ABSTRACT
Objective To investigate the prevalence and influencing factors of Enterobius vermicularis infections among children in Fanxian County, Henan Province in 2019, so as to provide insights into the management of enterobiasis. Methods Five kindergartens were selected in urban and rural areas of Fanxian County, Henan Province using the stratified sampling method in 2019, and a census of E. vermicularis infections was performed among all children in the kindergartens. E. vermicularis eggs were detected using adhesive and scotch cellophane-tape anal swab methods, and the basic characteristics of children and their families, health habits and the kindergartens’ information were investigated with questionnaires. Logistic regression analysis was used to investigate the risk factors and protective factors of pinworm infection in children. Results A total of 671 children were tested, and the mean prevalence of E. vermicularis infections was 15.50% (104/671). The prevalence of E. vermicularis infections was higher among children in rural kindergartens (28.13%, 72/256) than in urban kindergartens (7.71%, 32/415) (χ2 = 50.380, P < 0.01), and greater in private kindergartens (32.26%, 60/186) than in public kindergartens (9.07%, 44/485) (χ2 = 55.183, P < 0.01). There was no gender-specific prevalence of E. vermicularis infections among children (χ2 = 1.442, P > 0.05), and the prevalence of E. vermicularis infections presented a tendency towards a rise with age (χ2trend = 8.373, P < 0.05) and school grade (χ2trend = 30.274, P < 0.05). Logistic regression analysis identified rural kindergartens and high grades as risk factors, and separate washing of children’s and adults’ cloths, frequent bathing and frequent dinnerware disinfection in kindergartens as protective factors for E. vermicularis infections among children. In addition, there was no significant difference in the detection of E. vermicularis infections among children by using adhesive (73.08%, 76/104) and scotch cellophane-tape anal swab methods (56.73%, 59/104) (χ2 = 3.959, P > 0.05). Conclusions The prevalence of E. vermicularis infection is high among children in Fanxian Country, Henan Province. Health education and surveillance of enterobiasis are required to be intensified among children in rural kindergartens and senior grades and their parents and teachers.
ABSTRACT
Objective To explore the influencing factors of incontinence-associated dermatitis (IAD) complication to severe stroke patients, and to provide basis for prevention of IAD.Methods Clinical data of 125 severe stroke patients was collected, and was grouped into IAD group and non-IAD group according to with or without complicated with IAD.Correlations of IAD and gender, age, obfuscation, temperature≥38 ℃, BMI, complicated with chronic disease, NIHSS score, stroke type, nutrition, immunity were analyzed.Results There were 30 of 125 severe stroke patients complicated with IAD, and the incidence of IAD was 24.00%,with 20 mild cases,7 moderate cases and 3 severe cases.Logistic aggression suggested that age (OR=7.515, 95%CI: 2.369-21.454), temperature (OR=5.225, 95%CI: 2.612-10.774), NIHSS score (OR=3.467, 95%CI: 1.455-7.767), stroke type (OR=0.596, 95%CI: 0.387-0.895), hypoproteinenia (OR=8.120, 95%CI: 3.574-27.644) were influencing factors of IAD.Conclusion Senility, fever≥38 ℃, NIHSS score≥12, cerebral arterial thrombosis, hypoproteinemia could be risk factors of complication with IAD among severe stroke patients, and preventive interventions should be taken to reduce the risk of IAD.