臺北市學齡前兒童蟯蟲感染之研究

Enterobius Vermicularis Infection among Preschool Children in Taipei City

洪千惠(Chien-Hui Hung) ； 賴雨辰(Yeu-Chen Lay) ； 蔡佩芳(Peu-Fang Tsai) ； 程菊英(Chu-Ying Cheng) ； 張意楓(Yi-Feng Chang) ； 張根湖(Ken-Hu Chang)

《北市醫學雜誌》 1卷1期 (2004/01) Pp. 58-62

https://doi.org/10.6200/TCMJ.2004.1.1.10

摘要

我們從2002年12月至2003年1月檢查台北市大同區、中正區、文山區、萬華區、內湖區公私立幼稚園（118）及托兒所（206）合計324所，總共19963位學齡前學童的蟯蟲感染情形，利用「膠紙肛圍擦拭法」檢查，之陽性感染學童及共同居住之家屬在服用凱全錠（Kaizole）或頓蟲錠（Tunchow）主成份是Mebendazole一顆錠劑一週後，在第二週進行複檢並再服用一顆凱全錠劑。研究結果顯示蟯蟲感染的總平均感染率為3.3%（661／19963），其中公立幼稚園（54所）感染率為4.39%（208／4739），私立幼稚園（64所）感染率為3.51%（171／4873），公立托兒所（10家）佔3.08%（61／1978），私立托兒所（196家）佔2.64%（221／8373）。各區蟯蟲感染率分別為：文山區3.69%（236／6402）、內湖區3.22%（158／4905）、萬華區3.92%（147／3748）、大同區佔2.74%（83／3031）、中正區1.97%（37／1877）。蟯蟲感染陽性學童661人，接受複檢學童只有293位，複檢率44.3%，複檢陽性率2.73%（8／293），複檢個案之家蟲共有551人其陽性率為7.62%（42／551）。由研究結果顯示，以文山區（3.69%）、內湖區（3.22%）、萬華區（3.92%）感染率偏高，不同地區之間的蟯蟲感染有明顯差異，惟公立和私立幼稚園及托兒所的蟯蟲感染率無差異。

關鍵字

蟯蟲 ； 膠紙肛圍擦拭法 ； 凱全錠 ； 頓蟲錠

並列摘要

Backgrounds: The major parasite infecting children in Taiwan include: Ascaris lumbricoides, hookworm, Trichuris trichiura and Enterobius vermicularis. As a result of improvements in hygiene and medical treatment, the infection rate has dropped drastically in the past two decades. In Taipei City, the infection rate of A. lumbricoides, hookworm, and T. trichiura are close to zero. Methods: in this study, Scotch tape perianal swab was used to collect specimens to examine for parasite infection in children. From December 2002 to January 2003, children in 118 public and private kindergartens and 206 public and private nursery schools in the Tatung district, Chungcheng district, Wenshan district, Wanhua district, and Neihu district of Taipei were examined for parasite infections. Children with positive reactions were given mebendazole for one week and then re-examined and given mebendazole. Results: The overall infection rate was 3.3% (661/19963). The infection rate in 54 public kindergartens was 4.39% (208/4739), in 64 private kindergartens was 3.51% (171/4873), in 10 public nurseries was 3.08% (61/1978), and in 196 private nurseries was 2.64% (236/6402). The distributions of infection rate by district were: Wenshan district 3.69% (236/6402), Neihu district 3.22% (158/4905), Wannhua district 3.92% (147/3748), Tatung district 2.74% (83/3031), and Chungcheng district 1.97% (37/1877). There were 661 preschool students who tested positive for E. vermicularis, and only 293 of them remained positive at recheck. The recheck rate for all students was 44.3%, and the recheck infection rate was 2.73% (8/293). There were 551 family members who were rechecked, resulting in an infection rate at recheck of 7.62% (42/551). Conclusion: These findings indicate that the infection rates were highest for Wanhua district and Neihu district and Tatung district were the highest among those areas of Taipei City that were screened. There was no significant difference in infection rates between public and private kindergartens and nurseries.

並列關鍵字

enterobius vermicularis ； scotch tape perianal swab ； mebendazole