印度尼西亚Kriptosporidiosis

Tri Wijayanti
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引用次数: 1

摘要

隐孢子虫病包括由隐孢子虫引起的水传播和土壤传播疾病,隐孢子虫是专性淋室内病原体。隐孢子虫引起人和动物急性腹泻的肠道感染。报道了艾滋病病毒/艾滋病和肺结核患者的肺部隐孢子虫病。腹泻仍然是一个重要的健康问题,因为在包括印度尼西亚在内的一些国家,腹泻是导致儿童发病率和死亡率的第三大因素。每个儿童每年都有1.6-2倍的腹泻发作。由隐孢子虫引起的腹泻病例约占4-11%。本文就隐孢子虫病在儿童、HIV/AIDS和结核病患者、动物、环境、诊断及其预防和控制方面的研究进展进行综述。在印度尼西亚确认的隐孢子虫种类有C.wrairi、C.muris、C.felis、C.hominis、C.meleagridis和C.parvum,这表明隐孢子虫的传播有很大的动物规律。隐孢子虫是诊断艾滋病和肺结核的必要疾病之一。必须预计隐孢子虫通过呼吸道分泌物(飞沫、气溶胶或与呕吐物接触)传播,以预防隐孢子虫病,尤其是在免疫功能低下/免疫功能不足的人群中。快速诊断试验具有高度的敏感性和特异性,对印尼隐孢子虫病例的发现和监测具有重要意义。环境和牲畜卫生、个人卫生、水和食物处理,是预防隐孢子虫病传播的必要条件。
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Kriptosporidiosis di Indonesia
Cryptosporidiosis included to waterborne and soil transmited diseases, caused by Cryptosporidium, obligat intraceluller pathogen organism. Cryptosporidium cause intestinal infection of human and animal acute diarrhea. Lung cryptosporidiosis on HIV/AIDS and tuberculosis  patients was reported. Diarrhea still be important health problem because diarrhea was be the third dominant contributor of children morbidity and mortality at some country include Indonesia. Every children have 1,6-2x diarrhea onset annually. Diarrhea cases caused by Cryptosporidium sp parasite was around 4-11%. Focus of this review is  about cryptosporidiosis on children, HIV/AIDS and tuberculosis patients, animal, environment, diagnostic and it’s prevention and control. Cryptosporidium species confirmed in Indonesia are C. wrairi, C. muris,  C. felis, C. hominis, C. meleagridis and C. parvum, indicated that there was a big rule of animal on Cryptosporidium transmission. Cryptosporidium was necessary to be one of diseases diagnose on HIV/AIDS and tuberculosis patients. Transmission of Cryptosporidium by  respiratory secretion (droplet, aerosol or contact with vomiting) must be anticipated to prevent cryptosporidiosis especially on imunocompromissed/imunodeficiency people. Rapid Diagnostic Test that have highly sensitivity and spesificity is very important on Cryptosporidium cases finding and surveillance in Indonesia. Environment and cattle sanitation, personal hygiene, water and food treatment, is necessary to prevent cryptosporidiosis transmission.
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