Epidemiologic differences between cyclosporiasis and cryptosporidiosis in Peruvian children.

Epidemiologic differences between cyclosporiasis and cryptosporidiosis in Peruvian children.
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DOI:
10.3201/eid0806.01-0331
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发表时间:
2002-06
影响因子:
11.8
通讯作者:
Gilman RH
Gilman RH
中科院分区:
医学2区
文献类型:
--
作者:
Bern C;Ortega Y;Checkley W;Roberts JM;Lescano AG;Cabrera L;Verastegui M;Black RE;Sterling C;Gilman RH

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我们比较了环孢子虫病和隐孢子虫病的流行病学特征,这些数据来自秘鲁利马附近的一个郊区社区的腹泻队列研究。儿童平均发生环孢子虫病0.20次/年,隐孢子虫病0.22次/年。1岁儿童隐孢子虫病发病率最高为0.42例,5~9岁儿童下降至0.06例/儿童。相比之下,环孢子虫病在1至9岁儿童中的发病率相当稳定(0.21至0.28次/儿童年)。随着环孢子虫病的每一次发作,腹泻的可能性显著降低;对于隐孢子虫病,这一趋势在统计学上并不显著。这两种感染在温暖的季节(12月至5月)比凉爽的季节(6月至11月)更频繁。隐孢子虫病在没有厕所或厕所的房子里的儿童中更常见。环孢子虫病与家畜的所有权有关,特别是鸟类、豚鼠和兔子。
We compared the epidemiologic characteristics of cyclosporiasis and cryptosporidiosis in data from a cohort study of diarrhea in a periurban community near Lima, Peru. Children had an average of 0.20 episodes of cyclosporiasis/year and 0.22 episodes of cryptosporidiosis/year of follow-up. The incidence of cryptosporidiosis peaked at 0.42 for 1-year-old children and declined to 0.06 episodes/child-year for 5- to 9-year-old children. In contrast, the incidence of cyclosporiasis was fairly constant among 1- to 9-year-old children (0.21 to 0.28 episodes/child-year). Likelihood of diarrhea decreased significantly with each episode of cyclosporiasis; for cryptosporidiosis, this trend was not statistically significant. Both infections were more frequent during the warm season (December to May) than the cooler season (June to November). Cryptosporidiosis was more frequent in children from houses without a latrine or toilet. Cyclosporiasis was associated with ownership of domestic animals, especially birds, guinea pigs, and rabbits.
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