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來源資料
頁籤選單縮合
題 名 | The Characteristics of Blastocystis Hominis Infection in Outpatient Health Surveys of a Medical Center in Taiwan=人芽胞囊蟲在臺灣某醫學中心門診體檢的分佈特性 |
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作 者 | 康世肇; 陳曾基; 黃信彰; | 書刊名 | 臺灣家庭醫學雜誌 |
卷 期 | 13:3 2003.09[民92.09] |
頁 次 | 頁120-129 |
分類號 | 415.291 |
關鍵詞 | 人芽包囊蟲; Blastocystis hominis; Immigrants; Natives; Health surveys; |
語 文 | 英文(English) |
中文摘要 | 人芽包囊蟲(Blastocystis hominis)過去在臺灣並未有流行紀錄。近年來,隨著境外移民及國際旅遊的增加,本病在臺灣也愈加常見。本文著眼於該寄生蟲於醫院門診體檢的分布狀況,採描述及回溯性研究,自公元2002年1月1日迄同年12月15日,將臺灣某醫學中心家庭醫學科門診體檢的受檢人納入分析。受檢人年齡、性別、身分和國籍均列入紀錄,針對感染個體之治療用藥以及療效均納入分析。 於研究期間,共有7,754人受檢,包含220位外籍移民。其中1,975人做過糞便常規檢查,31人(1.6%)被發現有人芽包囊蟲感染,其平均年齡為34±11.7歲,自23至71歲不等。佔多數者為小於30歲(51.6%),女性(71.0%),外籍移民(71.0%),來自東南亞國家(45.2%)。國人感染者共9位,包含6位海外志工及3位本地居民。除1人以便秘表現,餘皆無症狀。其中15位(48.3%)接受藥物治療,5位(16.1%)自發性痊癒,其餘11位(35.5%)門診失聯。除5位感染者併有其他疾病外,餘皆無合併症。治療方式選擇與性別顯著相關(p=0.04),但與年齡及身分無顯著相關(p>0.1)。3名本地感染居民過去均有與外籍同事或照顧者接觸。人芽包囊蟲並非外籍移民特有,在本地居民間的傳播有可能發生。因其仍具致病性及潛在傳染危險,積極篩檢及治療有其必要。 |
英文摘要 | Blastocystis hominis has not been endemic or epidemic in Taiwan, but with increasing immigration and international travel, this protozoan is found more frequently. We investigated the characteristics of B. hominis infection in Taiwan. Descriptive and retrospective analyses were performed in individuals who had undergone outpatient examinations in a medical center in Taiwan between January 1 and December 15, 2002. From the patients' charts, we recorded their age, sex, occupation and/or residence, nationality, therapeutic medication and its effect on B. hominis infection, and associated risk factors. A total of 7,754 participants, including 220 immigrants, completed health surveys. Among them, 1,975 had undergone routine stool examination. Thirty-one (1.6%) had B. hominis infection. Their mean age was 34.4 ± 11.7 years (range: 23 to 71 years), and they were predominantly younger than 30 years (51.6%), female (71.0%), immigrants (71.0%), and from southeastern Asia (45.2%). Nine subjects were Taiwanese, including six overseas volunteers and three native residents, all of whom had contact with immigrants in the past. All infected patients were asymptomatic except for one who had constipation. Fifteen (48.4%) were treated with metronidazole or mebendazole. In five (16.1%), the infection resolved spontaneously without medication, and 11 (35.5%) were lost to follow-up. Only five subjects had systemic disease. Therapeutic choices differed significantly with sex (p=0.04) but not age or occupation (p>0.1). In summary, B. hominis infection is not limited to immigrants to Taiwan, and transmission among native residents may occur. Thus, aggressive screening for B. hominis infection and active treatment are indicated. |
本系統中英文摘要資訊取自各篇刊載內容。