热带病与寄生虫学 ›› 2020, Vol. 18 ›› Issue (2): 118-120,131.

• 研究报告 • 上一篇    下一篇

广西兴安县华支睾吸虫和土源性线虫感染调查分析 

李海燕1,何彬1,唐雯茜2,潘海3,张丽娟1,杨建军1,石云良2,蒋智华2∗
  

  1. 1. 兴安县疾病预防控制中心,兴安 541399; 2. 广西壮族自治区疾病预防控制中心; 3. 桂林市疾病预防控制中心
  • 出版日期:2020-06-10 发布日期:2020-05-27
  • 通信作者: 蒋智华 E-mail:gxcdcjzh@ 163. com
  • 作者简介:李海燕,女,本科,主管医师,研究方向:健康教育与健康促进
  • 基金资助:
    广西医疗卫生适宜技术开发与推广应用项目(S2018090);广西卫生健康委员会自筹课题(Z20170136)

Investigation and analysis of Clonorchis sinensis and soil-transmitted nematode infections in Xing'an County of Guangxi 

LI Hai-yan1, HE Bin1, TANG Wen-qian2, PAN Hai3, ZHANG Li-juan1, YANG Jian-jun1, SHI Yun-liang2, JIANG Zhi-hua2∗    

  1. 1. Xing'an Center for Disease Control and Prevention, Xing'an 541399, China; 2. Guangxi Center for Disease Control and Prevention; 3. Guilin Center for Disease Control and Prevention
  • Online:2020-06-10 Published:2020-05-27

摘要: 目的 了解兴安县华支睾吸虫和土源性线虫感染现况,为制订有效的防治对策提供科学依据方法 选择不同方位的 5 个行政村作为调查点,采用改良加藤厚涂片法检查粪便虫卵;钩虫卵阳性者再以试管滤纸培养法进行钩蚴培养;3~ 9 周岁儿童加做透明胶纸肛拭法检测蛲虫卵在自然水体环境采集小型野生鱼类,用压片法检测华支睾吸虫囊蚴结果 共调查 1 045 ,总感染率为 4. 40%(46 / 1 045),无混合感染;男性和女性感染率均为 4. 40%(21 / 477 25 / 568);华支睾吸虫钩虫鞭虫和蛲虫感染率分别为 0. 57%(6 / 1 045)、2. 68%(28 / 1 045)、0. 48%(5 /1 045)0. 67%(7 / 1 045);感染度除钩虫有 1 例中度感染外,其余均为轻度感染小型野生鱼华支睾吸虫囊蚴检出率为 12%(12 / 100)。 结论 兴安县的华支睾吸虫和土源性线虫感染处于低度流行状态,钩虫是当前本地居民感染的主要虫种,需重点防控,华支睾吸虫病亦存在一定的流行风险

关键词: 华支睾吸虫, 土源性线虫, 流行病学, 调查

Abstract: Objective To understand the infection status of Clonorchis sinensis and soil nematode infection in Xing'an County for scientific evidences to plan effective control and preventive strategies. Methods Survey areas were separately chosen from 5 administrative villages. Modified Kato thick smear method was used to examine fecal eggs in population, and further culturing of the hookworms was carried in subjects with positive findings using test tube filter paper culture method. Pinworm eggs were detected in children aged from 3 to 9 years using cellophane tape anal swab. Small wild fish was captured in the natural water environment, and pressed in between glass slides to undergo detecting metacercaria of Clonorchis sinensisResults Totally, 1 045 people were investigated. The total infection rate was 4. 40% (46 / 1 045), without mixed infection. The infection rate was 4. 40% for both males and females(21 / 477; 25 / 568), and 0. 57% (6 / 1 045), 2. 68% (28 / 1 045), 0. 48% (5 / 1 045) and 0. 67% (7 / 1 045) respectively, for Clonorchis sinensis, hookworm, whipworm and pinworm. Infection degree was generally mild except for one case with moderate infection of hookworm. Metacercaria of Clonorchis sinensis was detected 12% of the small wild fish(12 / 100). Conclusion Infection of Clonorchis sinensisand soil-borne nematode remains in a lower endemic level in Xing'an County. Hookworm is the main species of infection in local population, which needs intensive control. In addition, certain endemic risk of clonorchiasis still exists in our area.

Key words: Clonorchis sinensis, Soil-transmitted nematode, Epidemiology, Investigation

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