Wiadomosci lekarskie (Warsaw, Poland : 1960) · 2018
[Epidemiological features of parasitary invasis in women of reproductive age with disorders of reproductive health].
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Sklyarova Valentyna О
Аннотация
OBJECTIVE: The aim: The purpose of this study is to analyze the frequency and structure of parasitic lesion in women with reproductive health disorders.
PATIENTS AND METHODS: Materials and methods: The immune-enzyme method tested immunoglobulins IgG to ascaris, lamblia, toxocara. Determination of the presence of pinworm eggs (sticky tape and perianal scrape method) and ascarid (methods of K.Cato, F.Fueleborna and E.S.Schulman).
RESULTS: Results: In women with complicated obstetric anamnesis, parasitic invasions occurred in (52.3 ± 5.0)% (Χ² = 34.9, p <0.01; 95% CI = 42.5-62.1). Enterobiasis was detected in (12,0 ± 3,3)% of patients, acarida eggs in (29,3 ± 4,6)%, positive titers of IgG to ascaris - in (11.5 ± 3.2)%, IgG to lamblia in - 7.5%, IgG to toxocara 3.5%, the combined detection - in (11.5 ± 3.2)% of the examined group. In patients of the control group, parasitic invasions were detected in (13.1 ± 3.4)%. The prevalence of parasitic lesion in women with primary infertility (58.0 ± 4.9)% (OR = 8.9; 95% CI = 5.2-15.3; p <0.01), in planning pregnancy (25, 7 ± 4.4)% (OR = 2.3, 95% CI = 1.3-4.0). The most significant aggressive parasite in women with complicated obstetric anamnesis, reproductive loss and infertility is ascariasis (95% CI 6.1-38; p <0.001). In women with parasitic lesion revealed the dominance of pathology of the mammary glands, gastrointestinal tract, acne, pathology of the urinary system, thyroid gland.
CONCLUSION: Conclusions: The obtained results make it possible to recommend parasite examination in women with infertility and complicated obstetric anamnesis.
PATIENTS AND METHODS: Materials and methods: The immune-enzyme method tested immunoglobulins IgG to ascaris, lamblia, toxocara. Determination of the presence of pinworm eggs (sticky tape and perianal scrape method) and ascarid (methods of K.Cato, F.Fueleborna and E.S.Schulman).
RESULTS: Results: In women with complicated obstetric anamnesis, parasitic invasions occurred in (52.3 ± 5.0)% (Χ² = 34.9, p <0.01; 95% CI = 42.5-62.1). Enterobiasis was detected in (12,0 ± 3,3)% of patients, acarida eggs in (29,3 ± 4,6)%, positive titers of IgG to ascaris - in (11.5 ± 3.2)%, IgG to lamblia in - 7.5%, IgG to toxocara 3.5%, the combined detection - in (11.5 ± 3.2)% of the examined group. In patients of the control group, parasitic invasions were detected in (13.1 ± 3.4)%. The prevalence of parasitic lesion in women with primary infertility (58.0 ± 4.9)% (OR = 8.9; 95% CI = 5.2-15.3; p <0.01), in planning pregnancy (25, 7 ± 4.4)% (OR = 2.3, 95% CI = 1.3-4.0). The most significant aggressive parasite in women with complicated obstetric anamnesis, reproductive loss and infertility is ascariasis (95% CI 6.1-38; p <0.001). In women with parasitic lesion revealed the dominance of pathology of the mammary glands, gastrointestinal tract, acne, pathology of the urinary system, thyroid gland.
CONCLUSION: Conclusions: The obtained results make it possible to recommend parasite examination in women with infertility and complicated obstetric anamnesis.