在卡杜纳州两个选定的农村社区检测尿路血吸虫病、相关危险因素及其对Almajiris血液参数的影响

H. Balla, H. Inabo, S. Olonitola
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摘要

本研究旨在检测卡杜纳州两个选定农村社区阿尔马吉里人尿路血吸虫病的存在、相关危险因素及其对血液参数的影响。收集了193例Almajiri受试者的尿液样本,采用沉淀法处理并在显微镜下检查。同时采集受试者的血液样本,并使用SWELAB全自动血细胞计数分析仪进行处理。对受试者进行结构良好的知识、态度和行为(KAP)问卷调查,以获得人口统计学和其他相关的危险因素。2个研究区尿路血吸虫病总患病率为16.1%。Bomo为17.5%,Rafin Guza为22.9%。11 ~ 16岁年龄组患病率较高,为33% (p<0.05)。在评估的危险因素中,前往溪流游泳和使用井水的受试者患病率分别为33.7%和17.2% (p<0.05)。知晓率较高(p<0.05)。感染流行率与白细胞计数、淋巴细胞计数和单核细胞计数有显著相关性(p<0.05)。本研究确定了尿路血吸虫病中等风险社区的研究区域。该研究提倡使用吡喹酮进行大规模治疗,以帮助降低感染水平并帮助控制疾病的传播。关键词:尿路血吸虫病,危险因素,血液学参数
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Detection of Urinary schistosomiasis, the associated risk factors, and its impact on blood parameters among Almajiris in two selected rural communities of Kaduna State
This study aimed to detect the presence of urinary schistosomiasis, the associated risk factors and its impact on blood parameters among Almajiris in two selected rural communities of Kaduna State. Urine samples were collected from 193 Almajiri subjects and processed by sedimentation method and examined under the microscope. Blood samples were also collected from the subjects and processed using SWELAB auto analyser for full blood count. A well-structured knowledge, attitude and practice (KAP) questionnaire was administered to the subjects and used to obtain demographic and other associated risk factors. The overall prevalence of urinary schistosomiasis in the 2 study areas was 16.1%. Bomo recorded 17.5% while Rafin Guza recorded 22.9% prevalence respectively. Subjects in the age-group 11-16 years had a higher prevalence of 33% (p<0.05). Among the risk’s factors assessed, subjects that visit the stream for swimming and used well water recorded a higher prevalence of (33.7%) and (17.2%) respectively (p<0.05). Awareness about the disease revealed higher prevalence (p<0.05). Prevalence of the infection among the subjects was also found to be significantly associated with White blood cell (WBC) count, Lymphocyte and monocyte count (p<0.05). The present study identified the study areas to represent moderate–risk community for urinary schistosomiasis. The study advocates the use of mass treatment with Praziquantel to help in reducing the infection level and help to control transmission of the disease. Keyword: Urinary schistosomiasis, risk factors, haematological parameters
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