人钩虫感染的临床症状及治疗方法综述

Mahdi Shooraj, S. Mahdavi
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摘要

导读:钩虫感染多年来一直困扰着人类,在公元前1500年的原始医学手稿中有关于蠕虫的解释。钩虫是三种巨大的土壤传播蠕虫(STH)之一(蛔虫、毛线虫和钩虫)。本文旨在对钩虫感染、临床症状、预防和治疗等方面的研究进展进行综述,探讨钩虫感染的不同研究成果。材料与方法:本研究检索了2000 - 2021年PubMed、Google Scholar、IranDoc和SID数据库,并对相关文章进行了复习。结果:相关调查显示,全球有近20亿人感染这些寄生虫,感染负担可能接近疟疾。钩虫感染的诊断依赖于粪便试验,无论是显微镜还是分子。这种感染会导致肠道失血,从而导致贫血。在这方面,学龄儿童和孕妇是感染风险最高的人群。结论:湿热环境、水源污染、卫生条件差等因素影响传播率。此外,一些危险因素,如农业职业、赤脚行走、接触感染土壤、环境卫生条件差、社会经济背景低、个人卫生条件差、寄主年龄、遗传和营养等,都影响STH的传播和感染。钩虫感染的临床症状通常是非特异性的,可能令人困惑。因此,注意流行病学、临床因素和实验室结果对检查过程具有重要意义。现在比以往任何时候都更需要新的计划来控制钩虫和其他STH感染
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A Review on the Clinical Symptoms and Treatment Methods of Human Hookworm Infections
Introduction: Hookworm infection has overwhelmed human beings for ages and there are explanations about helminths in the primary medicinal manuscripts from 1500 BC. Hookworm is one of the immense three Soil-Transmitted Helminths (STH) (Ascaris Lumbricoides, Trichuris Trichiura, and hookworm). The goal of this study is to review the prevailing studies on Hookworm infection, clinical symptoms, prevention and treatment to examine different findings in this dominion. Material and Methods: In the present investigation, the databases of PubMed, Google Scholar, IranDoc and SID were examined from 2000 to 2021 and related articles were reviewed. Results: Review of related investigations revealed that nearly, 2 billion individuals are affected with these helminths around the world and the infection encumbrance might approach malaria. Hookworm infection diagnosis relies on fecal trials, either microscopic or molecular. This infection causes intestinal blood loss, which lead to anemia. In this regard, school-aged children and pregnant women are individuals at the highest risk of infections. Conclusion: Several aspects such as warm and moist environment, polluted water supply, and poor hygiene affect transmission rate. Besides, some risk factors such as agricultural occupation, barefoot walking, exposure to infected soil, poor environmental sanitation, low socioeconomic background, poor personal hygiene, host age, genetics, and nutritional aspects affect both STH transmission and infection. Clinical symptoms of hookworm contagions are frequently non-specific and could be confusing. Thus, attention to the epidemiology, clinical factors, and laboratory results are significant for examination process. Now more than ever, new plans are needed to regulate hookworm and other STH infections
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