奥尔都省消化系统疾患门诊患者肠道寄生虫及其危险因素评价

Ülkü Karaman, Y. Kaya, Ö. Özdemir, Ö. Enginyurt, Z. Gamsızkan, C. Colak, G. Yolalan, Ş. Top, Merve Bi̇ngöl
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引用次数: 0

摘要

目的:了解土耳其奥尔都省消化系统疾病患者中寄生虫的流行情况、种类及影响寄生虫阳性的因素。方法:317例出现胃肠不适的患者纳入研究。问卷包括:采用患者的社会人口学特征、生活方式和消化系统投诉。采用玻璃纸带法、天然荧光法、沉淀法和改性抗酸法诊断粪便寄生虫。样品制备和染色后,在显微镜下检查。结果:317例患者中,寄生虫阳性205例(64.66%)。囊虫占34.1%,隐孢子虫占34.7%,大肠内阿米巴占16.1%。寄生虫率为2.8%,原虫率为97.2%。73.7%的人使用城市用水,93.7%的人以蔬菜为主。9例(4.4%)寄生虫阳性患者第一次检查未检出寄生虫,第2、3次检查检出寄生虫。大肠内阿米巴、囊虫和隐孢子虫的流涎症状以及过敏、直肠瘙痒、流口水和食欲增加的症状在蛭形肠虫中显著高于虫形肠虫(p <0.05)。结论:观察到消化道疾病患者中寄生虫的比例较高。奥尔都省以囊虫属、隐孢子虫属为主。出现消化问题主诉的患者,特别是主诉没有改善的患者,应明确进行寄生虫评估,即使首次大便检查呈阴性,也不应立即排除寄生虫病的初步诊断。
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Evaluation of Intestinal Parasites and Risk Factors in Patients Applying to Outpatient Clinics with Digestive System Complaints in Ordu province
Objective: The aim of this study is to investigate the parasite prevalence, species and factors affecting parasite positivity in patients with digestive system complaints in Ordu Province in Turkey. Methods: 317 patients who presented with gastrointestinal complaints were included in the study. A questionnaire including; socio-demographic characteristics of the patients, lifestyle and digestive system complaints was applied. Cellophane band method, nativ-lugol, sedimentation and Modifiye kinyoun acid-fast methods were used for the diagnosis of fecal parasites. After the samples were prepared and stained, they were examined under a microscope. Results: Parasite positivity was detected in 205 (64.66%) of 317 patients. Blastocystis spp. constitutes 34.1%, 34.7% of Cryptosporidium spp and 16.1% of Entamoeba coli . The incidence of helminths was 2.8% and the incidence of protozoa was 97.2%. 73.7% of using city water, 93.7% were eating vegetables predominantly. In 9 (4.4%) of the patients with parasite positivity, no parasite was detected at the first examination, and it was detected in the 2nd and 3rd Bakers. The complaints of salivation in Entamoeba coli , Blastocystis spp. and Cryptosporidium spp, and allergy, rectal itching, drooling, increased appetite were significantly higher in Enterobius vermicularis ( p <0.05). Conclusion: It has been observed that there is a high rate of parasites in patients presenting with digestive complaints. Mostly Blastocystis spp., Cryptosporidium spp species were observed in Ordu Province. Patients who present with the complaint of digestion, especially those whose complaints do not improve, should definitely be evaluated in terms of parasites and the preliminary diagnosis of parasitosis should not be immediately ruled out, even if the first stool examination is negative.
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