臺北市學齡前兒童蟯蟲感染之探討

Prevalence of Enterobius Vermicularis Infection among Children Attending Preschools in Taipei City

章門煌(Men-Hwang Jang) ； 徐慧貞(Sandy Huey-Jen. Hsu) ； 樓漢民(Han-Ming Lo) ； 許祺松(Chi-Sung Hsu) ； 陳潤秋(Ran-Chou Chen) ； 邱文祥(Allen W. Chiu)

《北市醫學雜誌》 4卷7期 (2007/07) Pp. 565-573

https://doi.org/10.6200/TCMJ.2007.4.7.07

摘要

Background & Prupose: Enterobius vermicularis infection is increasingly common worldwide and is the most prevalent nematode infection in Taipei City. This study investigated the prevalence of Enterobius vermicularis infection in Taipei City preschool children from 1990 to 2006. Methods: The incidence of Enterobius vermicularis egg positive (infection) in Taipei City schoolchildren was investigated by adhesive scotch tape perianal swab technique (S.T.P.S.T.). From April to June 2006, children in public or private kindergartens and nursery schools in the twelve districts of Taipei City (Songshan District, Zhongshan District, Datong District, Wanhua District, Zhongzheng District, Daan District, Xinyi District, Beitou District, Shilin District, Neihu District, Nangang District and Wenshan District) were examined for parasitic infections. The effective sample numbered 49541 children, including 25828 public and private kindergarten students and 23713 public and private nursery school students. The check rate for all children was 96.74% (49541/51212). Children with positive reactions were given a single 100 mg dose of mebendazole (Ticoquer) and then reexamined after two weeks of chemotherapy. The obtained data were analyzed by Chi-square test to compare Enterobius vermicularis infection rates among the twelve districts of Taipei City. The Statistical Package for Social Sciences (SPSS) software was used for data analysis. Results: One hundred ninety-seven children exhibited enterobiasis in the private kindergartens (110 children) and nursery schools (eighty-seven children) in the twelve districts of Taipei City. The district infection rates were 0.15-0.68%. The infection rates significantly differed (p＜0.01) between the twelve Taipei City districts. The infection rates also significantly differed between kindergartens and nursery schools in the twelve districts (p＜0.01). The infection rates significantly differed (p＜0.01) between public and private kindergartens but not between public and private nursery schools (p＞0.01). Infection rates also revealed no significant difference between kindergartens and nursery schools (p＞0.01). Conclusion: The overall infection rate was 0.40% (197/49541). In Taipei city, infection rates were highest in Nangang District (0.68%) and lowest in Xinyi District (0.15%) and Songshan District (0.17%). The overall infection rate decreased from 4.28% in 1990 and 1.036% in 2003 to 0.40%. This finding reveals that efforts to reduce the prevalence of enterobiasis in preschool children have been effective. However, because the infection is associated with malnourishment, pruritus ani, insomnia, anxiety and learning disability in children, continuing efforts to prevent enterobiasis in preschool children are vital.

關鍵字

蟯蟲 ； 膠紙肛圍擦拭法 ； 克蟲寧

並列摘要

Background & Prupose: Enterobius vermicularis infection is increasingly common worldwide and is the most prevalent nematode infection in Taipei City. This study investigated the prevalence of Enterobius vermicularis infection in Taipei City preschool children from 1990 to 2006. Methods: The incidence of Enterobius vermicularis egg positive (infection) in Taipei City schoolchildren was investigated by adhesive scotch tape perianal swab technique (S.T.P.S.T.). From April to June 2006, children in public or private kindergartens and nursery schools in the twelve districts of Taipei City (Songshan District, Zhongshan District, Datong District, Wanhua District, Zhongzheng District, Daan District, Xinyi District, Beitou District, Shilin District, Neihu District, Nangang District and Wenshan District) were examined for parasitic infections. The effective sample numbered 49541 children, including 25828 public and private kindergarten students and 23713 public and private nursery school students. The check rate for all children was 96.74% (49541/51212). Children with positive reactions were given a single 100 mg dose of mebendazole (Ticoquer) and then reexamined after two weeks of chemotherapy. The obtained data were analyzed by Chi-square test to compare Enterobius vermicularis infection rates among the twelve districts of Taipei City. The Statistical Package for Social Sciences (SPSS) software was used for data analysis. Results: One hundred ninety-seven children exhibited enterobiasis in the private kindergartens (110 children) and nursery schools (eighty-seven children) in the twelve districts of Taipei City. The district infection rates were 0.15-0.68%. The infection rates significantly differed (p＜0.01) between the twelve Taipei City districts. The infection rates also significantly differed between kindergartens and nursery schools in the twelve districts (p＜0.01). The infection rates significantly differed (p＜0.01) between public and private kindergartens but not between public and private nursery schools (p＞0.01). Infection rates also revealed no significant difference between kindergartens and nursery schools (p＞0.01). Conclusion: The overall infection rate was 0.40% (197/49541). In Taipei city, infection rates were highest in Nangang District (0.68%) and lowest in Xinyi District (0.15%) and Songshan District (0.17%). The overall infection rate decreased from 4.28% in 1990 and 1.036% in 2003 to 0.40%. This finding reveals that efforts to reduce the prevalence of enterobiasis in preschool children have been effective. However, because the infection is associated with malnourishment, pruritus ani, insomnia, anxiety and learning disability in children, continuing efforts to prevent enterobiasis in preschool children are vital.

並列關鍵字

enterobius vermicularis ； scotch tape perianal swab technique ； mebendazole