Effects of an Infection Control Program on Clonorchis Sinensis in People Living Near Rivers

강변 유역 주민을 위한 간흡충 감염관리 프로그램의 효과

  • Yang, Kyoung-Mi (Department of Nursing, Joongbu University) ;
  • Park, Do-Soon (Community Health Practitioner, Gajung Community Health Care Center) ;
  • Bang, So-Youn (Department of Nursing Science, Youngdong University)
  • 양경미 (중부대학교 간호학과) ;
  • 박도순 (무주군 가정 보건진료소 진료원) ;
  • 방소연 (영동대학교 간호학과)
  • Received : 2010.09.27
  • Accepted : 2010.12.24
  • Published : 2011.02.28

Abstract

Purpose: The purpose of this study was to estimate the effects of an infection control program on the Clonorchis sinensis (CS) infection ratio, CS-related knowledge and health behavior of people living near the Geum River. Method: A one-group pretest-posttest design was used with 102 participants. For 12 months the participants were provided with promotion announcements, health education, counseling, and medication. Outcome variables measured were the CS infection ratio by stool examination, CS-related knowledge and health behavior from self-report questionnaires. The pre intervention data were collected from January to February 2008 and the post intervention data during the same period in 2009. Collected data were analyzed using descriptive statistics, generalized estimating equation analysis, and paired t-test with SPSS for Windows version 15.0. Results: In the pre test 21 of the 102 participants showed infection with CS for the first time. In the post test 9 were newly infected with CS, and one was re-infected. The CS-related knowledge was significantly improved after the infection control program (p<0.05). The CS-related health behaviors did not improve. Conclusion: These results showed that an infection control program is effective in decreasing CS infection ratio and improving CS-related knowledge of people living near the river.

Keywords

References

  1. An, Y. H. (2009). Potential factors related to clonorchiasis prevalent in some areas of Nakdong river basin. Unpublished master's dissertation, Kyungpook National University, Daegu.
  2. Choi, D., Lim, J. H., Lee, K. T., Lee, J. K., Choi, S. H., Heo, J. S., et al. (2006). Cholangiocarcinoma and clonorchis sinensis infection: A case-control study in Korea. Journal of Hepatology, 44, 1066-1073. https://doi.org/10.1016/j.jhep.2005.11.040
  3. Chun, K. S. (1997). Distribution of freshwater Mollusk and Chinese Liver Fluke Cercariae from parafossarulus manchouricus around the upper area of Kyungan stream. Journal of Food Hygine and Safety, 12, 300-303.
  4. Erdfelder, E., Faul, F., & Buchner, A. (1996). GPOWER: A general power analysis program. Behavior Research Methods, Instruments, & Computers, 28, 1-11. https://doi.org/10.3758/BF03203630
  5. Hu, F., Yu, X., Ma, C., Zhou, H., Zhou. Z., Li, Y., et al. (2007). Clonorchis sinensis: expression, characterization, immunolocalization and serological reactivity of one excretory/secretory antigen-LPAP homologue. Experimental Parasitology, 117, 157-164. https://doi.org/10.1016/j.exppara.2007.04.003
  6. Hwang, C. W., Lim, B. W., Ryu, U., Kim, J. H., Park, H. Y., Park, K. I., et al. (2005). A case of clonorchisasis presenting as common hepatic duct mass. Korean Journal of Gastrointestinal Endoscopy, 31, 268-272.
  7. Joo, K. R., Lee, M. S., Yun, T. G., Choo, Y. I., Lee, J. W., Jo, Y. C., et al. (2003). Diagnostic usefulness of intradermal test for Clonorchiasis in patients with pancreatobiliary diseases. The Korean Journal of Gastroenterology, 42, 232-236.
  8. Kim, J. H. (2009). Prevalence of clonorchiasis and its related factors among the inhabitants in Soonchang-gun, Korea. Unpublished doctoral dissertation, Wonkwang University, Iksan.
  9. Kim, K. H., Jang, B. L., & Kim, T. N. (2006). Clinical features of Clonorchiasis. Yeungnam University Journal of Medicine, 23, 171-181.
  10. Kim, S. I., Park, J., Kim, K. S., Yang, A. H., & Kim, Y. L. (1999). An evaluation on the prevalence and reinfection after medication of patients with clonorchis sinensis in an endemic locality. Korean Journal of Rural Medicine, 24, 225-232.
  11. Kim, S. I., & Yun, W. S. (2004). Control of human clonorchiasis at Gokseong-gun and Sunchang-gun near the Sumjin River in Korea. Korean Journal of Rural Medicine, 29, 163-175.
  12. Kim, S. Y., Kim, C. M., Choi, H. K., Kim, Y. L., Park, Y. A., Heo, S., et al. (2009). Prevalence of clonorchiasis and related factors for inhabitants near the Sumjin River. Journal of Korean Academy of Rural Health Nursing, 4, 79-86.
  13. Korea Association of Health Promotion. (2004). Prevalence of Intestinal Parasitic Infection in Korea (The 7th Report). Seoul: Author.
  14. Korea Centers for Disease Control and Prevention. (2009). Survey and control program development of Clornorchiasis for high risk population at 5 major river in Korea. Seoul: Author.
  15. Park, D. S. (2007). Current status of clonorchis sinensis infection and its related factors among the residents of rural community. Journal of Korean Academy of Rural Health Nursing, 2, 33-42.
  16. Park. D. S., & Bang, S. Y. (2008). Clonorchis sinensis research reported in Korea from 2001 to 2007. Journal of Korean Academy of Rural Health Nursing, 3, 5-14.
  17. Park, M. D. (2006). A study on the effects of Clonorchis sinensis control intervention at a Sumjin riveside area (1999-2004). Unpublished master's dissertation, Chonnam National University, Gwangju.
  18. Park, J, Y., June, K., Park, D. S., Kim, J, K., Jho, J. S., Kim, S. C., et al. (2009). Prevalence of clonorchis sinensis, knowledge and infection to change behavior of village people living in the catchment area of community health posts along the Geum River. Journal of Korean Academy of Rural Health Nursing, 4(1), 5-12.
  19. Song, I. W. (2007). An epidemiological study on clonorchial infection of the inhabitants living in some regions adjacent to Daecheongho (lake). Unpublished master's dissertation, Chungnam University, Daejeon.
  20. Song, Y. Y., Park, K. S., Kwon, Y. S., Kim, N. H., So, Y. S., Lee, M. S., et al. (2009). Knowledge, attitude, prevalence status of clonorchiasis for the inhabitants in the Nakdong Riverside area. Journal of Korean Academy of Rural Health Nursing, 4(2), 87-93.
  21. Thach, D. T. C., Aya, Y., Khong. N. V., & Antonio, M. (2008). Prevalence, intensity and risk factors for clonorchiasis and possible use of questionnaires to detect individuals at risk in northern Vietnam. Transactions of the Royal Society of Tropical Medicine and Hygine, 102, 1263-1268. https://doi.org/10.1016/j.trstmh.2008.06.002
  22. Yang, K. M., & Park, D. S. (2009). Effects of an educational program for clonorchis sinensis infection among rural communities in Korea. Nursing Science, 21(2), 12-21.