关键词: MDA Neglected tropical diseases Schistosoma mansoni, Infection, Kato-Katz, School children, Ethiopia Snail control

Mesh : Humans Ethiopia / epidemiology Schistosomiasis mansoni / epidemiology prevention & control parasitology transmission Child Male Prevalence Female Cross-Sectional Studies Animals Schistosoma mansoni Risk Factors Feces / parasitology Adolescent Schools

来  源:   DOI:10.7717/peerj.17439   PDF(Pubmed)

Abstract:
UNASSIGNED: Schistosomiasis is a neglected tropical disease and an important parasite negatively impacting socio-economic factors. Ethiopia\'s Federal Ministry of Health targeted the elimination of schistosomiasis infection in school-aged children by 2020. However, Schistosoma mansoni still affects approximately 12.3 million school-aged children in Ethiopia. Although the study was conducted in some regions of the country, previous studies were conducted on urban school children and were limited to the burden of infection. Overall, there is a lack of information about schistosomiasis in eastern Ethiopia, particularly among school children. Therefore, this study aimed to assess the prevalence and factors associated with Schistosoma mansoni infection among primary school children in Kersa district, Eastern Ethiopia.
UNASSIGNED: A cross-sectional study was conducted among 419 school children using systematic random sampling from April 10 to May 09, 2019. The stool samples were collected and examined using the Keto-Katz method. A structured and pretested questionnaire was used to collect data from participants. Data were entered using Epi-Data version 3.1 and analysed using SPSS version 24. A bivariable and multivariable logistic regression analyses were used to identify factors associated with Schistosoma mansoni infection. P-value < 0.05 and adjusted odds ratio (AOR) (95% confidence interval (CI)) were used to identify statistically significant associations.
UNASSIGNED: This study\'s overall prevalence of S. mansoni was 19.4% (95% CI [16-23]). Absence of the latrines in household (AOR = 2.35, 95% CI [1.25-4.38]), swimming in the river (AOR = 2.82, 95% CI [1.33-5.88]), unprotected water sources (AOR = 3.5, 95% CI [1.72-7.10]), irregular shoe wearing habits (AOR = 2.81, 95% CI [1.51-5.23]), and water contact during cross of river (AOR = 2.192; 95% CI [1.113-4.318]) were factors independently associated with S. mansoni infection.
UNASSIGNED: Schistosoma mansoni infection remains a public health problem in the study area. Using a latrine in each household, using protected water, wearing shoes regularly, and reducing water contact were necessary to control Schistosoma mansoni infection.
摘要:
血吸虫病是一种被忽视的热带病,是一种对社会经济因素产生负面影响的重要寄生虫。埃塞俄比亚联邦卫生部的目标是到2020年消除学龄儿童的血吸虫病感染。然而,曼氏血吸虫仍然影响着埃塞俄比亚大约1230万学龄儿童。尽管这项研究是在该国的一些地区进行的,以前的研究是针对城市学童进行的,仅限于感染负担.总的来说,埃塞俄比亚东部缺乏有关血吸虫病的信息,特别是在学校儿童中。因此,这项研究旨在评估Kersa地区小学生曼氏血吸虫感染的患病率和相关因素,埃塞俄比亚东部。
从2019年4月10日至5月9日,使用系统随机抽样对419名学童进行了横断面研究。收集粪便样品并使用Keto-Katz方法检查。使用结构化和预先测试的问卷来收集参与者的数据。使用Epi-Data版本3.1输入数据,并使用SPSS版本24进行分析。使用双变量和多变量逻辑回归分析来确定与曼氏血吸虫感染相关的因素。P值<0.05和调整比值比(AOR)(95%置信区间(CI))用于识别统计学上有意义的关联。
本研究的曼氏链球菌的总体患病率为19.4%(95%CI[16-23])。家庭没有厕所(AOR=2.35,95%CI[1.25-4.38]),在河里游泳(AOR=2.82,95%CI[1.33-5.88]),无保护水源(AOR=3.5,95%CI[1.72-7.10]),不规则的穿鞋习惯(AOR=2.81,95%CI[1.51-5.23]),和跨河期间的水接触(AOR=2.192;95%CI[1.113-4.318])是与曼氏球菌感染独立相关的因素。
曼氏血吸虫感染仍然是研究领域的公共卫生问题。在每个家庭使用厕所,使用受保护的水,经常穿鞋,减少水接触是控制曼氏血吸虫感染的必要条件。
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