Effects of hygiene and defecation behavior on helminths and intestinal protozoa infections in Taabo, Côte d'Ivoire.
Effects of hygiene and defecation behavior on helminths and intestinal protozoa infections in Taabo, Côte d'Ivoire.
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DOI：
10.1371/journal.pone.0065722
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发表时间：
2013
期刊：
影响因子：
3.7
通讯作者：
Raso G
中科院分区：
文献类型：
--
作者：
Schmidlin T;Hürlimann E;Silué KD;Yapi RB;Houngbedji C;Kouadio BA;Acka-Douabélé CA;Kouassi D;Ouattara M;Zouzou F;Bonfoh B;N'Goran EK;Utzinger J;Raso G
目前有超过10亿人感染了土壤传播的蠕虫和寄生虫。控制蠕虫病的全球战略是向高危人群定期施用驱虫药。然而，在卫生条件、获得清洁水和卫生设施不足的地区，会发生迅速的再感染。2011年7月，科特迪瓦中南部Taabo卫生人口监测系统的两个村庄和七个小村庄的居民提供了粪便和尿液样本。Kato-Katz法和乙醚浓缩法用于诊断曼氏血吸虫、土传蠕虫（蛔虫、鞭虫和钩虫）和肠道原虫。对尿样进行过滤法以诊断埃及血吸虫。问卷调查管理的家庭，以获得有关卫生，环境卫生和排便行为的知识，态度，做法和信念的信息。采用逻辑回归模型评估问卷数据与寄生虫感染之间的关联。共有1，894名参与者拥有完整的数据记录。寄生虫学检查发现钩虫、钩虫、钩虫。haematobium，T. trichiura，S. mansoni，和A.蛔虫感染率分别为33.5%、7.0%、1.6%、1.3%和0.8%。贾第鞭毛虫和溶组织内阿米巴/E.分别在15.0%和14.4%的参与者中检测到dispar。只有五分之一的家庭报告说有厕所，因此露天排便很常见。Logistic回归分析显示，年龄、性别、社会经济地位、卫生状况和排便行为是蠕虫和肠道原虫感染的决定因素。我们发现，科特迪瓦中南部塔博地区的卫生和个人卫生行为不足与土壤传播的蠕虫和肠道原生动物感染有关。我们的数据将作为基准，监测社区主导的全面环境卫生和个人卫生教育对减少蠕虫病传播和肠道原生动物感染的效果。
More than 1 billion people are currently infected with soil-transmitted helminths and schistosomes. The global strategy to control helminthiases is the regular administration of anthelmintic drugs to at-risk populations. However, rapid re-infection occurs in areas where hygiene, access to clean water, and sanitation are inadequate. In July 2011, inhabitants from two villages and seven hamlets of the Taabo health demographic surveillance system in south-central Côte d’Ivoire provided stool and urine samples. Kato-Katz and ether-concentration methods were used for the diagnosis of Schistosoma mansoni, soil-transmitted helminths (Ascaris lumbricoides, Trichuris trichiura, and hookworm), and intestinal protozoa. Urine samples were subjected to a filtration method for the diagnosis of Schistosoma haematobium. A questionnaire was administered to households to obtain information on knowledge, attitude, practice, and beliefs in relation to hygiene, sanitation, and defecation behavior. Logistic regression models were employed to assess for associations between questionnaire data and parasitic infections. A total of 1,894 participants had complete data records. Parasitological examinations revealed prevalences of hookworm, S. haematobium, T. trichiura, S. mansoni, and A. lumbricoides of 33.5%, 7.0%, 1.6%, 1.3% and 0.8%, respectively. Giardia intestinalis and Entamoeba histolytica/E. dispar were detected in 15.0% and 14.4% of the participants, respectively. Only one out of five households reported the presence of a latrine, and hence, open defecation was common. Logistic regression analysis revealed that age, sex, socioeconomic status, hygiene, and defecation behavior are determinants for helminths and intestinal protozoa infections. We found that inadequate sanitation and hygiene behavior are associated with soil-transmitted helminths and intestinal protozoa infections in the Taabo area of south-central Côte d’Ivoire. Our data will serve as a benchmark to monitor the effect of community-led total sanitation and hygiene education to reduce the transmission of helminthiases and intestinal protozoa infections.
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比较Kato-Katz，Koga琼脂板，以太浓度和FLOTAC的诊断精度，用于曼森和土壤传播的蠕虫。
影响因子：
3.8
作者：
Glinz, Dominik;Silue, Kigbafori D.;Knopp, Stefanie;Lohourignon, Laurent K.;Yao, Kouassi P.;Steinmann, Peter;Rinaldi, Laura;Cringoli, Giuseppe;N'Goran, Eliezer K.;Utzinger, Juerg
通讯作者：
Utzinger, Juerg
影响因子：
3.8
作者：
Fuerst, Thomas;Silue, Kigbafori D.;Utzinger, Juerg
通讯作者：
Utzinger, Juerg
影响因子：
15.8
作者：
Hotez PJ;Molyneux DH;Fenwick A;Ottesen E;Ehrlich Sachs S;Sachs JD
通讯作者：
Sachs JD
影响因子：
3.8
作者：
Acka CA;Raso G;N'goran EK;Tschannen AB;Bogoch II;Séraphin E;Tanner M;Obrist B;Utzinger J
通讯作者：
Utzinger J
影响因子：
3.8
作者：
Becker SL;Sieto B;Silué KD;Adjossan L;Koné S;Hatz C;Kern WV;N'Goran EK;Utzinger J
通讯作者：
Utzinger J