains highly prevalent in Hubei, China, especially the central region (Jianghan Plain). Because the control of S. japonica primarily depends on the rapid discovery and elimination of its intermediate host Oncomelania hupensis snails, the spatio-temporal distribution of snails and the environmental factors influencing it warrant clarification. We used geographic information system technology to investigate the spatial dynamics of snail distribution in Jianghan Plain from 2008 to 2012. A generalized linear-mixed model, with time as a random effect, was applied to characterize the relationship between snail density at the village level and the associated environmental factors. The percentage of villages in which the frequency of areas with <50% snail occurrence was 71.74-82.67%, which was much higher than that for villages where snail occurrence was >50% (17.33-28.26%). Precipitation, daylight hours, land surface temperatures, wetness index, and proportion of silt were positively associated with snail density, with precipitation having the greatest effect. Normalized difference vegetation index and elevation were negatively associated with snail density. Our findings can be used as a theoretical basis to develop models predicting outbreaks of snail occurrence in the Jianghan Plain and for preventing and controlling schistosomiasis.
血吸虫病是由日本血吸虫(Schistosoma japonicum)传播的一种血吸虫病,在湖北省特别是中部地区(江汉平原)仍然高度流行。由于日本血吸虫的防治主要依赖于其中间宿主钉螺的快速发现和消灭,钉螺的时空分布及其影响因素有必要澄清。利用地理信息系统技术对2008 - 2012年江汉平原钉螺分布的空间动态进行了研究。采用广义线性混合模型,以时间为随机效应,描述了村级蜗牛密度与相关环境因子的关系。村中出现频率达到50%的地区所占比例(17.33-28.26%)。降水、日照时数、地表温度、湿度指数、淤泥比例与钉螺密度呈显著正相关,其中降水的影响最大。归一化植被指数和海拔与钉螺密度呈负相关。研究结果可为建立江汉平原钉螺暴发预测模型和血吸虫病防治提供理论依据。
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引用次数: 0
Impact of Livestock Farming on Human Onchocerciasis in Adamawa and North Regions Cameroon 喀麦隆阿达马瓦和北部地区畜牧业对人类盘尾丝虫病的影响
Pub Date : 2018-01-01 DOI: 10.4172/2329-891x.1000278
A. Šanda, D. Ndjonka, E. Liebau
Background: Onchocerciasis or "river blindness" is currently a major cause of blindness in the world. The use of Ivermectin by the high risk population showed its limits. In these regions, cattle raising is the main occupation and human onchocerciasis is reduced since the high density of cattle stocking protects by zooprophylaxis and cross immunization. This work was carried out in order to know if cattle protect humans against human onchocerciasis. To achieve this goal, two high densities of cattle stocking and onchocerciasis zones were selected: Wakwa and Touboro, two zones of Cameroon located on the Vina River. Methods: Blackflies were collected in each zone and dissected thereafter. Skin biopsies were carried out on volunteers. Infested with Onchocerca blackflies were the subject of detailed accounts and biopsies for microfilariae. Results: Dissections showed 83.87% of infected blackflies with O. ochengi in Wakwa and 82.5% in Touboro. Moreover, 17.5% of parasitized blackflies were parous of O. volvulus in Touboro against 16.13% in Wakwa. Biopsy results displayed that Wakwa recorded a rate of 2%, while Touboro 4% onchocerciasis microfilariae. Conclusions: These results show that the cattle raising influence the transmission of onchocerciasis in humans.
背景:盘尾丝虫病或“河盲症”是目前世界上致盲的主要原因。高危人群使用伊维菌素有其局限性。在这些地区,养牛是主要职业,由于牲畜饲养的高密度受到动物预防和交叉免疫的保护,人类盘尾丝虫病有所减少。开展这项工作是为了了解牛是否能保护人类免受盘尾丝虫病的侵害。为了实现这一目标,选择了两个高密度放牛区和盘尾丝虫病区:Wakwa和Touboro,喀麦隆位于维纳河的两个地区。方法:在各区采集黑蝇,解剖。对志愿者进行了皮肤活组织检查。寄生盘尾丝虫的黑蝇是详细记录和微丝活组织检查的对象。结果:Wakwa区和Touboro区分别有83.87%和82.5%的黑蝇感染ochengi。此外,被寄生黑蝇产卵率为17.5%,而瓦克瓦区为16.13%。活检结果显示,Wakwa的盘尾丝虫病发生率为2%,而Touboro为4%。结论:畜牧业对盘尾丝虫病在人群中的传播有影响。
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引用次数: 0
Successful Treatment of Compartment Syndrome Following Animal Envenomation by Fasciotomy through Small Incisions, Case Reports 小切口筋膜切开术成功治疗动物中毒后筋膜室综合征,病例报告
Pub Date : 2018-01-01 DOI: 10.4172/2329-891X.1000254
Yasunori Sashida
Three cases of compartment syndrome caused by Habu-Snake bite and stone fish sting are treated by fasciotomies through small skin incisions. In Okinawa, the most southern prefecture in Japan, many suffer animal envenomation including 140 cases of Habu-Snake bites. Some of them develop compartment syndrome but usually recover soon after the fasciotomy and take uneventful course if diagnosis is not delayed. Different from compartment syndrome caused by trauma, ischemia, or others, those caused by water-soluble toxins following animal envenomation were expected to be treated successfully with small incisions for fasciotomy. The consecutive three cases of compartment syndrome following Habu-Snake bite and stone fish sting had fasciotomies through 1.5 to 3 cm skin incisions, instead of long skin incisions which are usually made in the same length as the underlying compartment, under following close observations with high index of suspicion of recurrence. Through small skin incisions, compartment syndrome could be released completely and the wounds could be maintained uneventfully with negative pressure therapy without recurrence, infection, or contracture. This method should be considered as an option to treat compartment syndrome caused by animal envenomation and may allow victims to avoid large scars that they should carry for the rest of their life.
本文采用小切口筋膜切开术治疗蛇咬伤及石鱼蜇伤所致的筋膜室综合征3例。在日本最南部的冲绳县,许多人遭受动物中毒,包括140例Habu-Snake咬伤。他们中的一些人发展为筋膜室综合征,但通常在筋膜切开术后很快恢复,如果没有延误诊断,则会采取平稳的过程。与创伤、缺血或其他原因引起的筋膜室综合征不同,动物中毒后由水溶性毒素引起的筋膜室综合征有望通过小切口切开成功治疗。连续3例蛇咬伤及石鱼蜇伤后筋膜室综合征患者均行筋膜切开术,切口为1.5 ~ 3cm,而非与下筋膜室长度相同的长切口,术后密切观察,复发率高。通过小的皮肤切口,筋膜间室综合征可完全释放,负压治疗可使伤口保持平稳,无复发、感染、挛缩。这种方法应该被认为是治疗由动物中毒引起的筋膜室综合征的一种选择,并可能使受害者避免在他们的余生中留下巨大的疤痕。
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引用次数: 0
Clinical Presentations of Cytomegalovirus Infection in Immunocompetent Hosts 免疫正常宿主巨细胞病毒感染的临床表现
Pub Date : 2018-01-01 DOI: 10.4172/2329-891X.1000284
Suma Rao, S. Pande, R. Hussain, D. Ang, J. Seah
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引用次数: 1
Prevalence of Plasmodium falciparum Parasitaemia in Children from Different Breastfeeding Regimens Evaluated by the Deuterium Technique in Southern Benin 用氘技术评估贝宁南部不同母乳喂养方案儿童恶性疟原虫寄生虫病患病率
Pub Date : 2018-01-01 DOI: 10.4172/2329-891X.1000258
Y. S. D. Tove, A. Ogouyèmi-Hounto, G. Cotrell, J. Alao, A. Hounkpatin, Bernard Tornyigah, G. Damien, Atikatou Mama, D. Kintin, Adicat Adeothy, P. Bankole, D. Adomahou, L. Adisso, K. E. Kari, C. Ahoussinou, K. A. Guenou, N. Medoua, A. Luty, Tuikue Ndam Nicaise, A. Massougbodji, D. Gazard, Clemence Fassinou
Studies on the health benefits of exclusive breastfeeding (EBF) and susceptibility to malaria have shown contradictory results. These studies often failed to account for dose response effects. The deuterium dilution technique was used to evaluate the breastmilk intake, the amount of water from sources other than human milk and the exclusivity of breastfeeding. We determine Plasmodium falciparum parasitaemia prevalence in children aged less than six month according to their breastfeeding regimen and maternal milk dose ingested in southern Benin. We conducted a cross sectional study in the Ouidah Kpomasse Tori-Bossito (OKT) health zone in southern Benin from February to December 2014, an intense transmission season. 115 mothers paired with their children aged from 0 to 6 months were enrolled. The daily human milk was measured through saliva of each mother and child pair (MCP) over a period of 14 days by the technique of deuterium oxide "dose to the mother" using the Fourier Transformed Infrared Spectrometer (FTIR). Malaria parasitaemia in children was determined by quantitative Polymerase Chain Reaction (qPCR) in real time at day 14 and day 28. The average age was 2.3 months. The distribution of Plasmodium falciparum parasitaemia in children was 0.00%, 5.08% and 3.85% respectively in exclusive, predominant and partial breastfeeding regimens. The mean intake of breast milk was 641.71 mL per day; 256.75 mL of water per day was taken from sources other than breastmilk. Adjusted linear regression analysis revealed a significant association between quantity of breastmilk and parasitaemia prevalence; infected children (qPCR positive) had 164.11 mL of ingested breastmilk per day less than children without parasitaemia (p=0.00). Our findings highlighted the association between the low risk of Plasmodium falciparum parasitaemia and the ingested breastmilk dose. Study with larger numbers of patients would be necessary to confirm this relationship.
关于纯母乳喂养的健康益处和疟疾易感性的研究显示出相互矛盾的结果。这些研究往往不能解释剂量反应效应。使用氘稀释技术评估母乳摄入量、非母乳来源的水量和母乳喂养的专有性。我们根据贝宁南部6个月以下儿童的母乳喂养方案和母乳摄入剂量,确定了恶性疟原虫寄生虫病的患病率。2014年2月至12月,我们在贝宁南部的Ouidah Kpomasse Tori-Bossito卫生区(OKT)进行了一项横断面研究,这是一个传播激烈的季节。115名母亲和她们0到6个月大的孩子一起参加了这项研究。采用傅立叶变换红外光谱仪(FTIR),通过对每对母子(MCP)的唾液,采用氧化氘“给母剂量”技术,连续14天测定每日母乳量。在第14天和第28天采用定量pcr法实时检测儿童疟疾寄生虫病。平均年龄为2.3个月。在纯母乳喂养方案、优势母乳喂养方案和部分母乳喂养方案中,儿童恶性疟原虫的感染率分别为0.00%、5.08%和3.85%。母乳的平均摄入量为641.71毫升/天;每天256.75毫升的水来自母乳以外的来源。调整后的线性回归分析显示母乳量与寄生虫病患病率之间存在显著相关性;感染儿童(qPCR阳性)每日母乳摄取量比未感染儿童少164.11 mL (p=0.00)。我们的研究结果强调了恶性疟原虫寄生虫病的低风险与摄入母乳剂量之间的关联。有必要对大量患者进行研究以证实这种关系。
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引用次数: 2
S. Haematobium Infection and Chemotherapy-Induced Changes in Interleukin-6 and Acute Phase Proteins Associated with Inflammation in School Children in a Schistosomiasis-Endemic Area 血吸虫病流行地区学龄儿童血梭菌感染和化疗诱导的与炎症相关的白细胞介素-6和急性期蛋白的变化
Pub Date : 2018-01-01 DOI: 10.4172/2329-891X.1000266
T. Chisango, A. Vengesai, A. F. Nhidza, Bongiwe Ndlovu, Danai Tavonga Zhou, E. Sibanda, T. Mduluza
Abstract Objective: There is an increased risk of cases of direct and indirect morbidities as a result of stimulation of tissue-destructive inflammation caused by Schistosoma haematobium infection, hence the need to determine the levels of inflammatory markers in Schistosoma haematobium infected children and also determine the effect of repeated annual mass treatment on levels of interleukin-6 and acute phase proteins. Methodology: Urine specimens from 212 school children were collected and examined to determine prevalence of Schistosoma haematobium at baseline and 2 years following annual rounds of praziquantel treatment. Levels of 4 acute phase proteins were measured from serum samples from the participants using the magnetic bead-based immuno-assays at baseline and 2 years following praziquantel treatment. Sandwich enzyme-linked immunosorbent assay was used to determine levels of interleukin-6.  Results: The overall pre-treatment prevalence of Schistosoma haematobium infection was 23.1% at baseline and 0.47% after 2 years of annual treatments. Schistosoma haematobium infected children had marginally higher levels of procalcitonin and tissue plasminogen activator before treatment though the difference of all three was not significant p>0.05 using Mann-Whitney non-parametric U test. Levels of ferritin and fibrinogen were lower in Schistosoma haematobium infected children before treatment, however the difference was also not significant p>0.05 using Mann-Whitney test. There was no association between infection status or interleukin-6 and the levels acute phase proteins p>0.05 for all acute phase proteins using the Mann-Whitney U test. Discussion and Conclusion: Findings from this study suggest no bearing of Schistosoma haematobium infection status on level of acute phase proteins before and after annual treatment with praziquantel. The extent of inflammation cannot be determined using ferritin, tissue plasminogen activator and fibrinogen. Levels of interleukin-6 did not have any bearing on levels of acute phase proteins. There is a need to explore other acute phase proteins as inflammatory markers in Schistosoma haematobium infection.
【摘要】目的:由于血血吸虫感染引起的组织破坏性炎症刺激增加了直接和间接发病的风险,因此有必要测定血血吸虫感染儿童的炎症标志物水平,并确定每年多次大规模治疗对白细胞介素-6和急性期蛋白水平的影响。方法:收集了212名学龄儿童的尿液标本,并对其进行检查,以确定基线时和吡喹酮年度治疗后2年的血血吸虫患病率。在基线和吡喹酮治疗后2年,使用基于磁珠的免疫测定法从参与者的血清样本中测量4种急性期蛋白的水平。采用三明治酶联免疫吸附法测定白细胞介素-6水平。结果:治疗前血血吸虫感染的总体患病率基线时为23.1%,治疗2年后为0.47%。经Mann-Whitney非参数U检验,血血吸虫感染患儿治疗前降钙素原和组织纤溶酶原激活剂水平略高,但三者差异无统计学意义(p < 0.05)。治疗前血血吸虫感染患儿的铁蛋白和纤维蛋白原水平较低,但经Mann-Whitney检验差异无统计学意义(p < 0.05)。使用Mann-Whitney U试验,感染状态或白细胞介素-6与急性期蛋白水平无相关性(p < 0.05)。讨论与结论:本研究结果提示,每年吡喹酮治疗前后血血吸虫感染状态与急性期蛋白水平无关。炎症程度不能用铁蛋白、组织纤溶酶原激活剂和纤维蛋白原测定。白细胞介素-6的水平对急性期蛋白水平没有任何影响。有必要探索其他急性期蛋白作为血血吸虫感染的炎症标志物。
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引用次数: 1
Ebola’s Fatal Hemorrhagic Fever from Discovery to Vaccine 埃博拉致命出血热从发现到疫苗
Pub Date : 2018-01-01 DOI: 10.4172/2329-891X.1000267
F. Giorgio, Gonzalez Edric, L. Deidre, Zorrilla Antonio, Vera-Lara Carlos, D. Álvarez-Hernández, S. Jorge, Serrano Moises, Vazquez-Lopez Rosalino
The Ebola Virus (EBOV) causes a hemorrhagic fever that is distinguished by a sudden onset of intense headaches, fever and severe hemorrhages which can be fatal in less than a week. The largest Ebola outbreak to date is currently underway, with 28.488 confirmed, probable and suspected cases reported, 15.239 laboratory confirmed cases and 11.297 fatalities as of October 11th, 2015. Most of the cases have occurred in Sierra Leone, Liberia and Guinea. The Ebola virus genus has five species: Zaire, Sudan, Tai Forest, Reston and Bundibugyo. The Zaire virus has caused ten epidemics since its identification in 1976, with a mortality rate of 57%-88%. Fruit bats appear to be the natural reservoir of EBOV, while human to human transmission is spread through direct contact of infected bodily fluids; patients only acquire the ability to infect others when symptomatic. Once inside the host, EBOV infects immune system cells directly and begins to replicate inside them while severely compromising it. Recent evidence shows EBOV alters cytokine expression while expressing its own viral proteins causing significant lymphopenia and lymphapoptosis, as well as endothelial damage. Massive hemorrhages throughout the body are one of the cardinal points of EBOV infection; however, it is not as present in patients as it is believed. The current outbreak has affected countries where sanitation is inadequate, resulting in the inability to control its spread. This review aims to give a broad spectrum of the current findings in several fields to better comprehend Ebola´s fatal Hemorrhagic Fever.
埃博拉病毒(EBOV)引起出血热,其特点是突然出现剧烈头痛、发烧和严重出血,在不到一周的时间内可致人死亡。目前正在发生迄今为止最大的埃博拉疫情,截至2015年10月11日,报告了28.488例确诊、可能和疑似病例,15.239例实验室确诊病例和11.297例死亡。大多数病例发生在塞拉利昂、利比里亚和几内亚。埃博拉病毒属有5种:扎伊尔、苏丹、泰福里斯特、莱斯顿和本迪布焦。扎伊尔病毒自1976年发现以来,已造成10次流行病,死亡率为57%-88%。果蝠似乎是埃博拉病毒的天然宿主,而人与人之间的传播是通过直接接触受感染的体液传播的;患者只有在出现症状时才具备传染他人的能力。一旦进入宿主,EBOV直接感染免疫系统细胞,并开始在免疫系统细胞内复制,同时严重损害免疫系统。最近的证据表明,EBOV在表达自身病毒蛋白的同时改变细胞因子的表达,导致显著的淋巴细胞减少和淋巴细胞减少,以及内皮损伤。全身大出血是EBOV感染的主要症状之一;然而,它并不像人们认为的那样存在于患者中。目前的疫情影响到卫生设施不足的国家,导致无法控制其传播。这篇综述的目的是对目前在几个领域的发现进行广泛的介绍,以便更好地理解埃博拉致命的出血热。
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引用次数: 0
Sickle Cell Disease Clinical Trials and Phenotypes. 镰状细胞病临床试验和表型。
Pub Date : 2018-01-01 DOI: 10.4172/2329-891X.1000259
Chinedu A Ezekekwu, Taiwo R Kotila, Titilola S Akingbola, Guillaume Lettre, Victor R Gordeuk, Richard S Cooper, Michael R DeBaun, Baba Inusa, Bamidele O Tayo

Sickle cell disease, one of the world's most common genetic disorders is prevalent in sub-Saharan Africa. The trans-Atlantic slave trade accounted for the gene movement from Africa to the Caribbean and United States of America and lately, migration has resulted in the introduction of the gene to the United Kingdom and other parts of Europe. Different haplotypes exist, however the differences in these haplotypes are not sufficient to explain the different clinical variations within the same region or different settings.

镰状细胞病是世界上最常见的遗传性疾病之一,在撒哈拉以南非洲流行。跨大西洋奴隶贸易造成了基因从非洲到加勒比和美利坚合众国的流动,最近,移徙导致基因传入联合王国和欧洲其他地区。存在不同的单倍型,但这些单倍型的差异不足以解释同一地区或不同环境下的不同临床变异。
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引用次数: 2
White Paper: Pathways to Progress in Newborn Screening for Sickle Cell Disease in Sub-Saharan Africa. 白皮书:撒哈拉以南非洲新生儿镰状细胞病筛查的进展之路。
Pub Date : 2018-01-01 Epub Date: 2018-07-10 DOI: 10.4172/2329-891X.1000260
Lewis Hsu, Obiageli E Nnodu, Biobele J Brown, Furahini Tluway, Shonda King, Livingstone G Dogara, Crystal Patil, Sergey S Shevkoplyas, Guillaume Lettre, Richard S Cooper, Victor R Gordeuk, Bamidele O Tayo

Sickle Cell Disease (SCD) is among the most common single-gene diseases in the world but evidence-based comprehensive health care has not been implemented where the highest prevalence of SCD occurs, in sub-Saharan Africa (SSA). It represents an urgent health burden, both in terms of mortality and morbidity with an estimated mortality of 8-16% in children under 5 years in SSA. Addressing the high mortality of SCD in SSA and for effective management of SCD, newborn screening (NBS) should be incorporated with prevention of infections (including pneumococcal septicaemia and malaria), parental education and support at all levels of healthcare provision to enable timely recognition. The NBS working group of the Africa Sickle Cell Research Network (AfroSickleNet) collaboration surveyed current projects in NBS in SSA, and current conditions that hinder more widespread implementation of NBS for SCD. Solutions based on new point-of-care testing technology to disseminate education, and implementation science approaches that leverage existing resources are proposed.

镰状细胞病(SCD)是世界上最常见的单基因疾病之一,但在镰状细胞病发病率最高的撒哈拉以南非洲地区(SSA),以证据为基础的综合医疗保健尚未得到实施。在撒哈拉以南非洲地区,5 岁以下儿童的死亡率估计为 8%-16%,无论从死亡率还是发病率来看,SCD 都是一个紧迫的健康负担。为了应对撒哈拉以南非洲地区 SCD 的高死亡率并有效管理 SCD,新生儿筛查 (NBS) 应与预防感染(包括肺炎球菌败血症和疟疾)、家长教育和各级医疗保健提供的支持相结合,以便能够及时发现 SCD。非洲镰状细胞研究网络(AfroSickleNet)合作的新生儿筛查工作组调查了目前在撒哈拉以南非洲地区开展的新生儿筛查项目,以及阻碍更广泛实施 SCD 新生儿筛查的现有条件。他们提出了基于新的护理点检测技术来传播教育的解决方案,以及利用现有资源的实施科学方法。
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引用次数: 0
Prevalence of Schistosomiasis Infection among Young Children Aged 5 to 17 Years in Kilosa District, Tanzania: A 3 Year Retrospective Review 坦桑尼亚基洛萨地区5至17岁幼儿血吸虫病感染流行情况:一项为期3年的回顾性审查
Pub Date : 2018-01-01 DOI: 10.4172/2329-891X.1000255
N. Kavana
This study was aimed at determining the prevalence of schistosomiasis in children aged 5-17 years in Kilosa district over a 3 year period. A retrospective study using records of laboratory data from laboratory record books of the selected health facilities in four wards in Kilosa district. Samples of urine and stool submitted by young children to the laboratories of health facilities between 2014 and 2016 were recorded.A total of 702 samples were collected from the laboratory records books involving their age, sex and schistosome species. Of the 702 individuals, 541 were examined for urinary schistosomiasis and 161 for intestinal schistosomiasis; 31 (5.7%) were infected with S. haematobium and 11 (6.8%) with S. mansoni respectively. However, the overall prevalence of schistosomiasis was 6.27% in the study area. Males had prevalence for S. haematobium was 1.00% and S. mansoni was 2.35% while females had prevalence for S. haematobium was 3.96% and S. mansoni was 1.00%. Children of age group 13-17 years were infected with both species, S. haematobium was 5.11% and S. mansoni was 1.99%. Ruhembe ward had highest prevalence in both species, S. haematobium was 8.62% and S. mansoni was 5.17% respectively. The findings confirm that schistosomiasis is a public health problem in the district.
这项研究的目的是确定3年期间基洛萨地区5-17岁儿童血吸虫病的流行情况。利用基洛萨区四个病房选定卫生设施实验室记录簿中的实验室数据记录进行回顾性研究。记录了2014年至2016年期间幼儿向卫生机构实验室提交的尿液和粪便样本。从实验室记录簿中收集了702份样本,涉及其年龄、性别和血吸虫种类。702人中,541人接受尿路血吸虫病检查,161人接受肠道血吸虫病检查;染血梭菌31例(5.7%),曼氏梭菌11例(6.8%)。研究区血吸虫病总患病率为6.27%。男性血吸虫感染率为1.00%,曼氏血吸虫感染率为2.35%;女性血吸虫感染率为3.96%,曼氏血吸虫感染率为1.00%。13 ~ 17岁儿童感染两种病原菌的比例分别为5.11%和1.99%。两种昆虫的感染率均以鲁姆贝区最高,分别为血红苏苏菌(8.62%)和曼森苏苏菌(5.17%)。调查结果证实,血吸虫病是该地区的一个公共卫生问题。
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引用次数: 3
期刊
Journal of tropical diseases & public health
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