Caracterização epidemiológica das enteroparasitoses evidenciadas na população atendida na Unidade Básica de Saúde Congós no município de Macapá-Amapá

Abstract

The parasitic infections represent a big public health problem, mainly in underdeveloped and developing countries, in the state of Amapá. the tropical and subtropical climate creates ideal conditions for its proliferation. The research characterizes the epidemiological profile of the enteroparasitoses evidenced in the population attended in the Congós health unit in Macapá, State of Amapá during the period December 2011 to June 2012 with objective to identify the factors influence of eco-environmental in the transmission of bio-agents considering such criteria as occurrences, type of pathogen, gender, age, and potential risk factors. It is about a study of nature applied with quantitative boarding, whose descriptive technical procedures refers to research of field, cross sectional of prevalence being carried out 634 analysis of fecal samples associated with the form, demographic environmental and cultural showed statistical significance accomplished by Chi-square test (p-value <0.05, highly significant for each variable) considering the significance of the test data and predominates for 91.6% of positivity been only 68.6% protozoans, helminth only 14.8% and association of helminth and protozoans 8.2%. In relation to gender incidence of parasites in the masculine gender was 95.9% and 90.3% in female gender. The age ranges systematized as children (0-9 years) with incidence of 99.3%, adolescents (10-19 years) with incidence of 97.6%, adults (19-59 years) with incidence of 86% and elderly (older than 60 years) with incidence of 90.6%. In total we found thirteen species of intestinal parasites, protozoans among the most frequent was the Endolimax nana (44.6%), followed by the Entamoeba coli (41.6%), Entamoeba hystolitica (29.8%), Giardia intestinalis (19.1%) Iodamoeba bustchlii (6%) Pentatrichomonas hominis (2.1%) and Chilomastix masnili (0.3%). As regards helminths were found Ascaris lumbricoides (13.4%), trichiura trichiura (8%), Enterobius vermincularis (3.2%), Ancylostoma duodenale (2.4%), Strongiloides stercoralis (1.3%) and Hymenolepis nana (0.6%). The set of multiple risk factors detected it via form potentialize the presence of various parasites, the results reflect the absence of basic sanitation in the region studied besides low socioeconomic level, poor hygiene conditions, which favors the dissemination of parasitic diseases infections. Such knowledge is relevant to that the health professionals can increase its assistance to improve the quality of life of people giving support the actions of the competent organs inspection and control for the planning, implementation and evaluation of prevention actions, control and treatment more suitable