High prevalence of urinary schistosomiasis in two communities in South Darfur: implication for interventions
High prevalence of urinary schistosomiasis in two communities in South Darfur: implication for interventions
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DOI：
10.1186/1756-3305-4-14
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发表时间：
2011-02-07
影响因子：
3.2
通讯作者：
Hashim, Farouq
中科院分区：
文献类型：
--
作者：
Deribe, Kebede;Eldaw, Abdeljbar;Hashim, Farouq
背景：关于达尔富尔血吸虫病流行情况的数据很少。我们进行这项研究是为了回应来自南达尔富尔两个社区的15例实验室确诊的血吸虫病和可见血尿儿童病例的报告。这项研究的目的是估计血吸虫病在该地区的患病率，并决定干预modelsofintervention.Methods：一个横断面调查，涉及811名儿童和成人的学校和卫生设施进行了两个社区的南达尔富尔州在2010年3月。收集尿液样本，并使用沉降技术检查埃及血吸虫虫卵。一个半结构化的格式被用来收集的社会人口学特征的participants.Results：八百一十一（811）尿样收集，415从Alsafia和396从Abuselala。在采集的样本中，56.0%（95%置信区间（CI）; 52.6- 59.4）发现血吸虫卵，Abuselala 73.3%（95% CI; 68.9- 77.6）和Alsafia 39.5%（95% CI; 34.8- 44.2）的患病率较高。男性（61.7%，95% CI; 56.5- 64.9）感染率高于女性（52.1%，95% CI; 48.2- 56.0）。10- 14岁年龄组的儿童感染率最高（73.0%，95% CI; 68.7- 77.2）。学龄儿童（6- 15岁）比15岁以上的儿童更容易感染（调整后比值比（AOR）= 2.70，95% CI; 1.80- 4.06）。Abuselala的个体比Alsafia的个体更容易感染（AOR = 4.3，95%CI; 3.2- 5.9）。在苏丹的Alsafia和Abuselala南达尔富尔州，血吸虫病是地方病，在年龄较大的儿童中感染率很高。这意味
Background: There are few data on the prevalence of schistosomiasis in Darfur. We conducted this study in response to reports of 15 laboratory confirmed cases of schistosomiasis and visible haematuria among children from two communities in South Darfur. The aim of the study was to estimate the prevalence of schistosomiasis in the area and to decide on modalities of intervention.Methods: A cross-sectional survey involving 811 children and adults from schools and health facilities was conducted in two communities of South Darfur in March 2010. Urine samples were collected and examined for ova of Schistosoma haematobium using a sedimentation technique. A semi-structured format was used to collect socio-demographic characteristics of the participants.Results: Eight hundred eleven (811) urine samples were collected, 415 from Alsafia and 396 from Abuselala. Of the collected samples in 56.0% (95% Confidence Interval (CI); 52.6- 59.4) Schistosoma eggs were found. The prevalence was high in both Abuselala 73.3% (95% CI; 68.9- 77.6) and Alsafia 39.5% (95% CI; 34.8- 44.2). More males (61.7%, 95% CI; 56.5- 64.9) were infected than females (52.1%, 95% CI; 48.2- 56.0). Children in the age group 10- 14 has the highest (73.0%, 95% CI; 68.7- 77.2) infection rate. School age children (6- 15 years) are more likely to be infected than those > 15 years (Adjusted Odds Ratio (AOR) = 2.70, 95% CI; 1.80- 4.06). Individuals in Abuselala are more likely to be infected than those who live in Alsafia (AOR = 4.3, 95% CI; 3.2- 5.9).Conclusion: The findings of this study indicate that S. hematobium is endemic in Alsafia and Abuselala South Darfur in Sudan with a high prevalence of infection among older children. This signifies