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目的调查赤壁市农村儿童隐孢子虫感染情况及影响因素,为隐孢子虫病的防治提供依据。方法采取整群抽样方法调查儿童。采集儿童粪便用金胺-酚改良抗酸染色法检查隐孢子虫卵囊。通过问卷了解调查对象一般人口学资料、生活习惯和环境卫生情况等。结果在农村地区共调查1 128名儿童,隐孢子虫感染率为3.19%(36/1 128),其中小学生和幼儿园儿童分别为3.33%和3.02%,男生和女生隐孢子虫病感染率分别为3.42%和2.89%。临床主要表现为腹泻,以水样便居多。近1年家人寄生虫感染(OR=35.124,95%CI:11.379~108.422)和最近3个月家人患腹泻或痢疾(OR=13.586,95%CI:5.359~34.447)是隐孢子虫子感染的危险因素。结论该地农村儿童存在隐孢子虫的感染,应进一步加强预防隐孢子虫子感染的健康教育和卫生宣传。
Objective To investigate the prevalence and influencing factors of Cryptosporidium parvum infection in rural children in Chibi, and to provide basis for the prevention and treatment of Cryptosporidiosis. Methods A cluster sampling method was used to investigate children. Detection of Cryptosporidium oocysts by collection of stool in children with arachidonic-phenol modified acid-fast staining. Through the questionnaire to understand the general demographic data, lifestyle and environmental health survey. Results A total of 1,128 children were surveyed in rural areas. The infection rate of Cryptosporidium was 3.19% (36/1128), of which children were 3.33% and 3.02% respectively. The prevalence of cryptosporidiosis in boys and girls were 3.42% and 2.89% respectively. The main clinical manifestations of diarrhea, water samples will be more. Family parasite infections (OR = 35.124, 95% CI: 11.379-108.422) and family history of diarrhea or dysentery in the recent 3 months (OR = 13.586, 95% CI: 5.359-34.447) were a risk of cryptosporidium infection factor. Conclusion The presence of Cryptosporidium in rural children in this area should be further strengthened to prevent health education and health promotion of Cryptosporidium infection.