台北市孤儿院孤儿蛲虫感染流行病学分析。

W C Chung, K C Chang, S H Horng
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摘要

本文于1973年9月至1974年1月间,对台北市各区八所孤儿院的儿童,采用透明胶布法及饱和氯化钠溶液浮选法进行了测试。结果表明:在461例检查病例中,蚓状肠杆菌的总发病率为74.40%,其中男性为76.45%(224/293),女性为70.83%(119/168)。男性和女性之间没有显著的统计学差异。宝爱、福安、塔东、豪森的肠道菌群感染率分别为83.33%(25/30)、82.61%(38/46)、82.43%(61/74)、77.25%(34/44)、75.00%(51/68)、仁爱72.97%(23/37)、德慧72.50%(29/40)、森陶63.93%(78/122)。除森涛与大同孤儿院之间存在差异外,其他孤儿院之间无显著统计学差异;森涛与福安,森涛与宝爱。各年龄组肠道菌群发病率:小学组最高,为79.34%(242/305),其次为幼儿园组70.00%(21/30),初中64.40%(73/114),幼儿园组最低,为63.64%(7/11)。小学组与初中组的差异有统计学意义。(表3)儿童自由活动空间越大,Enterobius发病率越低,空间越小,发病率越高。461例孤儿不同身体部位肠球菌卵的分布为80.91% (373/461);肛周部位最高,占74.40%(343/461),耳部最低,占11.93%(55/461)。在孤儿院各类物品上Enterobius的感染率分别为:床盆85.71%(6/7)、亚麻布83.67%(333/398)、卫浴器具78.46%(51/65)、灰尘77.39%(89/115)、楼梯13.33%(1/15)、床柱8.04%(32/39)、橱柜7.33%(11/150)、书桌4.24%(5/118)、玩具3.64%(2/55)。
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Epidemiology of Enterobius vermicularis infection among orphans in orphanages in Taipei City.

Children of eight orphanages at the different districts in Taipei were examined with scotch adhesive tape method and flotation of saturated NaCl solution from Sept. 1973 to Jan. 1974. The results are summarized as following: General incidence of Enterobius verminularis was 74.40% in 461 cases examined, male 76.45% (224/293), female 70.83% (119/168). There was no significant statistical difference between the male and female. Incidence of Enterobius among the orphanages was 83.33% (25/30) in Po-Ai, Fu-Ann 82.61% (38/46), Ta-Tung 82.43% (61/74), Hau-Sen 77.25% (34/44), Chung-I 75.00% (51/68), Jen-Ai 72.97% (23/37), Ti-Hwei 72.50% (29/40) and Sen-Tao 63.93% (78/122). There were no significant statistical differences among the orphanages except the differences between Sen-Tao and Ta-Tung; Sen-Tao and Fu-Ann, Sen-Tao and Po-Ai. Incidence of Enterobius according to age-groups: The highest rate was 79.34% (242/305) in primary school group followed by 70.00% (21/30) in kindergarten group, 64.40% (73/114) in Junior high school and the lowest was 63.64% (7/11) in nursery group. There was a significant statistical difference between primary school group and junior school group. (Table 3) The larger the space for the children's free activity was the lower the incidence of Enterobius, and the smaller space resulted in the higher incidence. The distribution of Enterobius ova in the different body parts of the 461 orphans was 80.91% (373/461); The highest 74.40% (343/461) at perianal area and the lowest 11.93% (55/461) at ears. The incidence of Enterobius on the various objects in the orphanages was found as the following: 85.71% (6/7) on bed pans, 83.67% (333/398) on linens, 78.46% (51/65) on w. c. appartus, 77.39% (89/115) on specimens of dust, 13.33% (1/15) on stairrails 8.04% (32/39) on bedposts, 7.33% (11/150) on closets, 4.24% (5/118) on desks and 3.64% (2/55) on toys.

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