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Intestinal Parasitic Infections among Pregnant Women in Venezuela

机译:委内瑞拉孕妇的肠道寄生虫感染

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摘要

Introduction. Intestinal parasitic infections, especially due to helminths, increase anemia in pregnant women. The results of this are low pregnancy weight gain and IUGR, followed by LBW, with its associated greater risks of infection and higher perinatal mortality rates. For these reasons, in the setting of no large previous studies in Venezuela about this problem, a national multicentric study was conducted. Methods. Pregnant women from nine states were studied, a prenatal evaluation with a coproparasitological study. Univariated and multivariated analyses were made to determine risk factors for intestinal parasitosis and related anemia. Results. During 19 months, 1038 pregnant women were included and evaluated. Intestinal parasitosis was evidenced in 73.9%: A lumbricoides 57.0%, T trichiura 36.0%, G lamblia 14.1%, E hystolitica 12.0%, N americanus 8.1%, E vermicularis 6.3%, S stercoralis 3.3%.Relative risk for anemia in those women with intestinal parasitosis was 2.56 (P < .01).Discussion. Intestinal parasitoses could be associatedwith conditions for development of anemia at pregnancy. Thesefeatures reflect the need of routine coproparasitological studyamong pregnant women in rural and endemic zones for intestinalparasites. Further therapeutic and prophylactic protocols areneeded. Additional research on pregnant intestinal parasiticinfection impact on newborn health is also considered.
机译:介绍。肠道寄生虫感染,特别是由于蠕虫感染,会增加孕妇的贫血。其结果是低的孕妇体重增加和IUGR,其次是LBW,其带来更大的感染风险和更高的围产期死亡率。由于这些原因,在委内瑞拉以前没有进行过大量研究的情况下,进行了一项全国性的多中心研究。方法。对来自九个州的孕妇进行了研究,这是一项产前评估和辅助寄生虫学研究。进行单因素和多因素分析以确定肠道寄生虫病和相关贫血的危险因素。结果。在19个月中,纳入并评估了1038名孕妇。肠道寄生虫病的检出率为73.9%:A虫57.0%,毛tri虫36.0%,兰姆鞭毛虫14.1%,蛇麻杆菌12.0%,美洲american 8.1%,蠕虫E 6.3%,胸骨炎3.3%。那些患有肠道寄生虫病的女性患贫血的相对风险为2.56(P <.01)。讨论。肠道寄生虫病可能与之相关并在怀孕时出现贫血的情况。这些的功能反映了常规辅助寄生生物学研究的需要在农村和地方性地区的肠道孕妇中寄生虫。进一步的治疗和预防方案是需要。孕妇肠道寄生虫的其他研究还考虑了感染对新生儿健康的影响。

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