Urogenital Schistosomiasis among Schoolchildren and the Associated Risk Factors in Selected Rural Communities of Kwara State, Nigeria.
Urogenital Schistosomiasis among Schoolchildren and the Associated Risk Factors in Selected Rural Communities of Kwara State, Nigeria.
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DOI：
10.1155/2018/6913918
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发表时间：
2018
影响因子：
2.2
通讯作者：
Samuel UU
中科院分区：
文献类型：
--
作者：
Abdulkareem BO;Habeeb KO;Kazeem A;Adam AO;Samuel UU
泌尿生殖血吸虫病是一种慢性寄生虫病，在尼日利亚许多资源贫乏社区的学童中造成严重发病率。我们调查了Kwara州三个社区感染的流行程度、强度和危险因素，以确定该疾病的现状。采用过滤法筛选的724份尿样中，学龄儿童感染332例（45.6%），平均感染强度为127.9个/10 ml尿，平均人群荷荷量为0.794个/10 ml尿。不同社区的感染率和感染强度存在差异：阿加西-伊普高（57.1%,X = 100.7±23.01个卵/10 ml），松加低（37.5%,X = 91.4±78.0）。男性感染率（50.8%）高于女性（42.4%），差异有统计学意义（P < 0.05）。同样，随着年龄的增长，感染率显著增加（P < 0.05）。危险因素多因素logistic分析显示：缺乏饮用水(调整奇数比(aOR) = 4.76；95% CI = 2.64 ~ 5.98)、失业（aOR = 2.23; 1.87 ~ 2.294）、缺乏感染知识（aOR = 2.16; 0.59 ~ 3.83）和经常接触污染水体（aOR = 2.01; 1.45 ~ 2.70）是尿路血吸虫病的重要预测因素。因此，应对风险因素的干预战略的持续评估必须与大规模药物管理相辅相成，以减少流行病环境中感染的传播和削弱健康的后果。
Urogenital schistosomiasis is a chronic parasitic disease that causes severe morbidity among schoolchildren in many poor-resource communities in Nigeria. We investigated the prevalence, intensity, and risk factors of the infection in three communities of Kwara State to ascertain the current status of the disease. Of the 724 urine samples screened, using filtration method, 332 (45.6%) school-aged children were infected with average intensity and mean population eggs load of 127.9 eggs/10 ml of urine and 0.794, respectively. Prevalence and intensity of infection varied with communities: high in Ajase-Ipo (57.1%; X = 100.7 ± 23.01 eggs/10 ml) and low in Shonga (37.5%; X = 91.4 ± 78.0). Infection was significantly (P < 0.05) higher in males (50.8%) than the females (42.4%). Similarly, infection significantly (P < 0.05) increased with increasing age. Multivariate logistic analysis of risk factors revealed that lack of portable drinking water (adjusted odd ratio (aOR) = 4.76; 95% CI = 2.64–5.98), unemployment (aOR = 2.23; 1.87–2.294), lack of knowledge of infection (aOR = 2.16; 0.59–3.83), and frequent contact with contaminated water bodies (aOR = 2.01; 1.45–2.70) were important predictors of urinary schistosomiasis. Therefore, continuous evaluation of the intervention strategies that address risk factors must compliment Mass Drug Administration to curtail the transmission and debilitating health consequences of infection in endemic settings.
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影响因子：
3.8
作者：
Hotez PJ;Alvarado M;Basáñez MG;Bolliger I;Bourne R;Boussinesq M;Brooker SJ;Brown AS;Buckle G;Budke CM;Carabin H;Coffeng LE;Fèvre EM;Fürst T;Halasa YA;Jasrasaria R;Johns NE;Keiser J;King CH;Lozano R;Murdoch ME;O'Hanlon S;Pion SD;Pullan RL;Ramaiah KD;Roberts T;Shepard DS;Smith JL;Stolk WA;Undurraga EA;Utzinger J;Wang M;Murray CJ;Naghavi M
通讯作者：
Naghavi M
影响因子：
2.7
作者：
Engels D;Chitsulo L;Montresor A;Savioli L
通讯作者：
Savioli L
影响因子：
3.2
作者：
Deribe, Kebede;Eldaw, Abdeljbar;Hashim, Farouq
通讯作者：
Hashim, Farouq
影响因子：
3.3
作者：
Ofoezie, I. E.
通讯作者：
Ofoezie, I. E.
影响因子：
3.1
作者：
Amuta, E. U.;Houmsou, R. S.
通讯作者：
Houmsou, R. S.