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湖北省白吸虫病流行区查治病现状调查分析

Investigation on the status of detection and treatment in schistosomiasis endemic area of Hubei

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【作者】 何汇肖光丽陈勇岑丽萍苏正明李小平周晓蓉

【Author】 HE Hui,XIAO Guang-li,CHEN Yong,CEN Li-ping,SU Zheng-ming,LI Xiao-ping,ZHOU Xiao-rong Institute of Shistosomiasis Control,Hubei Provincial Center for Disease Control and Prevention,Wuhan,Hubei 430079,China

【机构】 湖北省疾病预防控制中心湖北省公安县血防专科医院

【摘要】 目的了解血吸虫病流行区查治病现状,为制定更有效的查治病措施提供依据。方法在血吸虫病流行区选择6个流行村,用IHA法对6~65岁的居民进行血吸虫病检查,查出阳性者用吡喹酮治疗,了解查治状况;并以问卷调查及座谈方式,了解当前吡喹酮应用现状。结果 6个流行村漏查、漏治情况较严重,漏查、漏治率分别为42.67%和17.73%;漏查原因以外出务工为主占97.09%,其次为生病和妊娠占2.91%;漏治原因主要以生病和妊娠为主占76.55%,其次为拒治占23.45%。吡喹酮的滥用情况亦较普遍。结论在血吸虫病流行区开展查治病工作应加强督察与质量控制,提高受查率和化疗覆盖率。

【Abstract】 Objective To understand the situation of detection and treatment of praziquantel in schistosomiasis endemic area,and provide basis for establishing more effective control program.Methods Indirect hemagglutination assay(IHA)was used to detect schistosomiasis infection among patients aged from 6 to 65 in six villages in schistosomiasis endemic area.Positive patients were treated with praziquantel.Positive cases were treated with praziquantel.Questionnaire and discussion methods were used to understand the situation of diagnosis and treatment.Results The problem of missed diagnosis and treatment was quite serious in these six villages,it was 42.67% and 17.73% respectively.The majority of the missed diagnosis were the Migrant workers(97.09%),illness and pregnancy ranked the second,2.91%.The reason of the missed treatment was illness and pregnancy,76.55%,followed by refuse-treatment,23.45%.Praziquantel-abuse was also common.Conclusions The inspection and quality control for the diagnosis and treatment in schistosomiasis endemic area should be promoted,the detection-and treatment-rate should be enhanced.

【基金】 湖北省卫生厅血防项目(NO.06C18)
  • 【文献出处】 公共卫生与预防医学 ,Journal of Public Health and Preventive Medicine , 编辑部邮箱 ,2011年05期
  • 【分类号】R532.21
  • 【被引频次】2
  • 【下载频次】27
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