2015年臺灣東部某縣市學童蟯蟲盛行率調查

Prevalence of Enterobius Vermicularis Infection among the Primary School Children of Taitung in 2015

張昱維(Yu-Wei Chang) ； 楊惠春(Hui-Chun Yang) ； 余秀珊(Hsiu-Shan Yu) ； 譚晰鴻(Chih-Hung Tan) ； 祝年豐(Nain-Feng Chu)

《醫學與健康期刊》 6卷1期 (2017/03) Pp. 75-83

摘要

目的:蟯蟲為全世界分布最廣的寄生蟲，在多數開發中或未開發國家均維持極高的盛行率。本次研究針對臺灣東部地區某縣小學新生及四年級學童進行蟯蟲篩檢，希望提供該地區完整的蟯蟲感染盛行率，以利相關流行病學的研究與應用。方法:針對該縣市所有小學新生及四年級學童，以「膠紙肛圍擦拭法」進行連續兩日之便前探檢。經顯微鏡鏡檢蟲卵後，將報告統整並進行統計分析。結果:收集總人數為3602人，男性1931人，女性1671人，整體陽性率為3.47%。其中一年級陽性率4.29%高於四年級的2.79%;男生陽性率3.99%高於女生的2.87%;以區域別比較，山地區陽性率8.56%遠高於平地區的2.87%，其中多數偏鄉地區陽性率高達10%以上。結論:本研究結果顯示蟯蟲感染的防治工作在臺灣仍是寄生蟲防治執行重點之一，需重點式衛教及改善個人衛生習慣才能縮小衛生環境條件差異所造成相關傳染病的城鄉差距。

關鍵字

蟯蟲 ； 膠紙肛圍擦拭法 ； 臺灣東部 ； 偏鄉地區

並列摘要

Objectives. Enterobius vermicularis is a very prevalent parasite and presents major problems worldwide in both developing and undeveloped countries. This study investigated the prevalence of an E. vermicularis infection in children residing in eastern Taiwan. Methods. The adhesive cellophane-tape perianal swab method was performed to collect samples from all pupils in the first and fourth grades in elementary schools in one county of eastern Taiwan. Laboratory results were analyzed by Chi-square test. Results. In the 3,602 children (1,931 boys and 1,671 girls), the average prevalence of E. vermicularis infection was 3.47%. The first grade had a significantly higher prevalence than the fourth grade (4.29% vs. 2.79%). Boys and girls had a prevalence of 3.99% and 2.87%, respectively. Children residing in mountain areas had a significantly higher prevalence (8.56%) than those living in the plains and other areas. Conclusion. In this study, we found the prevalence of E. vermicularis infection varied according to age, gender, and area. Boys and children living in mountain areas are a higher risk than girls and children living in plains areas. More effective measures preventing infection by E. vermicularis are needed in the remote mountainous areas of eastern Taiwan.

並列關鍵字

Enterobius vermicularis ； Adhesive cellophane-tape perianal swab method ； Eastern Taiwan ； Remote areas

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