布拉柴维尔儿童幽门螺杆菌感染的流行病学分析

Ollandzobo Ikobo LC, Mongo Onkouo A, Ahombo Niotsebe EB, A. Clausina, Itoua Ngaporo NA, Mimiesse Mounanou JF, Atipo Ibara BI, Mabiala Babela JR, Deby-Gassaye Ibara JR
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摘要

目的:确定布拉柴维尔幽门螺杆菌感染的流行情况,描述感染儿童的流行病学特征,并确定有利于污染的因素。患者和方法:在布拉柴维尔卫生中心进行了为期7个月的横断面和分析研究,通过定性免疫色谱法从2至17岁儿童的粪便中检测幽门螺杆菌的粪便抗原。结果:儿童幽门螺杆菌感染率为38.36%。以女性为主,性别比为1.76。患儿平均年龄8.4±4.39岁(范围2 ~ 17岁)。居住在3区(Poto-Poto)的儿童感染率最高(P <0万)。5 ~ 9岁儿童和初等教育儿童感染率最高(P <0.05)。影响Hp感染的因素为居住地(p = 0.00)、年龄在5 ~ 9岁之间(p <0.05)、监护人年龄在35 ~ 44岁之间(p <0.03)、传统厕所类型(p <0.05)、餐前、餐后和如厕后不洗手(p <0.05)。结论:幽门螺杆菌感染在布拉柴维尔儿童中较为常见。这主要是小孩子的特权。造成污染的因素包括居住地、5-9岁的年龄、监护人的年龄、厕所的类型和缺乏洗手。
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Epidemiological Aspects of Helicobacter Pylori Infection in Children in Brazzaville
Objectives: To determine the prevalence of Helicobacter pylori infection in Brazzaville, to describe the epidemiological characteristics of infected children and to identify the factors favoring contamination. Patients and Methods: cross-sectional and analytical study for seven months in health centers in Brazzaville, based on the detection of the fecal antigen of Helicobacter pylori by qualitative immunochromatography from the stools of children whose age was between 2 and 17 years old. Results: The prevalence of helicobacter pylori infection in children was 38.36%. The female sex was predominant with a sex ratio of 1.76.The mean age of the children was 8.4 ± 4.39 years (range: 2 and 17 years). Children living in district 3 (Poto-Poto) were the most infected (P <0,000). Children between 5 and 9 years of age and those with primary education were the most infected ((P <0.05). The factors favoring contamination of Hp infection were the place of residence (p = 0.00), the age between 5-9 years (P <0.05), the age of the guardian between 35-44 years (P <0.03), the traditional type of latrine (P <0.05), the absence of hand washing before and after meals and after going to the toilet (p <0.05). Conclusion: Helicobacter pylori infection is common in children in Brazzaville. It is mainly the prerogative of young children. Factors favouring contamination are place of residence, age between 5-9 years, guardian’s age, type of latrine and lack of hand washing.
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