广州市花都区幼儿园儿童蛲虫感染现状

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目的了解花都区幼童蛲虫感染及分布现状,为蛲虫病防控工作提供科学依据。方法 2012年在全区乡镇(街道)采用分层随机抽样的方法抽取24所幼儿园,使用透明胶纸肛拭法检查蛲虫卵,每所幼儿园调查儿童200人以上。使用问卷进行相关影响因素调查,每所幼儿园调查家长50名以上。采用Excel软件进行统计分析。结果2012年9月至2013年4月,共调查24所幼儿园共检查儿童4 840人,检出蛲虫感染者170人,感染率为3.51%。以幼儿园为单位感染率最高的为11.95%(19/159)。城区幼童蛲虫的感染率为2.05%(46/2 245),乡镇的感染率为4.78%(124/2 595),乡镇幼童的蛲虫感染率明显高于城区(χ2=26.459,P<0.01)。男、女性儿童蛲虫感染率分别为3.88%(107/2 759)和3.03%(63/2 081),差异无统计学意义(χ2=1.969,P>0.05)。蛲虫感染相关因素如卫生环境条件、卫生设施及管理制度、家庭及个人卫生习惯等,城区幼儿园比乡镇的好。结论花都区乡镇幼儿园儿童蛲虫感染率还较高,今后防控的重点应放在乡镇一些环境条件和卫生设施较差的幼儿园。 Objective To understand the prevalence of pinworm infection and distribution in young children in Huadu District and to provide a scientific basis for the prevention and control of enterobiasis. Methods In 2012, 24 kindergartens were sampled by stratified random sampling method in villages and towns (streets) of the whole district. Enema eggs were examined by transvaginal anal swab method. Each kindergarten investigated more than 200 children. Use the questionnaire to carry on the investigation of relevant influence factors, each kindergarten investigates the parent 50 above. Using Excel software for statistical analysis. Results From September 2012 to April 2013, a total of 4 840 children were examined in 24 kindergartens, 170 of them were detected. The infection rate was 3.51%. In kindergarten, the highest infection rate was 11.95% (19/159). The prevalence of pinworm in young children was 2.05% (46/2 245) in urban area and 4.78% (124/2 595) in township. The prevalence of pinworm in young children in township was significantly higher than that in urban areas (χ2 = 26.459, P <0.01). The prevalence rates of pinworm in male and female children were 3.88% (107/2 759) and 3.03% (63/2 081) respectively, with no significant difference (χ2 = 1.969, P> 0.05). Pinpoint infection-related factors such as health and environmental conditions, health facilities and management system, family and personal hygiene habits, urban kindergartens better than the township. Conclusion The prevalence of pinworm infection in children’s kindergartens in Huadu District is still relatively high. The focus of prevention and control should be placed on kindergartens with poor environmental conditions and poor sanitation in towns and villages.
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