伊朗南部皮肤利什曼病的终生和定点患病率

Reyhane Izadi, Mohammad Moein Derakhshan Barjoei, S. Pourrezaei, M. Mousavi
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摘要

背景:皮肤利什曼病(CL)是亚洲许多国家的公共卫生问题。伊朗南部的法尔斯省是一个流行CL的地区。目的:本研究旨在估计法尔斯省一般人群CL的寿命和点患病率。方法:对2019年居住在伊朗法尔斯省第二大县马夫达什特的11779名参与者进行横断面研究,估计CL的寿命和点患病率。随机抽取59个城市组和55个农村组(每组30户)。由训练有素的护士进行挨家挨户的访谈以收集所需的数据。结果:点患病率估计为每1000人3.56(95%可信区间:2.6-4.8)。CL的终生患病率为每100人8.48例(95%可信区间:7.99-9.00)。新旧疤痕、CL恐惧在城乡、性别间无显著差异(P≤0.05)。结论:法尔斯省马夫达什特是CL的高流行区。由于马夫达什特的CL终生患病率几乎为8%,因此该市89%的人有感染利什曼原虫的风险。因此,需要采取更多的公共卫生干预措施来控制马夫达什特的艾滋病毒/艾滋病流行。
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Lifetime and Point Prevalence of Cutaneous Leishmaniasis in the South of Iran
Background: Cutaneous Leishmaniasis (CL) is a public health problem in many countries in Asia. Fars province in the south of Iran is an area with endemic CL. Objectives: This study aimed to estimate CL’s lifetime and point prevalence in the Fars province’s general population. Methods: This cross-sectional study was conducted on 11779 participants living in Marvdasht, the second largest county of Fars province, Iran, in 2019 to estimate CL’s lifetime and point prevalence. In total, 59 urban and 55 rural clusters (with 30 households per cluster) were randomly selected. Door-to-door interviews were conducted by trained nurses to collect the required data. Results: The point prevalence was estimated at 3.56 (95% confidence interval: 2.6-4.8) per 1000 population. The lifetime prevalence of CL was 8.48 (95% confidence interval:7.99-9.00) per 100 population. There was no difference between urban and rural areas and gender regarding fresh or old scars, and CL scares (P ≤ 0.05 for all). Conclusions: Based on the results, Marvdasht in Fars province was the hyperendemic area for CL. Since the lifetime prevalence of CL in Marvdasht is almost 8%, 89% of the people of this city are at risk of contracting Leishmania. As a result, more public health interventions are needed to control the CL epidemic in Marvdasht.
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