PDF(Pubmed)
Abstract：
Schistosoma haematobium, the parasite that causes urogenital schistosomiasis, is widely prevalent in Tanzania. In addition to well-known effects on the urinary tract, S. haematobium also causes clinically- evident damage to the reproductive tract in approximately half of infected women, which is known as female genital schistosomiasis (FGS). FGS has major gynecologic and social consequences on women\'s reproductive health, yet little information is available regarding FGS in Tanzania. To cover that gap, we conducted the present scoping review to examine the epidemiology of FGS in Tanzania (both in the mainland and Zanzibar island) and to make recommendations for future work in this area. The available evidence from community-based and hospital-based retrospective studies indicates that FGS is a significant health problem in the country. Very few community-based studies have been reported from mainland Tanzania, and Zanzibar. Our review highlights the scarcity of efforts to address FGS in Tanzania and the need for additional community-based studies. The studies will help us understand the true burden of the disease nationwide, to assess the impact of praziquantel on FGS lesions, and to address social and mental health in relation to FGS. This review emphasizes integration of delivery of FGS related services in primary health care systems through the reproductive health clinics which covers sexually transmitted infections, HIV and cervical cancer screening. These actions are essential if this neglected gynecological disease is to be addressed in Tanzania.
摘要：
血吸虫，导致泌尿生殖道血吸虫病的寄生虫,在坦桑尼亚广泛流行。除了众所周知的对泌尿道的影响，在大约一半的受感染妇女中，嗜血杆菌也会对生殖道造成临床上明显的损害，这被称为女性生殖器血吸虫病（FGS）。FGS对妇女的生殖健康有重大的妇科和社会影响，然而，关于坦桑尼亚FGS的信息很少。为了弥补这个差距，我们进行了本次范围审查,以检查坦桑尼亚(包括大陆和桑给巴尔岛)的FGS流行病学,并对该领域的未来工作提出建议.基于社区和基于医院的回顾性研究的现有证据表明，FGS在该国是一个重大的健康问题。很少有来自坦桑尼亚大陆的基于社区的研究报告，还有桑给巴尔.我们的审查强调了在坦桑尼亚解决FGS的努力的稀缺性，以及对其他基于社区的研究的需求。这些研究将帮助我们了解全国范围内疾病的真正负担，评估吡喹酮对FGS病变的影响，并解决与FGS相关的社会和心理健康问题。本审查强调通过涵盖性传播感染的生殖健康诊所，将FGS相关服务纳入初级卫生保健系统，HIV和宫颈癌筛查。如果要在坦桑尼亚解决这种被忽视的妇科疾病，这些行动至关重要。
