全球 COVID 19 大流行期间埃塞俄比亚公立医院 5 岁以下腹泻儿童中原生动物病原体的流行情况

IF 1.7 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Inquiry-The Journal of Health Care Organization Provision and Financing Pub Date : 2024-04-09 DOI:10.1177/00469580241242784
Tesfaye Gobena, Dinaol Belina, Tine Hald, Sara M. Pires
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引用次数: 0

摘要

儿童急性腹泻是撒哈拉以南非洲国家儿童发病和死亡的主要原因之一。组织溶解恩塔米巴虫和蓝氏贾第鞭毛虫是该地区儿童腹泻的常见病因。然而,关于原生动物在撒哈拉以南非洲国家引起腹泻的研究却寥寥无几。本研究旨在调查埃塞俄比亚一家公立医院中 5 岁以下腹泻儿童中组织溶解性大肠杆菌和蓝氏贾第鞭毛虫的相对患病率并探讨其风险因素。埃塞俄比亚 Hiwot Fana 医院对腹泻儿童进行了一项回顾性研究。研究纳入了 2020 年 9 月 1 日至 2022 年 12 月 31 日期间在该医院就诊的所有 5 岁以下腹泻儿童的病历。采用结构化数据收集格式从 1257 份儿童医疗记录中收集数据。数据被输入Excel表格,并导出到SPSS 22版本中进行数据处理和分析。应用描述性统计检验、Chi-square 和 Logistic 区域分析来确定原虫感染的预测因素。在 1257 例病例中,962 例(76.5%)为水样腹泻,其余 239 例(19.0%)为痢疾。在腹泻儿童中,组织溶解性大肠杆菌和蓝氏大肠杆菌的合计感染率为 11.8%(95% CI:9.6-13.4)。随着儿童年龄的增长,这两种原生动物感染的频率明显高于因其他原因感染的儿童。夏季的腹泻病例较多,其中包括与组织溶解性大肠杆菌和羊角风杆菌相关的病例。这项研究显示,在研究地区的幼儿中,每 10 个腹泻病因中就有 1 个可能是由组织溶解痢疾杆菌和羊膜蛆引起的。这些研究结果呼吁采取以社区为基础的安全饮用水和食品安全干预措施,以减少在资源匮乏的环境中由原生动物感染引起的儿童腹泻。
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Prevalence of Protozoan Pathogens Among Diarrheic Children Under 5 Years in Public Hospital of Ethiopia During the Global COVID 19 Pandemic
Acute childhood diarrhea is one of the leading causes of childhood morbidity and mortality in sub-Saharan African countries. Entamoeba histolytica and Giardia lamblia are the common cause of childhood diarrhea in the region. However, there are only few studies on protozoa causing diarrhea in sub-Saharan African countries. This study was conducted to investigate the relative prevalence and explore risk factors of E. histolytica and G. lamblia among diarrheic children of under 5 years in a public hospital of Ethiopia. A retrospective study was conducted among diarrheic children at Hiwot Fana hospital, Ethiopia. Records of all diarrheic children less than 5 years who had sought medical treatment in the hospital from September 1, 2020 to December 31, 2022 were included. Data were collected from 1257 medical records of the children using a structured data-collection format. Data were entered into an Excel sheet and exported into SPSS version 22 for data processing and analysis. Descriptive statistical tests, Chi-square, and logistic region analysis were applied to determine predictors of protozoa infections. Of the 1257 cases, 962 (76.5%) had watery diarrhea and the remaining 239 (19.0%) had dysentery. The combined prevalence of E. histolytica and G. lamblia among diarrheic children was 11.8% (95% CI: 9.6-13.4). As the age of children increased, the frequency of these two protozoan infections was significantly increased compared to children with other causes. There were more diarrhea cases during the summer season including those associated with E. histolytica and G. lamblia. This study revealed that 1 in 10 causes of diarhhea among young children in the study area was likely caused by E. histolytica and G. lamblia. These findings call for community-based safe water and food safety interventions in order to reduce childhood diarrhea caused by protozoan infections in resource-poor settings.
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来源期刊
CiteScore
2.50
自引率
0.00%
发文量
192
审稿时长
>12 weeks
期刊介绍: INQUIRY is a peer-reviewed open access journal whose msision is to to improve health by sharing research spanning health care, including public health, health services, and health policy.
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