• Title/Summary/Keyword: helminth egg

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A successful experience of soil-transmitted helminth control in the Republic of Korea

  • Hong Sung-Tae;Chai Jong-Yil;Choi Min-Ho;Huh Sun;Rim Han-Jong;Lee Soon-Hyung
    • Parasites, Hosts and Diseases
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    • v.44 no.3
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    • pp.177-185
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    • 2006
  • Soil-transmitted helminths (STH), namely Ascaris, Trichuris and hookworms (Ancylostoma and Necator), present a global health problem to about a half of the earth's population. In the Republic of Korea, STH were highly prevalent and were considered a high priority target for national control. To promote the control, a non-governmental organization named Korea Association for Parasite Eradication (currently Korea Association of Health Promotion) was founded in 1964, and mass fecal examination followed by selective mass chemotherapy with anthelmintics was performed twice a year from 1969 to 1995 targeting whole nationwide schoolchildren. Meanwhile, decreasing patterns of national STH infections have been monitored by 7 times' quinquennial national surveys targeting general population. In 1971, the overall intestinal helminth egg positive rate was 84.3% (Ascaris 58.2%, Trichuris 65.4%, and hookworms 10.7%), which became 63.2% in 1976, 41.1% in 1981, 12.9% in 1986, 3.8% in 1992, 2.4% in 1997, and 4.3% (Ascaris 0.03%, Trichuris 0.02%, and hookworms 0%) in 2004. During the control period, national economy rapidly developed, and living standards including environment, sanitation, and agricultural technology greatly improved, which undoubtedly boosted the STH control effects. Our experience indicates that social driving force to establish an eligible national control system to conduct repeated mass chemotherapy, together with improvement of environment and sanitation, is important for initiating and achieving STH control in a developing community.

Echinostoma ilocanum Infection in Oddar Meanchey Province, Cambodia

  • Sohn, Woon-Mok;Kim, Hyeong-Jin;Yong, Tai-Soon;Eom, Kee-Seon S.;Jeong, Hoo-Gn;Kim, Jae-Kwang;Kang, A-Reum;Kim, Mok-Ryun;Park, Jung-Mi;Ji, Soo-Hyeon;Sinuon, Muth;Socheat, Duong;Chai, Jong-Yil
    • Parasites, Hosts and Diseases
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    • v.49 no.2
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    • pp.187-190
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    • 2011
  • Fecal examinations using the Kato Katz technique were performed on a total of 1,287 villagers (945 students and 342 general inhabitants) of Oddar Meanchey Province, Cambodia in May 2007 and November 2009. The overall intestinal helminth egg positive rate was 23.9%, and the most prevalent helminth species was hookworms (21.6%). Other helminth eggs detected included echinostomes (1.0%), Enterobius vermicularis (0.8%), small trematode eggs (0.7%), which may include Opisthorchis viverrini and Haplorchis spp., and Hymenolepis nana (0.4%). In order to recover adult echinostomes, we treated 2 patients with 10-15 mg/kg praziquantel and purged. Total 14 adult echinostomes, 1 and 13 worms from each patient, were collected. The echinostomes characteristically had 49-51 collar spines and 2 round or slightly lobated testes. They were identified as Echinostoma ilocanum (Garrison, 1908) Odhner, 1911. So far as literature are concerned, this is the first record on the discovery of human E. ilocanum infection in Cambodia.

Comparative Study on the Effectiveness of Modified Kato's Cellophane Thick Smear and Stoll's Dilution Egg Counting Technique for Quantitative Fecal Examination of Helminth Eggs (윤충란 정량검사를 위한 Stoll 희석충란계산법과 Kato 후층도말변법의 비교)

  • 홍성종;우호춘
    • Parasites, Hosts and Diseases
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    • v.30 no.2
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    • pp.141-146
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    • 1992
  • A total of 197 fecal specimens was prepared for quantitative examination of helminth eggs by modified Kato's cellophane thick smear (M.C.T.S.) and Stoll's dilution egg counting technique (D.E,C.T.). The comparative effectiveness of two techniques was evaluated and conversion function was deduced. The average time required for the microscopic examination on one slide by M.C.T.S. was 12.6 minutes and that of D.E.C.T. was 14.6 minutes. M.C.T.S. showed lower false negative rate than D.E.C.T in light worm burden cases. Functions to convert the counts obtained by M.C.T.S. to E.P.G. by Stoll's dilution egg counting technique were $47.86{\times}10^{0.87{\;}logM.C.T.S.},{\;}$ in A. lumbricoides, $41.69{\times}10^{0.82{\;}logM.C.T.S.}$ in T. trichiura and $63.10{\times}10^{0.85{\;}logM.C.T.S.}$ in C. sinensis. It was suggested M.C.T.S. be better than D.E.C.T. for the quantitative examination of intestinal helminthiases such as A. lumbricoides, T. trichiura, and C. sinensis infections even in the cases with low worm burden.

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Second report on intestinal parasites among the patients of Seoul Paik Hospital (1984-1992) (서울 백병원 환자의 제2차 장내 기생충 검사 성적(1984-1992))

  • 이상금;신보문
    • Parasites, Hosts and Diseases
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    • v.32 no.1
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    • pp.27-34
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    • 1994
  • The results of fecal examination for helminth eggs and protozoan cysts in Seoul Paik Hospital during 1984-1992 are reported. Fecal specimens of a total of 52,552 out- or in- patients were examined by formalin-ether sedimentation and/or direct smear method. The overall egg Positive rate of helminths was 6.5% and the cyst Positive rate of Protozoa 2.5%. The egg positive rate (number of positive cases) for each species of helminth was; Clonorchis sirensis 3.2%(1,667) , Trichuris trichiura 2.0%(1,089), Metqsonimw yokogawai 1.2% (613), Ascaris lumbricoides 0.2% (100), Trichostrongylus orientalis 0.1% (34), Taenin spp. 0.05% (28), Hymenolepis nana 0.03% (181), hookworms 0.03% (17), Poragonimlrkf westermani 0.02% (12), Echinostoma spp. 0.03% (12), Enterobius uermiculans 0.02% (10), Strongyloides stercora;is (larvae) 0.01% (6) , and Diphyllobothrium latum 0.004% (2). The cyst positive rate (number of positive casesl for each protozoan was; Entamoebc coli 1.1% f5881, Snnolimox nana 0.8% (402), Ginrdin lomblia 0.3% (173) , Entamoeba histo;utoca 0.3% (164), and Trichomonos hominis (trophozoites) 0.004% (2). Viewing from the data of 9 years, it was evident that the prevalence of soil-transmitted helminths such as A. Lumbricoines and T. trichiuro has been decreasing remarkably, while that of snail transmitted helminths such as C. sinenris and intestinal protozoans has not.

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Status of Intestinal Parasitic Infections Among the Children by Trichrome Stain (Trichrome 염색에 의한 일부 아동들의 장내 기생충 감염상)

  • 김유현
    • Biomedical Science Letters
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    • v.2 no.2
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    • pp.267-274
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    • 1996
  • This study was performed to observe the present status of intestinal parasitic infections among the children in Iksan, Jeonbuk, Korea. During the period from February to June 1996, total 510 fecal samples(male 276, female 234) were collected and examined by formalin-ether sedimentation technique and trichrome stain for intestinal helminths and protozoan cysts. Of 510 samples examined, 62(12.2%) were positive for intestinal parasites. Helminth egg positives were 3(0.6%), and protozoan cyst positives were 59(11.6%). The female group showed higher positive rate(13.2%) than males(11.2%), and the highest positive rates were observed in 7 age group(17.5%), and lowest positive rates were 4 age group(9.5%). 3 species of helminths egg and 6 species of protozoan cyst were detected; Metagonimus yokogawai 0.4%, Enterobius vermicularis 0.2%, Trichuris trichiura 0.2%, Endolimax nana 4.1%, Entamoeba coli 3.9%, Ciardia lamblia 2.0%, Entamoeba histolytica 1.4%, Iodamoeba butschilii 0.8%, and Chilomastix mesnili 0.4%, respectively. In 3 helminth egg positive cases, single infection was 2(66.7%), and double infection 1(33.3%), among 59 protozoan cyst positives, single infection was 54(91.5%), and double infection was 5(8.5%). The highest positive rate of protozoan cyst was 7 age group(14.3), and lowest positive rate was 4 age group(9.5%).

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Human Infections with Liver and Minute Intestinal Flukes in Guangxi, China: Analysis by DNA Sequencing, Ultrasonography, and Immunoaffinity Chromatography

  • Jeon, Hyeong-Kyu;Lee, Dongmin;Park, Hansol;Min, Duk-Young;Rim, Han-Jong;Zhang, Hongman;Yang, Yichao;Li, Xueming;Eom, Keeseon S.
    • Parasites, Hosts and Diseases
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    • v.50 no.4
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    • pp.391-394
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    • 2012
  • The prevalence of liver and intestinal fluke infections was determined by surveying inhabitants of Hengxuan, Fusui, and Shanglin villages which were known to be endemic for liver flukes in Guangxi, China in May 2010. A total of 718 people were examined for helminth eggs by the Kato-Katz thick smear technique, ultrasonography, immunoaffinity chromatography, and DNA sequencing. The overall egg positive rate was found to be 59.6% (28.0-70.6%) that included mixed infections with liver and intestinal flukes. Cases showing higher than 20,000 eggs per gram of feces (EPG) were detected between 1.3% and 16.2%. Ultrasonographic findings exhibited overall 28.2% (72 of 255 cases) dilatation rate of the intrahepatic bile duct. Clonorchis sinensis infection was detected serologically in 88.3% (38 of 43 cases) among C. sinensis egg positive subjects by the immunoaffinity chromatography using a specific antigen for C. sinensis. For differential diagnosis of the liver and intestinal flukes, more precise PCR and nucleotide sequencing for copro-DNA were performed for 46 egg positive cases. Mixed infections with C. sinensis and Metagonimus yokogawai were detected in 8 of 46 egg positive cases, whereas 29 specimens were positive for Haplorchis taichui. Ultrasonographic findings and immunoaffinity chromatography results showed usefulness, even in a limited way, in figuring out of the liver fluke endemicity.

Effect of Flubendazole against Ascayis Zumbyicoides, yyichocephalus tyichiuyus and Enteyobius vermicularis in Bnfeeted Children (Flubendazole의 회충, 편충 및 요충에 대한 구충효과)

  • Min, Deuk-Yeong;An, Myeong-Hui;Kim, Gyeong-Min
    • Parasites, Hosts and Diseases
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    • v.24 no.1
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    • pp.12-14
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    • 1986
  • Effectiveness of aubendazole, a newly introduced as an anthelmintic in Korea, was evaluated in 28 ascariasis, 28 whipworm in(tractions and 17 Pinworm infections in Primary school children. All Patients were orally given by aubendazole of 500mg once. Stools for roundworm and whipworm and anal swabs for pinworm infections were examined both before and 25 days after treatment. After flubendazole treatment, all ascariasis and pinworm infected cases were cured. On the other hand, in whipworm infections, the cure rate was 82.1% (23 cured of 28 infected), and the egg reduction rate was 67.1%, respectively, Headache (one case), dizziness (2 cases) and abdominal pain (3 cases) were noticed as untoward effects, but they were mild and disappeared within 24 hours. These results demonstrate the excellent efEectiveness of aubendazole in treating these helminth infections.

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High prevalence of liver and intestinal fluke infections among residents of Savannakhet Province in Laos

  • Chai, Jong-Yil;Han, Eun-Taek;Guk, Sang-Mee;Shin, Eun-Hee;Sohn, Woon-Mok;Yong, Tai-Soon;Eom, Keeseon S.;Eee, Keon-Hoon;Jeong, Hoo-Gn;Ryang, Yong-Sang;Hoang, Eui-Hyug;Phommasack, Bounlay;Insisiengmay, Bounnaloth
    • Parasites, Hosts and Diseases
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    • v.45 no.3
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    • pp.213-218
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    • 2007
  • The prevalence of liver and intestinal fluke infections was surveyed on residents of Savannakhet Province, Laos. Fecal specimens were collected from a total of 981 residents in 4 Mekong riverside villages and examined by the Kato-Katz thick smear technique. The results revealed that the overall helminth egg positive rate was 84.2%, and the positive rate for small trematode eggs, including Opisthorchis viverrini, heterophyids, or lecithodendriids, was 67.1 %. To obtain adult flukes, 38 small trematode egg positive cases were treated with a 20-30 mg/kg single dose of praziquantel and purged. Diarrheic stools were then collected from 29 people and searched for helminth parasites using stereomicroscopes. Mixed infections with O. viverrini and 6 kinds of intestinal flukes were found, namely, Haplorchis taichui, Haplorchis pumilio, Haplorchis yokogawai, Prosthodendrium molenkampi, Phaneropsolus bonnei, and echinostomes. The total number of flukes collected was 7,693 specimens (av. no. per treated person; 265.3). The most common species was O. viverrini, followed by H. taichui, P. molenkampi, echinostomes, H. pumilio, P. bonnei, and H. yokogawai. The results indicate that foodborne liver and intestinal fluke infections are prevalent among residents of Savannakhet Province, Laos.

Failure of Repeated MDA with Albendazole for Trichuriasis Control in Schoolchildren of the Yangon Region, Myanmar

  • Hong, Sooji;Jung, Bong-Kwang;Song, Hyemi;Cho, Jaeeun;Sohn, Woon-Mok;Hong, Sung-Jong;Ryu, Jin-Youp;Kim, Hyun-Seung;Jeong, Mun-Hyoo;Htoon, Thi Thi;Tin, Htay Htay;Chai, Jong-Yil
    • Parasites, Hosts and Diseases
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    • v.59 no.6
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    • pp.607-613
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    • 2021
  • Soil-transmitted helminth (STH) infections are still a considerable challenge in Myanmar. We undertook a control program for STH infections (especially Trichuris trichiura) among schoolchildren in Myanmar using mass drug administration (MDA) and health education. Around 1,700 schoolchildren from 15 primary schools in 3 suburban districts (Shwe Pyi Thar, Twantay, and Kyauktan) of the Yangon Region were subjected in this study during 2017-2019. All of the schoolchildren in each school were orally administered albendazole (400 mg in a single dose) 2, 3, and 4 times a year in 2017, 2018, and 2019, respectively. The results revealed that the egg positive rate of any intestinal helminths (including STH) was reduced from 37.6% (649/1,724) in 2017 to 22.8% (352/1,542) in 2019. The egg positive rate of Ascaris lumbricoides was decreased remarkably from 23.3% (402/1,724) in 2017 to 3.6% (56/1,542) in 2019. However, that of T. trichiura was only slightly reduced from 26.9% (464/1,724) in 2017 to 20.2% (312/1,542) in 2019. The intensity of infection with A. lumbricoides and T. trichiura was both more or less reduced, and the proportion of light infection cases with A. lumbricoides and T. trichiura increased from 35.6% in 2017 to 64.3% in 2019 and from 70.3% in 2017 to 81.7% in 2019, respectively. The results indicated that repeated MDAs (2-4 times a year for 3 years) using albendazole on schoolchildren in Myanmar failed to control T. trichiura infection. For a successful control of trichuriasis in Myanmar, new MDA strategies, using a modified albendazole regimen (multiple daily doses for 2 or 3 days) or an alternative anthelmintic drug, such as oxantel pamoate, is strongly recommended.

Statue of Intestinal Parasitic Infections in a Remote Island, Yondo, Jeonranarn-do (Province) (전라남도 여천군 남면 연도 주민의 장내 기생충 감염상황)

  • 구기수;민득영
    • Parasites, Hosts and Diseases
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    • v.26 no.4
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    • pp.275-284
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    • 1988
  • This study was performed to observe the present status of intestinal parasitic infections in a remote island, Yondo, located in southern part of Jeonranam-do (Province) , Korea. In February and May, 1988, total 1,011 individual stool samples were collected and examined for intestinal helminths and protozoa using formalin-ether centrifugal sedimentation technique. The results are summarized as follows: 1. Of 1,011 inhabitants examined, 398(39.4%) were positive for intestinal parasites. Helminth positives were 372(36.8%) , and protozoan cyst positives were 56(5.5%) . 2. Ten species of parasites were found. Trichuris trichiura revealed the highest infection rate of 27.5%, Ascaris lumbricoides 17.4%, Taenia sp. 5.8%, Entamoeba coli 3.3%, Ciardia Zamblia 1.5%, Endelimax nasa 0.8%, Hymenolepis nana 0.4%, Hookworm 0.2%, Trichostrongylus orientalis 0,2%, and Entamoeba histolytica 0.2%, respectively. 3. The female group showed higher positive rate(44.0%) than males (34.7%). Also, higher positive rates were observed among adults as compared with the group younger than 10 years old. 4. Average value of E.P.G. was 1,876(range 200∼17,800) in A. lumbricoides positives, and 327 (range 200∼1,600) in T. trichiura positive cases. 5. In helminth egg Positive cases, single in(traction was 63.4%, double infection 34.7%, and triple infection 1.9%, respectively. Among protozoan cyst positives, single infection was 94.6%, and double infection was 5.4%. The present study revealed that the prevalence of intestinal parasites among inhabitants in Yondo island is still so high that special control measures should be performed.

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