A Cross-Sectional Study on Intestinal Parasitic Infections in Rural Communities, Northeast Thailand
A Cross-Sectional Study on Intestinal Parasitic Infections in Rural Communities, Northeast Thailand
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DOI：
10.3347/kjp.2013.51.6.727
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发表时间：
2013-12-01
影响因子：
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通讯作者：
Sriraj, Pranee
中科院分区：
文献类型：
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作者：
Boonjaraspinyo, Sirintip;Boonmars, Thidarut;Sriraj, Pranee
尽管存在有效的驱虫药，寄生虫感染仍然是包括泰国在内的东南亚的一个主要公共卫生问题。在农村社区，具有深厚文化基础的饮食习惯以及不良的个人卫生和环境卫生往往加剧了持续感染。这项研究提出了一项调查的流行肠道寄生虫感染的人在泰国农村地区。这项基于社区的横断面研究于2013年3月至8月在泰国东北部孔敬省的村庄进行。采用福尔马林-乙酸乙酯浓缩法制备了来自102名男性和140名女性的253份粪便样本，年龄2-80岁，并采用光学显微镜进行了检查。94人（37.2%）感染1种或多种寄生虫。寄生虫感染的存在与性别显着相关（P=0.001），近一半的男性在这次调查（49.0%）被感染。老年人的患病率高于年轻人。最常见的寄生虫是猫尾后睾吸虫（26.9%），其次是粪类圆线虫（9.5%）、带绦虫属（9.5%）。(1.6%）、棘口线虫（0.4%）和钩虫（0.4%）。肠道原虫检出率依次为人芽囊原虫1.6%、溶组织内阿米巴0.8%、螺旋内阿米巴0.8%、螺旋小袋纤毛虫0.4%、巴奇碘阿米巴0.4%、人肉孢子虫0.4%。15.9%的人合并感染各种蠕虫和原虫。目前的结果表明，该地区寄生虫感染的流行率仍然很高。应向该社区的人们提供有关饮食习惯、个人卫生和环境卫生的主动教育，以减少肠道寄生虫感染的患病率。此外，需要制定控制寄生虫的政策和方案。
Despite the existence of effective anthelmintics, parasitic infections remain a major public health problem in Southeast Asia, including Thailand. In rural communities, continuing infection is often reinforced by dietary habits that have a strong cultural basis and by poor personal hygiene and sanitation. This study presents a survey of the prevalence of intestinal parasitic infections among the people in rural Thailand. The community-based cross-sectional study was conducted in villages in Khon Kaen Province, northeastern Thailand, from March to August 2013. A total of 253 stool samples from 102 males and 140 females, aged 2-80 years, were prepared using formalin-ethyl acetate concentration methods and examined using light microscopy. Ninety-four individuals (37.2%) were infected with 1 or more parasite species. Presence of parasitic infection was significantly correlated with gender (P=0.001); nearly half of males in this survey (49.0%) were infected. Older people had a higher prevalence than younger members of the population. The most common parasite found was Opisthorchis viverrini (26.9%), followed by Strongyloides stercoralis (9.5%), Taenia spp. (1.6%), echinostomes (0.4%), and hookworms (0.4%). The prevalence of intestinal protozoa was Blastocystis hominis 1.6%, Entamoeba histolytica 0.8%, Entamoeba coil 0.8%, Balantidium coil 0.4%, Iodamoeba batschlii 0.4%, and Sarcocystis hominis 0.4%. Co-infections of various helminths and protozoa were present in 15.9% of the people. The present results show that the prevalence of parasitic infections in this region is still high. Proactive education about dietary habits, personal hygiene, and sanitation should be provided to the people in this community to reduce the prevalence of intestinal parasite infections. Moreover, development of policies and programs to control parasites is needed.