Çocuklarda Hymenolepis diminuta Araştırılması: Daha Önce Aynı Köyde Karşılaşılan Bir Vaka Üzerine / Screening Children for Infection with Hymenolepis diminuta due to a Previous Case Reported from the Same Village

Abstract

Amac: Bu calismada, daha once Duzce’deki Kemerkasim koyunde yasayan 21 aylik bir erkek cocukta Hymenolepis diminuta enfeksiyonu saptanmasi nedeniyle, ayni bolgede yasayan tum cocuklarda bu parazitin varliginin arastirilmasi amaclanmistir. Gerec ve Yontemler: Koyde yasayan ve yaslari 3 ay ila 11 yil arasinda degisen 83 cocugun hepsi calismaya dahil edilmistir. Cocuklarin ailelerine ulasilmis ve calismanin amaci anlatilmistir. Calismaya katilmayi kabul eden ailelere sozlu anket uygulanmis, cocuklardan alinan gaita ornekleri ayni gun laboratuvarda makroskobik ve mikroskobik olarak incelenmistir. Mikroskobik incelemede direkt taze preparat ve konsantrasyon yontemi kullanilmistir. Bulgular: Hicbir cocukta Hymenolepis diminuta saptanmamis, ancak dort cocukta Giardia intestinalis enfeksiyonu tespit edilmistir. Tartisma ve Sonuc: Sonuc olarak bir cocukta daha once Hymenolepis diminuta saptanmis olmasi nedeniyle ayni cevrede yapilan taramada bu turden yeni bir vakaya rastlanmamistir. Enfeksiyonun bu bolgede sporadik oldugu dusunulmustur. Anahtar Kelimeler: Hymenolepis diminuta; artropod; cocuklar; Duzce Kemerkasim koyu Abstract Aim: We previously reported that we detected Hymenolepis diminuta infection in a 21-monthold boy in the the Kemerkasim village in the Duzce province of Turkey. In this study, we aimed to screen all of the children in the same region for infection with Hymenolepis diminuta. Material and Methods: All of the eighty-three children who lived in this village and were aged between 3 months and 11 years were included in the study. The children’s families were reached and informed about the aim of the study. The families who agreed to participate in the study were surveyed verbally, and the stool samples obtained from the children were examined macroscopically and microscopically within the same day. Fresh preparation and concentration methods were used for the microscopic examination. Results: Hymenolepis diminuta was not found in any of the children, but four children were found to have been infected with Giardia intestinalis. Discussion and Conclusion: No new cases were detected during the screening for infection with Hymenolepis diminuta, performed due to a previous case reported in the same region; and we have concluded that Hymenolepis diminuta infection is sporadic in this region. Key Words: Hymenolepis diminuta; arthropod; children; Kemerkasim village in Duzce