儿童肠道寄生虫感染:一项10年的回顾性研究
Rita R Martins1, Filipa Paixão1, Inês Mendes1
1Pediatric Service, Child and Youth Department, Hospital Professor Doutor Fernando Fonseca, Lisbon, PRT.
Cureus
|January 17, 2025
概括
肠道寄生虫感染在葡萄牙是一个问题,特别是在儿童移民中. 最常见的是Giardia lamblia和Strongyloides stercoralis,与人口变化相关的诊断增加.
科学领域:
- 儿童传染病 儿童传染病
- 公共卫生流行病学
- 寄生虫学的寄生虫学
背景情况:
- 肠道寄生虫感染 (IPI) 给公共卫生带来了重大挑战,特别是在资源有限,卫生设施不足的环境中.
- 关于葡萄牙儿科人口中的IPI存在有限的数据,特别是关于不断增长的移民社区.
- 这项研究解决了对儿童和青少年IPI的综合数据的需求.
研究的目的:
- 确定葡萄牙儿科患者肠道寄生虫感染的流行率和特征.
- 分析这些感染的流行病学,临床和微生物学的方面.
- 识别脆弱人群中常见的致病因子和危险因素.
主要方法:
- 采用了一种回顾性,描述性的研究设计.
- 从2012年1月至2022年6月期间,从儿科患者 (儿童和青少年) 收集了有关特定寄生虫的数据,这些患者的便检查或血清学结果为阳性.
- 包括标准涉及有症状的患者或接受机会性查的人.
主要成果:
- 包括77名儿科患者,其中56%被确定为移民.
- 总共有79个IPI被诊断出来,结果的阳性率为2.5%.
- 发现的最常见的寄生虫是Giardia lamblia和Strongyloides stercoralis,随着时间的推移,诊断的增加与移民人口的增长有关. 值得注意的是,7.8%的感染发生在1岁以下的婴儿身上.
结论:
- 这项研究提供了对欧洲儿科IPI的独特见解,突出了当前文献中的差距.
- 这些发现强调了在儿童群体,特别是移民群体中考虑IPI的重要性,以及加强监测的必要性.
- 建议进行进一步的多中心研究,以完善儿童肠道寄生虫的诊断和治疗策略.
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