Effective Treatment Of Helminths International Anh Nga Clinic

3. RESULTS
3.1. Research sample results
Table 2. The rates of sample collection by grade
Grade
Obtained a stool sample
Number of students
Have(%)
Is not(%)
Block 1
135 (74

The rate of obtaining stool samples is quite high, 77.1%.
Table 3. Test positive rate for worm eggs
Grade
Test results
Number of tests
Positive (%)
Negative(%)
Block 1
9 (6.



.7%)
126 (93.3%)
135
Block 2
5 (3.2%)
150 (96.7%)
155
Block 3
8 (55%)
138 (94.5%)
146
Block 4
21 (12.7%)
145 (87.3%)
166
Block 5
12 (11.2%)
95 (88.8%)
107
total
55 (7.



.8%)
654 (92.2%)
709
Table 4 Prevalence of each type of worm
Infection
Test results
Number of tests
Positive (%)
Negative(%)
Roundworm
8 (1.1%)
701 (98.9%)
709
Hair worms
4 (0.6%)
705 (99.4%)
709
Hookworms
42 (5.9%)
667 (94.1%)
709
.
Comments: Hookworms account for the majority of cases (77.



8%), to roundworms (14.8%), and hairworms (7.4%). There was also one case of giunkim infection (0.14%).
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3.2 Prevalence and multiple infection
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In 55 test cases, worm eggs in faeces were uninfected.



.
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Table 5. Intensity of helminth eggs (number of worm eggs / g stool - epg)
Infection
Case number
Epg minimum
Epg max
medium
Standard deviation
Roundworm
8
24
48
33,00
11.62
Hair worms
4
24
168
60.00
62.35
Hookworms
42
24
9384
38386
743.88
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Table 6. Infection levels for each worm (number of cases)
Worms
Mild infection
Moderate infection
Severe infection
total
Chopsticks
8
00
00
8
Hair
4
00
00
4
Hook
41
00
01
42
.



.
- The main cases of worm infection were minor infections (98.1%).
- A serious infection with hookworms accounts for 1.9%

3.3. Compare results before and after treatment
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Table 7. Results of retesting after 2 weeks of treatment (in the first case positive for roundworm, hair worm and hookworm)
Infection
Before treatment
After treatment 14 days
Clean egg rate
(CR)%
Number of cases (+)
Number of cases (+)
Roundworm
8
00
100.0
Hair worms
4
00
100.



.0
Hookworms
42
01
98.00
total
54
01

Comment: The rate of egg cleaning (cure rate - CR) above, the effect of albendazole is very good for roundworm, hairworm, hookworm. In one case of pinworm infection was detected, pinworm eggs were not found after needle administration and retesting, but the egg cleanliness rate of albendazole for pinworms was not calculated because Kato-Katz technique is not suitable for detect pinworm eggs.
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Table 8. Average number of worm eggs / g (epg) in the case of not clean eggs
Infection
Epg in advance
treatment
Epg after treatment
Reduction rate
Eggs (ERR)%
Hookworms
744
120
83.90
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4. DISCUSSION
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The rate of obtaining stool samples is relatively high (77%). Due to good preparation for the implementation of the project, propaganda, especially with the good coordination between health, schools and parents, the teachers enthusiastically coordinated with the research team. research, implementation of the project schedule so that the research work took place as expected.
With 709 samples tested, the positive rate for worm eggs was 7.8%, much lower than the 37.9% rate of the 2006 national survey of central and regional SR-KST-CT institutes. [1]. It is possible that after this time, the annual periodic treatment for primary school pupils has been widely conducted, which has contributed to the reduction of worm infection rates in these subjects
Among the types of worms found, hookworms made up the majority (77.8%), followed by roundworms (14.



.8%), hairworms 7.4%. Compared to previous surveys in the southern provinces, the order of the most infected worms was hookworm, hairworm, and finally roundworm. However, in this survey, the prevalence of roundworm infection ranked second after hookworm.
In 55 test cases, worm eggs in faeces were uninfected. However, because hookworm infection accounts for the majority, followed by roundworm infection, two species of worms that cause anemia, lack of nutrients, the consequences of worm infection are also more severe
Most positive cases had a slight infection intensity (98.1%), expressed by the average number of worm eggs per gram of faeces, but did not therefore underestimate the infection situation, because of the number of worm eggs / g The feces do not accurately reflect the level of infection because only the female worms lay eggs and produce irregularly, the male worms present and undetectable are equally harmful.
The effect of the drug, expressed by the worm egg cleansing rate, is very good for all the above worms. The findings of this study are also in line with the literature review.



. For 01 case of worm eggs not being cleared, the reduction rate of helminth eggs due to the effect of the drug is very high (83.90%). Thus, although not cured, the harmful effects of worm infection have been greatly reduced. The treatment regimen used is three capsules daily, one tablet for three consecutive days (for hookworms and hair worms), the effect of the drug is higher than the one-day treatment regimen
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5. CONCLUSION
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- Through this study, the worm infection rate of elementary school students in Tan Thuy, Ba Tri, Ben Tre is low, the intensity of infection is mild. But hookworm infection accounts for the majority (77.8%);
- The effect of Albendazole 400 mg dose of three tablets, each ng.



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