Praca Oryginalna Original Article
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Praca Oryginalna Original Article
Praca Oryginalna Zdr Publ 2012;122(3): 240-245 -245 Original Article $*1,(6=.$35=<&+2'=,(ē0$5,86=0,$12:$1<$11$*à2:$&.$ dzieci w okresie letnim !" " ! " Streszczenie Abstract Giardia lamblia, Toxoplasma gondii, Toxocara canis, Toxocara cati, Enterobius vermicularis, Ascaris lumbricoides ! "# $ %& ' " $"! &# "* # # +,,!"$$ %&' ."! $ !$ !"# $/! " 4# ! 5$ ##$6 " $ 7# 8,9 $ #6 " !# #6 !"! / +:8 " # " 6 T. gondii " ! <!! !6!$"$ T. gondii/!$$ " =>86?96 >+6@9 #>+6,9 $ #6 " " $ 6 A?6@96 A8689 B+6+9 = "! 6 "" ! ! $" ! 6!!>:8"=! $ "$ # C ! 55D! ! E$ #" 5 F " !!5 ! $!$"$ .$"! "G D! " 6 !HII!! Giardia lamblia, Toxoplasma gondii, Toxocara canis, Toxocara cati, Enterobius vermicularis, Ascaris lumbricoides J$! I!!!6$$"!!$ I!6$&!%IK LM$D!! "+,,!G$!$&!%IK !$ J "! $ $"!I"J!$M$!"$!!N6!$ "!!7!8,9$$ ! "G $! " Toxocara canisToxocara cati&! Giardia lamblia"G OI6 Toxoplasma gondii6$G! Q$"$ I!!Toxoplasma gondii7$ $I $ >8?9 $! 6 >+@9 !!6>+,9" I!FI!6A?@96 A889B++9""R"R !""6$!>:8 M$ " J$H!I!!!! "GJ! IQ!$ M$!I! "GJ$! ! "! T. gondii!$$ ! 6 6 "6 $ !H !6 6 !$6 $H! LSI!C!6&!%IK © Zdr Publ 2012;122(3) Zdr Publ 2012;122(3) 241 INTRODUCTION "#$%&#"'(& 7"!!M$!! $!$$! I .$"! ! $ "G6 "6 D!6 ! 6 !6 !$ M$""6 $!! $ $ ! L !"!!I J6!!!6 I I!! $ Giardia lamblia = !"! UV6 Toxoplasma gondii=G!6Toxocara canis=$6 Toxocara cati=!$6Enterobius vermicularis =Ascaris lumbricoides=$ !H I "G6 6 !$ ! $! I!N "$" !!WG"!6 I6$" Giardia lamblia6 Toxoplasma gondii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` Q! a8, 30-40 J! >40 9 9 9 9 91 ?\\ 21 >,\ \ +\ >>^ \A\ &! @> 8,\ 19 B\ 3 >\ 83 ?>\ J! >\+ ^@, 40 +,, 8 ?, 200 >,,, E$ " U?\9V6 !$ +?\9 +,\9 ! $ J $ I $ !! = 8\\96 !$ ++\9 >89 F !I $! $ !! $ >B\96 !$ >>\9 A9 UJ"! +V KI! ! &! %I K $ 6 $ "G6 !$6 ! I!$ G ! U >,,6,,, "6 !!$!$\6,,,"V 242 Zdr Publ 2012;122(3) ")$#- , +++ , F ` C BC E!! EJ J! F$! FN 9 9 9 9 Q! 49 +?\ ?\ ++\ 23 >>\ >>^ \A\ &! 41 +,\ +@ >8, >@ A, 83 ?>\ J! 90 ?\, ^> 8\\ 39 >B\ 200 >,,, ! H i$ > $ $ ! !I6 " "=@,U@@^9VM$!! "!J"!!=8AU\8\9V !!"!"$! =>AU?@+9V!!!U !! D j,,>BV ! i$+ !\!!HI6M$!8U$"!"G66!!$VW"!! $ M$! U?>?9V< " = ! M$! U8B,9V $! !M$!U88^9VU/EVN6 R! ! $ ! !"$!" $! ! = "$ $ " $ "?,\9$!6?,89 " 8\@9 !! Ui$ 8=/EV&M$$! !!6!$"!"G$!" "$ U! $VJ I " ^,?9 !! 6 ^,,9 " @@^9$!Ui$?=/EVE!!6 D $"!"G$!"$I !IJi$\M$!I"A++9"6^?@9 !!^>A9$!U/EVNG! ! ! $!!IHI!I "?++9$"6?@\9!! \@?9$!Ui$@=/EV ! M$ k ! ! "G mn6$=$ ! $ UToxocara canis, Toxocara catiV 8>,9"6+^89!!+\@9 $!Ui$^=/EV&! $ ! $! ! ! "G6 !$6 $ U$ D6 !R"V = +A89 !! $ 6+@89"+\,9=$ Ui$ A = /EV & M$!6 $ U8+\9V U8+\9V I!!6$ ! E$ " ! 8\>96 $ $ = 8@89Ui$B=/EV "$G$6!8U ! " ! "$ V ?@89 " 6 8@A9 !!8@^9$!Ui$>, =/EVNi$>>6! !>U!G VG$! @>+9"6\@>9!! \??9$U/EV &!$M$ !$!!"!! !"G6!$!JkoSEn I"!?@+9$ $6?+89!!!!68\\9 "Ui$>+=/EVNi$ >8!"!6 M$!k$6"! UV6!n?^,9!! 6 ?@89 $ ! ?,\9 " U/EV !i$>?k$!H Toxoplasma gondii"$G!$!6!mn6 I " G! +:8 @^A9 " 6 @?A9 = !! @?>9 = $ U/EV K>:8"!!!6$!$$M$ G!6k!!6!I !n J " ! 8+>9 "68,89=$+@,9=!!Ui$>\=/EV E!!6 ! $ M$ ! $! G!$U6 "6$!VI!!?+89!!6?>,9=$?,,9="Ui$>@6j,,>AV !i$>^6! !! HH! !I $! " $ Toxocara sp $ G J M$!""=\AB96 !M$!"!!=\+>9 $=\>89U/EVQ! M$ !! 6 "GU"!!6 6$V<I" ??,9$$68B?9=" 8^89!!Ui$>A=/EV J!II! ! R! !!I!&M$!6$ > U Zdr Publ 2012;122(3) 243 5 6 7 8 9 92.2 1 2 3 4 5 6 87.3 33.6 29.4 73.2 39.420.526.7 52.1 37.3 12.6 12 13.4 26 42.3 47 64.8 32.1 30.3 40 41 39.4 44 51.3 60 58.9 67.8 64.1 46.2 40.5 46.3 61.2 54.4 35.5 56.1 42.3 9 36.8 8 36.7 46.3 56.4 7 0 Question No. Females 31 25.6 26.3 25 35.1 30.4 42.2 46.5 74.6 10 84.6 82 82.2 71.8 70 66.7 66.7 20 35.6 30 46.2 39.2 33.7 40.3 40.5 70.4 40 53.5 50 41.4 31 Proportional share of answers (%) 86.7 33.7 35.9 57.8 10 11 12 13 14 15 16 17 18 19 20 21 22 23 60 30 4 70 28.3 3 80 27.3 2 21.7 11.7 0 1 43.7 13 48.2 35 26.1 43 42.2 36.4 45.3 44.9 60.2 32.2 38.5 40.6 57.4 31.7 40.9 33.6 27 26.8 31 26.6 10 90 59.8 70.1 58.7 51.3 72.3 37.9 39.8 20 39.9 55.4 40 68.7 38.3 50 30 . 6 !$ 6 G!6 G6 G$6 6 D $ .! JNL"\+,,A.I"WW$L.!q "!X@YF$!R I!! $ $! I I "I!"!!$OI6 !!"!I"$"! [ !6 "G6 !$6 $!X>6+Y6 [ $ !!X8R>+Y SG ! $ >BBA s $"$" I!! = ` ' UG!+,V"C!/$ I6 N .! S$ . * Toxocara ! W s Toxocara $ 8,9!U+\9!!$"" \9!VW`6 Toxocara $ >>9 !\9'X^Y E$ !$ HHH $`*+,,+R+,,?F!G >@+ ! 8 "G6 8I$QR$!H 100 76.9 81.2 59.8 60 70.1 80 39.4 Proportional share of answers (%) 90 70 DISCUSSION 90.6 100 ! H H QR UU8\B9V ?\ U\?+9V I ! Uj,,+@VUQ$>V N! I " $ +8 M$!$M$6$ !!I6!!D""6!! $U\6,,,"V>B U/EV<!!D ?6Ii$>6>@6+,+> 33.1 ?"IV>8?9$6 >+@9 !! >+,9 $ " J!!@U "!!$6 !V >8>9 $!!6>+89=">,A9 =$Ui$>B=/EV N$A+,9$$6^8+9= !!@,,9!! J$ D!M$!!!$" !!Ui$+,6j,,+BVF!!U8B?9V!!H $!!D!M$!$ " U+@^9V $ U+,\9VUi$+>6j,,>AV N!K"!6""R"!$!""JM$I "B++9"6A^89=!! A?@9 = $ Ui$ ++ = /EVNG!>:8 " k"!U! !I6$6V6$!!n I G " 88@9 $ " 6 88>9 = !! +B?9 $ Ui$+8=/EV F$!$IQ$>+ :M$ M$$!!RM$ N!I"$+8M$ !$ $I H G +> !! D " ! ! U/EV N i$ +, +> !! D " ! ! N! i$ +, ! B, U^@B9V ! ?A U\^A9VUj,,,?V!i$+>6 U8\B9V>AU+>^9V! 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Question No. Males Big city Small town Rural area ./0#*" , +1 + 2 , , 2 , 3 ./0#-" , +1 + 2 , , 2 , p=!!D_,,\ p=!!D_,,\ 244 H 8 "G ! G . I +8 U?@+9V ! Toxocara >, U@+9V ! @ U>>9V ! G . Toxocaris leonina, Uncinarisa stenocephala, Ancylostoma caninum, Giardia intestinalis Dipylidium caninum!XAY C +,,, +,,\6 & R ] !Joxocara canis, Toxocara catiToxocara . *8I!! !! .I ` "6 s# K$ W . *6 8@A ! ! "! $$ +,,+ +,,\ IW+,,,R+,,+6\8A!! " ! $! !. * U>BA9V ` "6 s# K$ I!!U>\@9VC$"I$!I$!$"E! " M$! Toxocara catiIUB@?RB^^9V6!!$!= Toxocara canis IU@BARB8+9VXBY N !I! ! 6$! !!"$.!J L &! .! L &!E6/!LOI $!$! ^RR! ! I \ >BAA J!$6$! >BB+RB86 >BB^RBA6 +,,+R ,8>86@,\U++@9V6@6?ABU+>\\9V?6\A?U>?\\9V6 I! J ! Enterobius vermicularis U>A?96 >@?\9 >+>\96 I!V6Ascaris lumbricoidesU,A\96+A96,A896 I!V Giardia intestinalis U>\@96 >,+9 ,@B96 I!V J !$+,,+R+,,8.I R&$ U+B@9V K$"! U+,A9V6 ! .I E! UAA9V K$"$UAB9VW+,,+R +,,8 ! I!! R&$.IU>B^9?>>96I!V6..IU>@89+@@96I!V.!.IU>?89>^@96I!V W+,,+R+,,8.!!M$! !!! > Enterobius vermicularis ! R&$ .IU@>8!V6K$"!.IU?A?!V & I .I U?+8 !V< ! M$! 7! UA? !V K$"$ .I UB>!V< + Ascaris lumbricoides M$! tR UA+ !V6 . U^> !V &#! .I U\? !V< ? .I = '46 R&$ !! .< 8 Giardia intestinalis M$! "I .I !! U^, !V6 & I Zdr Publ 2012;122(3) U?A!V6KE!U+,!V67!.IX>Y H ! $"! ! ! " $ Toxoplasma gondii 6 !! IIW !.!! J I Toxoplasmosis versatile II ! "! H G $! "$X>,Y W"!$"Borrelia burgdorferi 6!!" U.!Ixodes ricinusIxodes persulcatusV $ ! ! .I "!"RD!!$ IG$$!!6$"X>>6>+Y N $! 6 ! $ I 6 $!! $ R! ! !6 "!$I! 6!!! CONCLUSIONS > FH ! I!! $ I "G6M$I! !I!6"!$I$ + F ! II !G 8 Q! $6 ! UV6$" $"!!$!!!$6 !!HM$! ? F $ M$! " " !!<I "! !!$6! !HD!!M$! \ F$! "!G!$! " !! 6 M$!I$!I!$ REFERENCES > C S6 $ /6 C6 L "* JO N! !$ ! ! +,,+:,8. !S!+,,?<\A+B\R8,+ + 7# N6 .! ]6 & * &6 E *R.$ &6 L" E " " $ = ! . K+,,8<@U>>:>+V@,RB 8 / &6 E! C6 .#R&# W6 C N6 ` ]6 &#R.S7" ! $ # . K+,,A+A8R^ ? Q! &C! = . K+,,@A\@R B \ & *&. "! ! $ .! &$$ K>BB@>8^^RA Zdr Publ 2012;122(3) @ % ,\$+,,A "$ ! $ * " 4$!$ UL %+,,A+8?6 >\^, 4 V ^ & Ov !"Toxocara s"!. !+,,,?@U>V>,\R>, A F ]6 s$ N.6 L ]6 s L E ! " `* . ! +,,^<\8U8V++^R8, B & RO6] .!"ToxocaracanisToxocaracati5$!! !+,,,R+,,\. !+,,^<\8U8V+>BR+\ >,/$R L J! " $ /.>BBB<\\R>8 >>J!S6L$ SC! &F +,,^<>>8R@ >+Q!]C! KU! V. K +,,><?R\@A6A@RB +?\ ,4 K$*1,(6=.$ 35=<&+2'=,(ē = < %&6 " $11$*à2:$&.$ =<0$5,86=0,$12:$1< =6 v#C!t6%& ' 4 .%&6"N`# v#C!t6%& ' $!w!^:B6B,R^\+'4 !x?A?+@\A\A\+6@,+?B?B>> SR!!>y$! !