中国寄生虫学与寄生虫病杂志 ›› 2004, Vol. 22 ›› Issue (6): 4-333.

• 论著 • 上一篇    下一篇

安徽省幼儿园儿童隐孢子虫感染情况调查

陆军,李朝品
  

  1. 安徽理工大学医学院,淮南 232001
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2004-12-30 发布日期:2004-12-30

The Survey of Cryptosporidium Infection Among Young Children in Kindergartens in Anhui Province

LU Jun,LI Chao-pin
  

  1. Medical College in Anhui University of Science and Technology,Huainan 232001,China
  • Received:1900-01-01 Revised:1900-01-01 Online:2004-12-30 Published:2004-12-30

摘要:   目的 调查安徽省幼儿园儿童隐孢子虫(Cryptosporidium)感染情况,比较4种不同染色方法,为隐孢子虫病的诊断提供依据。 方法 采集安徽省11地(市)29所幼儿园儿童粪便标本1204份,采用金胺酚染色法、改良抗酸染色法、沙黄美蓝染色法、金胺酚染色改良抗酸法4种方法检查隐孢子虫卵囊。 结果  4种方法检出率分别为2.46% 1.50 % 1.98%和3.49%,金胺 -酚染色 改良抗酸法与其他3种方法间的差异均具有显著性意义(P<0.01)。城市幼儿园儿童隐孢子虫检出率为2.14%(15/684),乡镇为5.19%(27/520),两者差异具有显著性意义(P<0.01)。男孩和女孩隐孢子虫检出率分别为3.59%(23/641)及3.37%(19/563),两者差异无显著性意义(P>0.05)。隐孢子虫感染的主要临床表现为良性腹泻(无血便)、轻微腹痛及恶心等。 结论 安徽省幼儿园儿童隐孢子虫感染多见,城乡差异显著。由于隐孢子虫病无特异性临床表现,易造成误诊和漏诊。

关键词: 隐孢子虫病, 儿童, 幼儿园

Abstract:  Objective To study the cryptosporidiosis infection among young children in 29 kindergartens in the province, and to explore the best way to diagnose the infection. Methods Stool specimens of 1 204 children were collected, oocysts of Cryptosporidium were identified with auarmine O-modified staining, acid-fast staining, safranine T and methylene blue staining, and auarmine O-modeified acid-fast staining. Results The detection rate of Cryptosporidium in four stainings were 2.46%,1.50%,1.98% and 3.46% respectively, and the rate was significantly higher by auarmine O-modified acid-fast staining than other stainings (P<0.01). The infection rate was significantly lower in urban children (2.14%, 15/684) than the rural ones (5.19%, 27/520). Boys and girls showed similar detection rate (1.99%, 24/1 204 vs 1.50%, 18/1 204). Cryptosporidium infection was usually subclinical, the major clinical features of cryptosporidium included benign doiarrhea, mild abdominal pain and nausea. Conclusion The Cryptosporidium infection was relatively common in kindergartens in Anhui and higher infection rate was found in rural children. As majority of the Cryptosporidium infections are subclinical, the confirmation of diagnosis is important though difficult.

Key words: Cryptosporidium sp, Children, Kindergarten