摘要
目的了解南京市鼓楼区学前儿童蛲虫感染情况,为后续制定和调整蛲虫病防控策略提供科学依据。方法2019-2022年,每年随机抽取一定数量的学前儿童进行蛲虫感染检查,采用透明胶纸肛拭法进行检测,一采一检,并通过问卷调查了解家长蛲虫病防治知识知晓率及儿童卫生行为习惯,应用χ^(2)检验进行率的比较分析。结果2019-2022年期间,南京市鼓楼区共调查学前儿童2040人,阳性41人,感染率为2.01%(41/2040)。男童感染率为1.96%(21/1072),女童感染率为2.07%(20/968),不同性别感染率差异无统计学意义(χ^(2)=0.030,P>0.05)。不同年龄儿童的4年总感染率以6~岁组最高为3.78%(20/529),3~<4岁组最低(0.45%,2/445),不同年龄组儿童蛲虫感染率差异有统计学意义(χ^(2)=16.903,P<0.01)。班级有聚集性感染现象。2019-2020年民办幼儿园蛲虫感染率为4.27%(31/726),显著高于公办幼儿园0.20%(1/493),差异有统计学意义(χ^(2)=19.000,P<0.01)。2019-2020年问卷调查1190名家长的蛲虫病防治知识知晓率为71.60%(852/1190),其中公办幼儿园家长蛲虫病防治知识知晓率为75.46%(372/493),显著高于民办幼儿园68.87%(480/697),差异有统计学意义(χ^(2)=6.166,P<0.05)。结论南京市鼓楼区学前儿童蛲虫感染处于较低流行水平,后续应进一步加强对儿童感染的监测与防控,尤其应加强民办幼儿园的蛲虫感染监测。
Objective To understand the infection rate of Enterobius vermicularis among preschool children in Gulou district of Nanjing,and provide a scientific basis for formulating and adjusting the prevention and control strategies of enterobiasis.Methods From 2019 to 2022,preschool children were randomly selected for examination of Enterobius vermicularis infection.The transparent adhesive tape was used to detect the infection.The healthy habits of children and the awareness rate of enterobiasis prevention and control among parents were investigated by questionnaire,andχ^(2)test was used to make comparative analysis.Results From 2019 to 2022,a total of 2040 preschool children were investigated in Gulou district of Nanjing,and 41 of them were positive;the infection rate was 2.01%(41/2040).Among them,the infection rate of boys was 1.96%(21/1072),and that of girls was 2.07%(20/968).There was no significant difference in the infection rate between boys and girls(χ^(2)=0.030,P>0.05).The highest infection rate was 3.78%(20/529)in 6-year old age group,and the lowest was 0.45%(2/445)in 3-<4 year old age group.There was significant difference in the infection rate among different age groups(χ^(2)=16.903,P<0.01).Cluster infection was found in the classes by monitoring.The infection rate of Enterobius vermicularis in private kindergartens(4.27%,31/726)was higher than that in public kindergartens(0.20%,1/493)from 2019 to 2020(χ^(2)=19.000,P<0.01).The awareness rate of enterobiasis prevention and control among 1190 parents was 71.60%(852/1190)from 2019 to 2020,and that of parents in public kindergartens was 75.46%(372/493),which was higher than that of private kindergartens(68.87%,480/697)(χ^(2)=6.166,P<0.05).Conclusion The infection rate of Enterobius vermicularis in preschool children in Gulou district was at a low level,but the surveillance and control measures of Enterobius vermicularis infection still needed to be consolidated among preschool children,especially in private kindergartens.
作者
殷位刚
何伊莎
杨佩才
王凌
陈晓军
YIN Weigang;HE Yisha;YANG Peicai;WANG Ling;CHEN Xiaojun(Nanjing Center for Disease Control and Prevention,Nanjing,Jiangsu 210003,China;Nanjing Gulou Center for Disease Control and Prevention,Nanjing,Jiangsu 210003,China)
出处
《热带医学杂志》
CAS
2023年第10期1473-1476,共4页
Journal of Tropical Medicine
基金
江苏省血地寄科研课题项目(x202124)
关键词
蛲虫
儿童
感染率
Enterobius vermicularis
Children
Infection rate
作者简介
殷位刚(1978-),男,本科,主管医师,主要从事寄生虫病防制工作;通信作者:杨佩才,E-mail:njjkypc414096@sina.com
