尼日利亚塔拉巴北部地区淋巴丝虫病的快速流行病学评估

E. Obadiah, E. Sambo, M. Alhaji, A. Elisha, Kela Santaya, A. Greg, S. Adamu
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引用次数: 2

摘要

本研究旨在确定塔拉巴州北部11个焦点社区淋巴丝虫病的流行情况。采用手指刺血法采集血样,采用免疫层析卡试验检测血清中丝虫病抗原的存在。通过问卷调查和体格检查来评估与感染相关的临床表现。结果显示,101/336(30.02%)人外周血循环丝虫病抗原阳性。11个群落间循环丝虫病抗原流行率差异有统计学意义(p < 0.05)。但各年龄组间抗原血症患病率存在差异,51 ~ 60岁男性患病率最高,41 ~ 50岁女性患病率最高(χ2=11.424, df 6, P<0.05)。慢性临床表现为水肿(17.12%)和四肢淋巴水肿(20.08%)。淋巴水肿患者中女性比例显著(14.8%)。调查结果显示,感染的流行率远高于世界卫生组织≥1%的流行率阈值,并且临床表现明显。因此,研究区域需要综合干预方案。
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Rapid Epidemiological Assessment of Lymphatic Filariasis in Northern Taraba Focus, Nigeria
This study was undertaken to determine the prevalence of Lymphatic Filariasis in eleven (11) foci communities of northern Taraba state. Blood samples were collected by finger prick method to determine the presence of filarial antigen in serum using immunochromatographic card test. Questionnaires and physical examinations were used to assess clinical manifestations associated with the infection. The result showed that 101/336 (30.02%) were positive for W. bancrofti circulating filarial antigen. The circulating filarial antigen prevalence among the eleven communities differ significantly (p 0.05). However, the antigenaemia prevalence among the age groups differs, with ages 51-60 years having the highest prevalence among male and ages 41-50 years among female respectively (χ2=11.424, df 6, P<0.05). Chronic clinical manifestation observed include Hydrocoel (17.12%) and lymphoedema of limbs (20.08%). Female had significant proportion of those with lymphoedema (14.8%). The findings showed a high prevalence of the infection which is far above the World Health Organisation threshold level of ≥1% prevalence as well as significant prevalence of clinical manifestations. Therefore integrated intervention programme is required in the study area.
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