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首页> 外文期刊>International Journal of TROPICAL DISEASE & Health >Prevalence and Risk Factors of Urinary Schistosomiasis in the Ikata-Likoko Area of Southwest Cameroon
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Prevalence and Risk Factors of Urinary Schistosomiasis in the Ikata-Likoko Area of Southwest Cameroon

机译：喀麦隆西南部Ikata-Likoko地区尿毒症血吸虫病的流行和危险因素

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Aims: This study aimed at determining the prevalence, parasite density and risk factors associated with urinary schistosomiasis (US) in the Ikata-Likoko area, Cameroon. Study Design: It was a cross-sectional study. Study Site and Duration: The study was carried out in the Ikata-Likoko area, Cameroon from June to July 2014. Materials and Methods: The study included 516 participants of both sexes aged 2-76 years. A structured questionnaire was used to collect information on socio-demographic data, clinical history of the disease and environmental factors concerning potable water supply in the community. Urine samples were collected to detect and quantify Schistosoma haematobium eggs using the filtration method. Proportions and means were compared appropriately and the logistic regression model was used to determine risk factors of urinary schistosomiasis (US). Results: The overall prevalence and parasite density of US were 34.3% and 31 eggs/10 mL of urine respectively. US prevalence was significantly (V=0.252, P ≤.001) highest in participants from Mile 14 (48.3%) and least in those from Bafia (18.0%) while egg load per 10 mL of urine was significantly (H=8.283, P =.041) highest in Bafia (50, range: 1-400) and least in Likoko (20, range: 1-200). Risk factors associated with US included: locality (OR: 4.370, 95% CI: 2.424-7.881, P ≤.001), haematuria (OR: 7.387, 95% CI: 3.087-17.681, P ≤.001), river as source of tap water (OR: 1.364, 95% CI: 0.623-2.985, P =.001) and lesser number of used water bodies (OR: 1.137, 95% CI: 0.397-3.255, P =.041). The presence of tap water was found to be protective (OR: 0.690, 95% CI: 0.477-0.998, P =.026) against US. Conclusion: The Ikata-Likoko area is endemic for US. Provision of pipe-borne water, and inclusion of all age groups in the control strategies may reduce the prevalence of the disease in this area.
机译：目的：本研究旨在确定喀麦隆Ikata-Likoko地区的尿毒症和血吸虫病（美国）的患病率，寄生虫密度和危险因素。研究设计：这是一项横断面研究。研究地点和持续时间：该研究于2014年6月至7月在喀麦隆的Ikata-Likoko地区进行。材料和方法：该研究包括516名年龄在2-76岁的男女。使用结构化的调查表收集有关社会人口统计学数据，疾病的临床病史以及与社区饮用水有关的环境因素的信息。使用过滤方法收集尿液样本以检测和定量血吸虫血卵。适当比较比例和平均值，并使用逻辑回归模型确定尿血吸虫病（美国）的危险因素。结果：US的总患病率和寄生虫密度分别为34.3％和31卵/ 10 mL尿液。美国的患病率显着（V = 0.252，P≤.001）在来自Mile 14的参与者中最高（48.3％），在来自Bafia的参与者中最低（18.0％），而每10 mL尿液中的鸡蛋载量显着（H = 8.283，P = .041）在Bafia（50，范围：1-400）中最高，在Likoko（20，范围：1-200）中最低。与US相关的风险因素包括：地点（OR：4.370，95％CI：2.424-7.881，P≤.001），血尿（OR：7.387，95％CI：3.087-17.681，P≤.001），河流为水源的自来水（OR：1.364，95％CI：0.623-2.985，P = .001）和更少的使用过的水体（OR：1.137，95％CI：0.397-3.255，P = .041）。发现自来水的存在对US具有保护作用（或：0.690，95％CI：0.477-0.998，P = .026）。结论：Ikata-Likoko地区是美国的地方病。提供自来水，并在控制策略中纳入所有年龄段的人群，可以减少该地区疾病的流行。

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