Abstract
The occurrence of helminthiases in Estonia was under extensive observation from 1956 until 1989. Enterobiasis had remained the most prevalent helminthiasis in Estonia in the 1990s. After 1990, the number of helminthological studies decreased. This study was conducted to investigate the occurrence and possible risk factors of enterobiasis among nursery school children in Southeast Estonia. A total of 954 nursery school children were examined from 22 nursery schools in Tartu and Põlva counties in Estonia. Enterobius vermicularis infection was detected using the anal swab technique. The parents of tested children were asked to complete questionnaires so as to ascertain the potential risk factors in children’s homes and in their families. The overall rate of being positive for E. vermicularis egg was 24.4%. The occurrence of enterobiasis among the examined nursery schools ranged from 11.8 to 46.2% and from 0 to 61.1% in nursery school groups. All nursery schools were infected. Children 5–8 years of age showed a significantly higher rate of being positive for E. vermicularis egg than the younger children. The overall infection rate was higher among boys and among children from larger families. The infection rate was related to washing of hands after closet use. The socioeconomic status of the family was not associated with the frequency of enterobiasis.
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References
Chan CT (1985) Enterobiasis among schoolchildren in Macao. Southeast Asian J Trop Med Public Health 16:549–553
Chang JH, Huang WH, Chen ER, Hu SC (1990) Survey of Enterobius vermicularis infection among schoolchildren in Tainan city. Kaohsiung J Med Sci 6:587–593
Chih HW, Lin HS, Tang KS, Cheu SC (1996) A study of multiple factors to Enterobius vermicularis infection among pre-school children in Ta-Liao district of Kaohsiung County. Kaohsiung J Med Sci 12:538–543
Health Protection Inspectorate (1998) Communicable disease statistics in Estonia. Part 4. Tervisekaitseinspektsioon, Tallinn
Health Protection Inspectorate (2000) Communicable disease statistics in Estonia. Part 9. Tervisekaitseinspektsioon, Tallinn
Health Protection Inspectorate (2005) Communicable disease statistics in Estonia. Part 13. Tervisekaitseinspektsioon, Tallinn
Eesti tervishoiustatistika 1992–1999 (2000) Sotsiaalministeerium, Tallinn
Gale EAM (2002) A missing link in the hygien hypothesis? Diabetologia 45:588–594
Gauert B (1998) Eine vergleichende Untersuchung über Vorkommen und Verbreitung von Intestinalparasiten in Kindertagesstätten der Landeshauptstadt Schwerin. Gesundheitswesen 60(5):301–306
Georgiev VS (2001) Chemotherapy of enterobiasis (oxyuriasis). Expert Opin Pharmacother 2:267–275
Herrstrom P, Fristrom A, Karlsson A, Hogstedt B (1997) Enterobius vermicularis and finger sucking in young Swedish children. Scand J Prim Health Care 15:146–148
Herrstrom P, Henricson KA, Raberg A, Karlsson A, Hogstedt B (2001) Allergic disease and the infestation of Enterobius vermicularis in Swedish children 4–10 years of age. J Investig Allergol Clin Immunol 11:157–60
Jõgiste A, Barotov O (1993) Helmintoosid Eestis aastail 1960–1989. Eesti Arst 72:251–254
Jõgiste A, Barotov O, Varjas J (2001) Ülevaade helmintiaaside tõrje tulemustest. Eesti Arst 80:265–270
Mazhilene OK (1991) Prakticheskie aspekty problemy énterobioza v Litve. Meditsinskaia Parazitologiia i Parazitarnye Bolezni 1991:31–34
Nithikathkul C, Changsap B, Wannapinyosheep S, Poiter C, Boontan P (2001) The prevalence of enterobiasis in children attending mobile health clinic of Huachiew Chalermprakiet University. Southeast Asian J Trop Med Public Health 32:138–142
Norhayati M, Jayati MI, Oothuman P, Azizi O, Fatmah MS, Ismail G, Minudin Y (1994) Enterobius vermicularis infection among children aged 1–8 years in a rural area in Malysia. Southeast Asian J Trop Med Public Health 25:494–497
Parm Ü, Parv V (2002) Nakkushaigused. Härmametsa Talu kirjastus, Tartu
Pérez Armengol C, Ariza Astolfi C, Ubedo Ontiveros JM, Guevara Benítez DC, de Rojas Alvarez M, Lozano Serrano C (1997) Epidemiología del parasitismo intestinal infantil en el Valle del Guadalquivir Valley, Spain. Rev Esp Salud Publica 71:547–552
Plonka W, Dzbeski TH (1999) Analiza wystepowania pasozytüw jelitowych u dzieci klas pierwszych w Polsce w roku szkolnym 1997/1998 na terenie wybranych wojewüdztw. Prz Epidemiol 53:331–338
Song HJ, Cho CH, Kim JS, Choi MH, Hong ST (2003) Prevalence and risk factors for enterobiasis among preschool chidren in a metropolitan city in Korean. Parasitol Res 91:46–50
Statistical Office of Estonia (2005) Statistikaamet http://pub.stat.ee/px-web.2001/dialog/statfilere.asp 0511
Sung JF, Lin RS, Huang KC, Wang SY, Lu YJ (2001) Pinworm control and risk factors of pinworm infection among primary school children in Taiwan. Am J Trop Med Hyg 65:558–562
Villarreal O, Villarreal JJ, Domingo JA (1999) Progressive eosinophilia and elevated IgE in enterobiasis. Allergy 54:643–650
Acknowledgements
The author thanks the directors and teachers of the nursery schools and the parents of the children for their kind cooperation. The investigation was supported technically by Tartu School of Health Care. The author expresses sincere gratitude also to the students, Retti Ennomäe, Kadri Loigu, Elis Oden, and Helena Virt, who participated in the investigation and to Kalle Remm and Ilmar Part for carefully revising the manuscript. The Ethics Review Committee on Human Research, University of Tartu has accepted both investigations (records: 101/4, 28.01.2002 and 136/2, 21.03.2005).
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Remm, M. Distribution of enterobiasis among nursery school children in SE Estonia and of other helminthiases in Estonia. Parasitol Res 99, 729–736 (2006). https://doi.org/10.1007/s00436-006-0220-1
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DOI: https://doi.org/10.1007/s00436-006-0220-1