Tình hình tái nhiễm và các yếu tố liên quan đến tái nhiễm giun truyền qua đất ở học sinh tiểu học tỉnh Hậu Giang sau can thiệp bằng mebendazole 500mg năm 2019-2020

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Tác giả: Thanh Diệp Đỗ, Thanh Vũ Lê, Hoàng Nhựt Lưu, Ngọc Ánh Nguyễn, Thanh Tùng Nguyễn, Thị Nhí Nguyễn, Thị Viễn Phương Nguyễn, Thị Mỹ Ngọc Phạm, Ngọc Bình Phan, Trung Dũng Trần, Thị Hoàng Lan Võ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y tế Công cộng, 2020

Mô tả vật lý:

Bộ sưu tập: Metadata

ID: 330094

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* Background: Soil-transmitted helminthiasis is a fairly common disease, the estimated 24% of the world's population infected with soil-transmitted helminth (STH), of which over 43% are in preschool and school-aged students.The study was conducted to provide information on the situation of re-infection, factors related to STH reinfection. The study was carried out from June 2019 to October 2020 on primary school students in Hau Giang province. * Methods: Community intervention study on 206 primary school students infected with STH by Mebendazole 500mg single dose. Data processing on SPSS 18.0 software, using descriptive statistical calculations and analyzing the relationship between worm reinfection with related factors by squared (χ²) test with p <
0.05. * Results: The general SHT reinfection rate of the pupils after 12 months of intervention was 11.2%. The re-infection rate at 3 months was 1.5%, at 6 months it was 2.0%, at 9 months it was 3.5% and at 12 months it was 4.7%. The study observed the relationship between reinfection with STH and the habit of walking barefoot, not wearing shoes in the house and garden, eating raw vegetables, playing with sandy soil, dogs and cats, and the structure of the floor of the school is the ground, the student's family has livestock and poultry running around in the house and the student has unclean hands (p<
0.05). * Conclusion: The rate of the general reinfection of the SHT in elementary school students after 12 months of intervention was 11.2%. It is necessary to strengthen propaganda and advocacy to change students' behavior, to clean the house and the school and to guide them to prevent the STH infection.Thông tin chung: Bệnh nhiễm giun truyền qua đất là một bệnh khá phổ biến, ước tính có khoảng 24% dân số thế giới nhiễm giun truyền qua đất, trong đó hơn 43% là ở học sinh mầm non và học sinh tuổi học đường. Nghiên cứu được thực hiện để cung cấp thông tin về tình hình tái nhiễm, các yếu tố liên quan đến tái nhiễm giun truyền qua đất. Nghiên cứu được thực hiện từ tháng 06/2019 đến tháng 10/2020 tại trên học sinh tiểu học tại tỉnh Hậu Giang. * Phương pháp nghiên cứu: Nghiên cứu can thiệp cộng đồng trên 206 học sinh tiểu học nhiễm giun truyền qua đất bằng Mebendazole 500mg liều đơn. Xử lý số liệu bằng phần mềm SPSS 18.0, với các thuật toán thống kê mô tả và phân tích mối liên quan với tái nhiễm giun bằng kiểm định khi bình phương (χ²) sự khác biệt có ý nghĩ thống kê khi p<
0,05. * Kết quả: Tỷ lệ tái nhiễm giun chung của học sinh sau 12 tháng can thiệp là 11.2%. Tỷ lệ tái nhiễm tại thời điểm 3 tháng là 1.5%, tại thời điểm 6 tháng là 2.0%, tại thời điểm 9 tháng là 3.5% và tại thời điểm 12 tháng là 4.7%. Nghiên cứu quan sát được mối liên quan giữa tái nhiễm giun với thói quen đi chân đất, không mang giày dép trong nhà, sân vườn, ăn rau sống, thói quen chơi với đất cát, chó mèo, cấu trúc nền nhà của học sinh là nền đất, gia đình học sinh có nuôi gia súc, gia cầm chạy rong trong nhà và học sinh có bàn tay không sạch (p<
0.05). * Kết luận, kiến nghị: Tỷ lệ tái nhiễm giun chung của học sinh sau 12 tháng can thiệp là 11.2%. Cần tăng cường công tác tuyên tuyền, vận động thay đổi hành vi của học sinh, vệ sinh nhà cửa, vệ sinh trường lớp và hướng dẫn các em thực hiện các biện pháp phòng nhiễm giun truyền qua đất.

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