Parasites, Hosts and Diseases
- 제34권2호
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- Pages.113-120
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- 1996
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- 2982-5164(pISSN)
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- 1738-0006(eISSN)
서울 및 전남 지역 주민의 작은와포자충 감염에 대한 역학조사
An epidemiological survey of Cryptosporidium parvum infection in randomly selected inhabitants of Seoul and Chollanam-do
초록
서울 및 전남 지역 주민의 작은와포자충(Cryptosporidium parvum) 감염 상황을 알아보기 위하여 1992년에 표본조사를 실시하였다. 한편, 높은 오시스트 양성률을 보인 전남 화순군 이양면에 대해서는 1995년에 재조사를 시행하였다. 구체적 대상 지역은 서울의 8개 동(동) 및 전라남도 도시지역 4개 동 및 농촌지역 7개 면으로 하였다. 총 3,146명을 무작위로 선정하여 분변을 채취하였고, 포르말린-에텔법으로 침전시킨 다음 침사로부터 도말표본을 1인 1매 제작하였다. 표본을 modified acid fast 법으로 염색한 후 작은와포자충의 오시스트 양성 여부를 조사하였다. 총 오시스트 양성률은 7.9%(248/3. 146)이었으나 서을 0.5%(4/853) 및 전라남도 10.6% (244/2.293)로서 지역별로 큰 차이를 보였다. 오시스트의 크기는
An epidemiological survey was performed to know the status of Cwptespori,mum sp. infection among the people in Seoul and Chollanam-do in 1992. One village of Chollanam-do (Hwasun-gun) which showed the highest oocyst positive rate was re-surveyed in 1995 for human infection and for cattle also. The subjected areas consisted of 8 urban villages (: dongs) of Seoul and 4 urban (: dongs) and 7 rural (: myonsl villages of Chollanam-do. A total of 3,146 fecal samples was collected randomly, and smears were made from formalin-ether sediments. They were examined for Cwptosporinium oocysts by modified acid fast staining. The overall oocyst positive rate was 79% (248/3,146), but the rate was remarkably different between Seoul and Chollanam-do, 0.5% (4/853) and 10.6% (244/2,293), respectively The average size of oocysts was 4.8 ± 0.5 by 4.2 ± 0.5 ㎛, compatible with C. pcnlum. In Chollanam-do, rural villages showed significantly higher rate (14.0%) than urban villages (3.7%). Especially the people in Iyang-myon, Hwasun- gun, a typical rural village, revealed a very high rate of 40.0% (74/185). Adults aged 51-70 years revealed the highest positive rate among all age groups. At the re-survey of the same village of Hwasun-fun in 1995, 44 (35.2%) of 125 villagers and 14 (93.3%) of IS cattle examined were positive for C. pnnpum oocysts. The results suggest that C. pnnpum is highly prevalent in rural areas of Chollanam-do, and an important source or mode of infection seems to be contaminated water or contact with the feces of infected cattle.
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