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Abstract Sun ary & Conclusion 75 ================= Schistosomiasis is 0 e of the worlds formest health problem in Egypt, App oximatly 20 million individuals are suffering from sc istosomiasis (Abdel Wahab et ai, 1979) The aim of this work was to answer the question whether schistosomiasis mans ini is present in Upper Egypt (Sahag Province) The work also eva uates the diagnostic value of sigmoidoscopy with re tal snip in this respect • The work show that t e prevalence rate of s. mansoni was (17.3 %), s. haem tobium was (38.2 %) and that of double infection was 8 %). This high prevalence of masoniasis was not ex ected, though, the presence of the infection was almost ertain This is because the inistry of Health had found the snail of infection in the north of Upper Egypt early in 1955. The present work, th rfore, is pioneering in recording the presence of s. ma soni in High Upper Egypt (Sohag ~.. _- --_._----- 76 Province> _ Attention of research workers and those who are actualy fighting schis. in the field must be attracted to tackle the spread of the infection • The relative sinsitivity of rectal snip over stool examination was almost double (1.85) in diagnosis of schis. and (1.64) in diagnosis of s. mansoni • The work also show that the sensitivity of rectal snip in diagnosis of s. mansoni at 10 cm. level equals 100 % Specificity equals 100 % & the predictive value equals 61.8 % • This means that rectal biopsy is the best definitive diagnosis of schistosomiasis infection specially if the infection is very light or even asymptomatic This is because rectal snip is highly sensitive, specific and relatively cheap prosedure & is safe thus fulfilling all the criteria necessary for detecting schistosomiasis mansoni . |