加德满都Kirtipur市学童肠道寄生虫感染的患病率

Amulya Dahal, Dev Bahadur Roka, Shivneel Prasad, Srishti Shrestha
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引用次数: 2

摘要

肠道寄生虫感染是包括尼泊尔在内的发展中国家发病率的主要原因。在尼泊尔报告的最常见的肠道寄生虫是蛔虫、膜壳绦虫、钩虫、鞭虫、蓝氏贾第虫和溶组织内阿米巴。本研究旨在了解加德满都Kirtipur市学童中各种肠道寄生虫感染的流行情况。在2021年10月至11月期间,利用准备好的问卷和粪便检查进行了一项横断面观察性研究。共从不同学校随机抽取409份粪便样本,采用直接涂片法进行检查。在409份粪便样本中,73份(17.8%)呈阳性,336份(82.1%)呈阴性。在阳性病例中,蠕虫感染45例(11.0%),原生动物感染28例(6.8%)。共检测到8种肠道寄生虫,最常见的是蛔虫(34.2%),其次是原生动物兰氏鞭毛虫(23.3%)、溶组织大肠杆菌(15.1%)、毛毛虫(10.96%)、钩虫(6.8%,猪带绦虫(4.11%)和海南带绦虫(1.37%)。研究表明,单次感染63例(86.30%),双重感染9例(12.33%),多重感染1例(1.37%)。本研究表明,在加德满都Kirtipur市的学生中,肠道寄生虫非常多。这种情况强烈要求采取控制措施,包括治疗受感染者、通过健康教育改善受感染学生的健康状况、提高公众健康意识,以及发展卫生保健设施和提高人们利用卫生服务的意识。
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Prevalence of intestinal parasitic infection among school children in Kirtipur Municipality, Kathmandu
Intestinal parasitic infections are a major cause of morbidity in developing countries including Nepal. Most common intestinal parasites reported in Nepal are Ascaris lumbricoides, Hymenolepis nana, Hookworm, Trichuris trichiura, Giardia lamblia and Entamoeba histolytica. This study aimed to find out the prevalence of various intestinal parasitic infections among school children in Kirtipur Municipality, Kathmandu. A cross-sectional observational study was carried out with prepared questionnaire and stool examination between October to November, 2021. Altogether, 409 stool samples were randomly collected from different schools and examined by direct smear method. Out of 409 stool samples, 73 (17.8%) were positive and 336 (82.1%) were negative. Among positive cases, helminthic infection was seen in 45 (11.0%) and protozoan infection was found in 28 (6.8%). Altogether eight species of intestinal parasites were detected, the most common was A. lumbricoides (34.2%), followed by protozoa G. lamblia (23.3%), E. histolytica (15.1%), T. trichiura (10.96%), Hookworm (6.8%), Enterobius vermicularis (4.11%), Taenia solium (4.11%) and H. nana (1.37%) respectively. Study showed that, there was 63 (86.30%) single infections, 9 (12.33%) double infections and 1 (1.37%) multiple infection. The present study reveals that intestinal parasites are abundant among students of Kirtipur Municipality, Kathmandu. The situation strongly calls for the use of control measures including treatment of infected individuals, improvement of health status of infected students by health education, public health awareness and also develop the health care facilities and aware the people for the utilization of health services.
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