《蛔虫病诊断》(WS/565–2017)解读

Interpretation of Diagnosis of Ascariasis(WS/565–2017)

蛔虫病曾是我国农村地区的常见病之一,尽管其流行程度较21世纪初已大幅减轻,但仍然广泛存在。2015年全国人体重点寄生虫病现状调查显示,我国人群蛔虫平均感染率为1.36%。原国家卫生和计划生育委员会于2017年8月1日颁布实施了《蛔虫病诊断》(WS/565-2017)标准。该标准由6章组成,包括适用范围、术语和定义、诊断依据、诊断原则、诊断标准和鉴别诊断,另附有4个资料性附录(病原学、流行病学、临床表现及鉴别诊断)和1个规范性附录(病原学检查)。该标准的颁布施行,为全国各级医疗机构和疾病预防控制机构诊断蛔虫病提供了技术规范。本文结合我国蛔虫病流行情况,对《蛔虫病诊断》(WS/565-2017)标准的主要内容进行了解读,以促进该标准的宣传贯彻和实施。

Ascariasis once was a common disease in rural areas of China.It is showed that the average infection rate of Ascaris lumbricoides in China was 1.36% according to the results of the national survey of important human parasitic diseases in 2015. Although the prevalence of ascariasis has been greatly reduced as compared with that at the beginning of this century,ascariasis is still widespread in China.The Diagnostic Criteria for Ascariasis (WS/565-2017) was promulgated and implemented by the former National Health and Family Planning Commission on August 1st,2017.This Diagnostic Criteria for Ascariasis is composed of six chapters,including the Range of Application,Terms and Definitions,Diagnostic Basis,Diagnostic Principle,Diagnostic Standard,and Differential Diagnosis.Four informative appendixes (etiology,epidemiology,clinical manifestation,and differential diagnosis) and one normative appendix (laboratory examination)are appended.The criteria provide the technical reference for diagnosis of ascariasis in medical institutions and disease control institutions.Combined with the current epidemic situation of ascariasis in China,this paper interprets the main contents of the Diagnostic Criteria for Ascariasis (WS/565-2017),so as to promote its learning and implementation.