• 제목/요약/키워드: cellotape anal swab

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요충층에 있어서 항문주위 도말법의 검토 (Evaluation of Cellotape Anal Swabs in the Diagnosis of enterobiasis)

  • 김종성;최향희;주경환;임한종
    • 농촌의학ㆍ지역보건
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    • 제12권1호
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    • pp.94-101
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    • 1987
  • Enterobiasis is common helminthic infections found in man. But control of this disease is still troublesome because of its difficulty in the d diagnosis and prevention of infection. Considering the difficulty of accurate diagnosis of pinworm infection, which is very common and somewhat pathogenic, reevaluation of cellotape anal swab method for the diagnosis of enterobiasis was performed. A total of 147 children ranging the ages of 1-12 years in 3 orphanages in the suburbs of Seoul, Korea was subjected for this study. Repeated cellotape anal swabs were carried out against 70 children, 7 times for 3 days interval, in the morning 6am. Finally 10 mg/kg body weight pyrantel pamoates were given to all children including egg negative cases and whole stools of 3 following successive days were collected for the confirmation of residual worm ourden at the time of treatment. Cellotape anal swabs were also performed to another 77 children at 6am, 3pm, 9pm, twice for 3 days interval. The resultant findings were summarized as follows; 1) While the each time average detection rate of Enterobius egg was 28.8% in this study group, the accumulative detection rate up to 7th examination was 62.8%. The accumulative detection rate rose continuously up to 6th examination. 2) After administration of pyrantel pamoate 10 mg/kg body weight, final infection rate was increased to 72.9% by adding worm positive cases who didn't show any evidence of infection in the cellotape anal swabs. 3) Although pinworms were detected in 35 among 70 children treated, 7 cases (20%) of them were egg negative cases in 7 consecutive cellotape anal swabs. 4) Pinworms were expelleded in 14 (87.5%) among 16 children whose swab result was positive in the last examination which was done concurrently with drug administration. 5) Estimated infection rate calculated by best asymptotically normal estimate of Neuman from Moriya's modification revealed 71.5% similar to 72.9% of present results. 6) The result of anal swab performed at 6am was higher than that of 3pm or 8pm. In conclusion, cellotape anal swab method for Enterobius vermicularis infection was considered as method having relatively high positive accuracy. However to gain the reliable infection rate, at least 6 examination is required in the group with 25-30% infection rate by single swab. Moriya's modification of Neuman could be used efficiently in the mass control of this diease for the estimation of true infection rate of E. vermicularis in the sampled population.

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취학 전 어린이들의 요충 감염 실태 (Prevalence of Enterobius vermicularis Infection in Preschool Children)

  • 김유현
    • 대한임상검사과학회지
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    • 제37권3호
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    • pp.168-172
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    • 2005
  • The prevalence rate of Enterobius vermicularis eggs was investigated among preschool children located in the area of Iksan, Jeonbuk, during the period from March to July, 2005. Of the 1,082 children examined 78(7.2%) were found to be positive for E. vermicularis egg by the adhesive cellotape anal swab method. The egg positive rate of male and female were 6.7% and 7.8%, respectively. The positive rates range from 5.1% to 8.7% among preschool children, and the highest egg positive rate was observed in the 7 year old age group. Through this survey, it was determined that the E. vermicularis infection is still prevalent among children in Jeonbuk, Korea.

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Intestinal parasite infections at an institution for the handicapped in Korea

  • Lee, Jong-Weon;Park, Gab-Man;Lee, Du-Ho;Park, Soon-Jung;Yong, Tai-Soon
    • Parasites, Hosts and Diseases
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    • 제38권3호
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    • pp.179-181
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    • 2000
  • Stool and cellotape anal swab examinations were carried out in August 1997 on handicapped people at an institution located in Chorwon-gun, Kangwon-do, Korea. A total of 112 stool samples (78 males and 34 females) revealed three cases of Trichuris trichiura infection and one case of Enterobius vermicularis infection. Other helminth eggs were not detected. The overall prevalence rate was 35.7% (38.5% for males and 29.4% for females). More than two different kinds of parasites were found in 42.0% of the positive stool samples (17 cases). The infection rates for protozoan cysts are as follow : Entamoeba coli (25.0%), E. histoIUtica (1.8%), Endolinax nana (21.4%), Iodoamoeba butschlii (1.8%) and Giardia lamblia (0.9%). In cellotape anal swab examinations (165 samples), the prevalence rate of E. vemicularis was 20.6% (25.7% of males and 9.6% of females). In conclusion, the handicapped people in the institution showed higher infection rates of protozoan parasites and E. vemicularis, possibly due to more accessibility to the infection.

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Parents' Knowledge about Enterobiasis Might Be One of the Most Important Risk Factors for Enterobiasis in Children

  • Kim, Dong-Hee;Son, Hyun-Mi;Kim, Joo-Young;Cho, Min-Kyoung;Park, Mee-Kyung;Kang, Sin-Ye;Kim, Bo-Young;Yu, Hak-Sun
    • Parasites, Hosts and Diseases
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    • 제48권2호
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    • pp.121-126
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    • 2010
  • To know the prevalence of Enterobius vermicularis infection and what are the most important risk factors, we evaluated the incidence and risk factors of enterobiasis among children attended in kindergartens in Busan metropolitan city, Republic of Korea. A total of 1,674 children from 21 kindergartens in 11 of 16 autonomous districts of Busan were evaluated for E. vermicularis infection by the cellotape anal swab technique. The overall egg-positive rate for E. vermicularis was 10.7% (179/1,674), and the prevalence of enterobiasis in each kindergarten ranged between 0% and 32.4%. There was an increasing tendency of the egg positive rate according to the population density; the higher the population density communities had, the higher egg-positive rate for E. vermicularis was detected (P = 0.001). Among personal hygiene factors involving children, thumb-sucking (P = 0.036) and fingernail-trimming (P = 0.024) were highly associated with enterobiasis. In addition, taking anthelmintic medications against E. vermicularis infection was strongly associated with enterobiasis (P = 0.014). Moreover, parents' knowledge of enterobiasis was correlated significantly with the incidence of enterobiasis of their children (P = 0.006). In conclusion, we need to consider not only personal hygiene but also parents' knowledge about enterobiasis as a factor in order to develop new strategies for elimination or to complete reduction of enterobiasis in Korea.

마산, 창원지역에서 아동들의 요충 감염 실태 연구 (The Egg Detection Rates of Enterobius Vermicularis among Preschool and School Children in Masan and Changwon Areas in Korea)

  • 조미현;김원엽;정원조;마상혁;최상호;공현희;정동일
    • Pediatric Infection and Vaccine
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    • 제6권1호
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    • pp.107-115
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    • 1999
  • 목 적 : 최근에 생활 환경과 식생활의 수준 등이 향상되고 농경작의 현대화가 이루어지면 서 토양 매개성 기생충 질환(회충, 편충, 구충 등)은 크게 감소되었으나 사람이 유일한 숙주 인 요충의 감염은 쉽게 전파될 뿐만 아니라 재감염이 잘 되고 특히 소아에서 많이 감염된다 고 알려져 있다. 국내에서의 요충 감염율은 검사 시기, 대상, 지역에 따라서 차이는 있으나 1960~1980년대나 최근에 있어서나 높은 감염율을 나타내고 있는 실정이다. 따라서 본 연구는 마산, 창원과 인근 농촌지역에서 요충 감염율을 조사하고 치료에 대한 효과를 보기 위하여 실시하였다. 방 법 : 97년 11월 4째주와 12월 1번째 주에 마산시에 소재한 초등학교 1곳, 어린이집 2곳, 창원시에 소재 개인 소아과 의원1곳, 창녕군 남지읍에 소재한 초등학교 1곳을 선정하여 보호자들에게 설문지와 안내문, 검체 채취용 슬라이드를 나누어 주어 이른 아침, 첫 대변을 보기 전에 항문주위도말법(adhesive cellotape anal swab)으로 검체를 채취하도록 하였다. 수집한 검체는 경북대학교 의과대학 기생충학교실로 보내져 광학 현미경으로 충란의 유무를 확인하였다. 결 과 : 1) 전체 대상 아동 644명 중 17.7%인 114명에서 요충란이 발견되었으며 남녀의 비는 1:1.1로 나타났다. 2) 연령별 분포에서는 학동기전 아동이 145명중 29.0%인 42명, 학동기 아동은 499명중 14.4%인 72명에서 요충란이 발견되었으며 학동기전 아동들의 충란 검출율이 학동기 아동들 보다 통계적으로 의미 있게 높았다(p<0.05). 3) 도시와 농촌의 초등학교에서 감염율은 각각 15.2%, 13.7%로 나타나 차이가 없는 것으 로 나타났으며(p>0.05) 3학년 이하의 저학년일수록 감염율은 높았다(p<0.05). 4) 충란 검출율이 높았던 마산시 소재 한 어린이집에 수용되어 있는 아동과 가족, 종사자들에게 flubendazole 100mg을 3주 간격으로 2회 먹인 후 검사한 결과 치료전 41.0%의 검출 율을 보이다가 치료 후 6.0%로 떨어졌다. 결 론 : 요충의 감염 경로 및 전염력을 감안하면 어린이 집단에서 요충의 감염율은 상당히 높을 것이라고 사료되며 따라서 조속한 시일내에 요충 감염의 조사와 집단 치료가 필요할 것이라고 생각된다.

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Enterobius vermicularis egg positive rates in primary school children in Gangwon-do (Province), Korea

  • Lee, Kyu-Jae;Ahn, Yung-Kyum;Ryang, Yong-Suk
    • Parasites, Hosts and Diseases
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    • 제39권4호
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    • pp.327-328
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    • 2001
  • A survey of the infection rate of Enterobius vermicularis among students in 4 primary schools located in Gangwon-do (Province) was done from May to .Tune 2001. Among the 398 examinees,39 (9.8%) were infected with E. vermicularis demonstrated by the adhesive cellotape anal swab method. The infection rates ranged from 8.3% to 11.8% among the four schools. The infection rate of males and females was 10.7% and 7.7% respectively. The first grade students showed the highest infection rate, 28.7%. The confirmed cases were treated with albendazole three times at an interval of 15 days. We were able to confirm that E. vermicularis infection is still prevalent among students in Gangwon-do , Korea.

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Enterobius vermicularis egg positive rate in a primary school in Chungchongnam-do (Province) in Korea

  • Lee, Kyu-Jae;Lee, In-Yong;Im, Kyung-Il
    • Parasites, Hosts and Diseases
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    • 제38권3호
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    • pp.177-178
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    • 2000
  • The egg Positive rate of Enterobius vernicularis was investigated among students of a primary school and a kindergarten located in the rural area of Tangjin-gun, Chungchongnam-do in December, 1998. Of the 189 examinees, 28 (14.8%) were found to be infected with E. vermicularis by the adhesive cellotape anal swab method . The infection rates ranged from 4.2% to 26.1% among school children, and the highest rate was observed in children attending kindergarten. Three months after treatment with albendazole, four (14.3%) out of 28 infected children still remained infected with E. vermicularis. Through this survey, we were able to determine that E. vemicularis infection is still prevalent among children in rural areas of Korea.

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국민학교(國民學校) 및 집단주거시설(集團住居施設) 아동(兒童)의 요충감염현황(蟯蟲感染現況) (Present Status of E. vermicularis Infestation in Primary Schools and Orphanages)

  • 김종성;이준상;주경환;임한종
    • 농촌의학ㆍ지역보건
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    • 제13권1호
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    • pp.26-31
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    • 1988
  • 본 조사에서는 서로 다른 주거환경에서 생활하는 집단군에 대해 셀로판테이프항문주위도말법으로 요충감염현황에 대하여 조사한 결과 다음과 같은 결론을 얻었다. 1) 국민학교 및 집단시설거주아동 2,966명을 조사하여 484명이 요충란 양성자로 나타나 16.3%의 양성률을 보였다. 2) 지역별 조사에서 대도시지역의 경우 총 1,144명을 조사하여 79명이 양성자로 나타나 6.9%의 양성률을 보였고, 농촌지역에서는 총 1,268명을 조사하여 193명이 양성자로 나타나 15.2%의 양성률을 보여 대도시지역보다 농촌지역에서 터 높은 감염양상을 보였다. 3) 남, 여별 조사에서는 남자, 1,528명을 조사하여 240명이 양성자로 나타나 15.7%의 양성률을 보였으며, 여자의 경우 1,438명을 조사하여 244명이 양성자로 나타나 16.9%의 양성률을 보여 남, 여별 감염률은 큰 차이를 타나내지 않았다. 4) 국민학교 아동의 학년별 조사성적을 보면 대도시지역 국민학교 아동의 경우 저학년에서 고학년으로 올라갈수록 감염률이 저하되었으나 농촌지역 국민학교 아동의 경우 감염률에 있어서 학년별로 현저한 차이를 나타내지 않았다. 5) 주거환경별 조사에서는 국민학교 아동 2,412명을 조사하여 272명이 양성자로 나타나 11.3%의 양성률을 보였고, 고아원(영아원, 육아원) 아동 416명을 조사하여 136명을 조사하여 76명이 양성자로 나타나 55.1%의 높은 양성률을 보여 국민학교보다 집단거주시설 아동에서 더 높은 감염양상을 보였다.

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Infection rates of Enterobius vermicularis and Clonorchis sinensis of primary school children in Hamyang-gun, Gyeongsangnam-do (Province), Korea

  • Kim, Bong-Jin;Yeon, Je-Wook;Ock, Mee-Sun
    • Parasites, Hosts and Diseases
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    • 제39권4호
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    • pp.323-325
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    • 2001
  • The egg Positive rate of Enterobius vermicularis and Clonorchis sinensis of school children in the rural area was studied in Hamyang-gun, Gyeongsangnam-do in Korea. Cellotape anal swab and formalin ether concentration methods were performed one time to 720 Primary school children. The total egg Positive rate of E. vermicularis was 12.6% in two schools (Baekjeon and Wiseong). In the Baekjeon and Wiseong primary school, the egg Positive rate of E. vermicularis was 4.6% and 13.4%, respectively Pinworm egg Positive rate was 17.6% in the lower grades (1st, 2nd and 3rd), and 7.7% in higher grades (4th, 5th and 6th). The total egg Positive rate of male and female was 12.6% and 12.7%, respectively. The egg Positive rate of C. sinensis of Baekjeon and Wiseong Primary school was 1.5% and 0.46%, respectively The total e99 Positive rate of C. sinesis was 0.56%. This survey showed that continuous education and chemotherapy is necessary to treat and prevent reinfection of E. vermicularis. In the case of C. sinensis, health education for school children is recommended to prevent potential infection of adolescents.

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