scholarly journals Prevalence of intestinal parasitic infection in food handlers of Iran : A systematic review and meta‐analysis

Author(s):  
Khojasteh Sharifi‐Sarasiabi ◽  
Mehrgan Heydari‐Hengami ◽  
Azar Shokri ◽  
Saeed HosseyniTeshnizi
2020 ◽  
Author(s):  
Khojasteh Sharifi Sarasiabi ◽  
Mehrgan Heydari Hengami ◽  
Azar Shokri ◽  
Saeed Hosseini Teshnizi

2020 ◽  
Author(s):  
Moges Agazhe Assemie ◽  
Pammla Petrucka ◽  
Daniel Shitu ◽  
Yidersail Hune ◽  
Ayele Mamo Abebe ◽  
...  

Abstract Background: Intestinal parasitic infection (IPI) remains a major public health concern affecting both children and adolescents in Ethiopia. However, little attention has been given to intestinal parasitic infection within primary school children. Therefore, this systematic review and meta-analysis was done to determine pooled prevalence and associated factors of intestinal parasitic infection in this target group.Method: We systematically retrieved available articles on the prevalence of intestinal parasitic infection in primary school children in Ethiopia. PubMed, Scopus, Cochrane Library, Google Scholar, and Science Direct between September 1 and December 27, 2019. Two authors independently extracted all relevant data using a standardized Microsoft™ Excel data extraction form. Heterogeneity among included studies was assessed with the Higgins I2 tests. The pooled estimates and associated factors of primary school children’s intestinal parasitic infection were assessed with a random-effects model using Stata/se Version 14.Result: We have retrieved 30 eligible articles with pooled sample size of 14,445 primary school children with response rate of 97.8%. Entamoeba spp (16.11%), Ascaris lumbricoides (13.98%), Hookworm (12.51%) and Giardia lamblia (9.98%) were among the top four causes of intestinal parasitic infection among primary school children. The pooled prevalence of intestinal parasitic infection was found to be 46.09 (95% CI: 38.50, 53.68). Heterogeneity was assessed by doing subgroup analysis by study province/region, with the highest prevalence of intestinal parasitic infection being 66.6 % (95% CI: 55.5, 77.7) in Tigray region, followed by Southern Nations, Nationalities, and Peoples’ Region at 50.8% (95% CI: 33.1, 68.5). Latrine availability (OR=4.39: 2.50,7.73), fingernail hygiene (OR= 2.37: 1.67, 3.35), place of defecation (OR=1.67:1.64,4.36), maternal education (OR=2.02: 1.18,3.47), residence (OR= 1.88: 1.46, 2.41), habit of wearing shoes (OR= 2.66: 1.79, 3.96), source of drinking water (OR=1.99: 1.42,2.76), hands washing practices (OR= 3.45:1.85,6.47), and habit of washing fruits and vegetables (OR=1.59:1.01,2.49) were found to be significantly associated with intestinal parasitic infection. Conclusions: The prevalence of intestinal parasitic infection was high (46%) in the study population. Therefore, this finding warrants the need to design school children hygiene and sanitation service and expand school children deworming programs to decrease intestinal parasitic infections and improve academic performance in the country. In addition, attention should be given to promoting personal hygiene, latrine utilization, wearing shoes, avoiding eating raw food, and creating awareness for those mothers who lack formal education. Moreover, the researchers try to conduct research on province/regions which have no prior research.


2021 ◽  
Vol 15 (4) ◽  
pp. e0009379
Author(s):  
Moges Agazhe Assemie ◽  
Daniel Shitu ◽  
Yidersail Hune ◽  
Pammla Petrucka ◽  
Ayele Mamo Abebe ◽  
...  

Introduction Intestinal parasitic infection are a major public health concern affecting both children and adolescents in Ethiopia. The aim of this systematic review and meta-analysis was to determine pooled prevalence and associated factors of intestinal parasitic infection in this target group. Method We systematically retrieved available articles on the prevalence of intestinal parasitic infection following database searches using PubMed, Scopus, Cochrane Library, and Science Direct between March 1 and May 27, 2020. Two authors independently extracted all relevant data using a standardized Microsoft Excel data extraction form. Heterogeneity among included studies was assessed with the Higgins I2 tests. The pooled estimates and associated factors were assessed with a random-effects model using Stata/se Version 14. Result We retrieved 30 eligible articles with a pooled sample size of 14,445 primary school children with response rate of 97.8%. Entamoeba spp (16.11%), Ascaris lumbricoides (13.98%), hookworm (12.51%) and Giardia lamblia (9.98%) are the top causes of intestinal parasitic infection among primary school children in Ethiopia. The pooled prevalence for at least one intestinal parasitic infection was 46.09 (95% CI: 38.50, 53.68). Heterogeneity was assessed by doing subgroup analysis by study province/region. Thus, the highest prevalence of 66.6% (95% CI: 55.5, 77.7) occurred in Tigray region, which was followed by Southern Nations, Nationalities, and Peoples’ Region at 50.8% (95% CI: 33.1, 68.5). No latrine availability (OR = 4.39: 2.50,7.73), no fingernail hygiene (OR = 2.37: 1.67, 3.35), open defecation (OR = 1.67:1.64,4.36), no formal maternal education (OR = 2.02: 1.18,3.47), rural residence (OR = 1.88: 1.46, 2.41), no habit of wearing shoes (OR = 2.66: 1.79, 3.96), non-pipe source of drinking water (OR = 1.99: 1.42,2.76), no regular hand washing practices (OR = 3.45:1.85,6.47), and no habit of washing fruits and vegetables (OR = 1.59:1.01,2.49) were associated with parasitic infection. Conclusions The prevalence of intestinal parasitic infection was high (46%). Attention should be given to promoting personal hygiene, latrine utilization, wearing shoes, avoiding eating raw food, creating awareness for those mothers who lack formal education. Moreover, future research ideally will expand on the topic by conducting research in regions which have no prior research.


One Health ◽  
2021 ◽  
pp. 100286
Author(s):  
Biruk Alemu Gemeda ◽  
Ayalew Assefa ◽  
Megarsa Bedasa Jaleta ◽  
Kebede Amenu ◽  
Barbara Wieland

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Kemal Ahmed Kuti ◽  
Rameto Aman Nur ◽  
Geroma Morka Donka ◽  
Amene Abebe Kerbo ◽  
Adem Esmael Roba

Background. Intestinal parasitic infection is one of the major health problems globally. It is more common in developing countries including Ethiopia. So, adequate evidence is needed regarding the predictors of intestinal parasitic infection. This study was aimed at determining the predictors of intestinal parasitic infection among food handlers working in Madda Walabu University, Ethiopia. Methods. An institution-based cross-sectional study was conducted from 15 May to 10 June 2017 among 198 symptom-free food handlers. Data on sociodemographic variables were collected through face-to-face interview using a structured questionnaire. Stool samples were collected immediately after the interview using labeled wide-mouthed plastic container and clean wooden applicator. Direct wet-mount method and formal-ether concentration techniques were performed to identify intestinal parasites. The data were analyzed using SPSS version 21.0. Descriptive statistics and crude and adjusted odds ratios with 95% confidence interval (CI) were calculated. p value of <0.05 was considered to declaration level of significance. Result. The response rate was 98% (198/202). The overall prevalence of intestinal parasites was 25.3% (50/198). The top three intestinal parasites found in this study were Ascaris lumbricoides 7.6% (15/198), Entamoeba histolytica/dispar 7.6% (15/198), and hookworm 5.6% (11/198). Inadequate handwashing practice (AOR: 13.876; 95% CI: 4.129, 46.632), inadequate knowledge about foodborne diseases (AOR: 3.596; 95% CI: 1.438, 8.989), lack of training on proper food handling (AOR: 5.960; 95% CI: 1.450, 24.497), and untrimmed fingernail (AOR: 2.939; 95% CI: 1.368, 6.135) were independent predictors of intestinal parasitic infection. Conclusion. High prevalence of intestinal parasites was observed among symptom-free food handlers who could be unobservable source of disease transmission. Inadequate handwashing, untrimmed fingernail, inadequate knowledge, and lack of training were independent predictors of intestinal parasitic infection in this study. This implies the need for timely and adequate training and enforcement of regular medical checkup system for food handlers.


PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255641
Author(s):  
Daniel Getacher Feleke ◽  
Yonas Alemu ◽  
Habtye Bisetegn ◽  
Melat Mekonnen ◽  
Nebiyou Yemanebrhane

Background Intestinal parasitic infections are closely associated with low household income, poor personal and environmental sanitation, and overcrowding, limited access to clean water, tropical climate and low altitude. Street dwellers and prisoners are forced to live in deprived situations characterized by inadequate facilities. Therefore, this study aimed to estimate the pooled prevalence and associated factors of intestinal parasitic infections among street dwellers and prison inmates. Method Study searches were carried out in Electronic data bases such as PubMed/Medline, HINARI, EMBASE, Science Direct, Scopus, Google Scholar and Cochrane Library. Studies published only in English and have high quality Newcastle Ottawa Scale (NOS) scores were included for analysis using Stata version 14 software. Random-effects meta-analysis model was used for analysis. Heterogeneity was assessed using the Cochrane’s Q test and I2 test statistics with its corresponding p-values. Moreover, subgroup, sensitivity analyses and publication bias were computed. Result Seventeen eligible studies consist of 4,544 study participants were included. Majority of the study participants were males (83.5%) and the mean age of the study participants was 25.7 years old. The pooled prevalence of intestinal parasitic infections among street dwellers and prison inmates was 43.68% (95% CI 30.56, 56.79). Sub-group analysis showed that the overall pooled prevalence of intestinal parasitic infections among prison inmates and street dwellers was 30.12% (95%CI: 19.61, 40.62) and 68.39% (95%CI: 57.30, 79.49), respectively. There was statistically significant association between untrimmed fingernail and intestinal parasitic infections (AOR: 1.09 (95%CI: 0.53, 2.23). Conclusion In this study, the pooled prevalence of intestinal parasitic infections among street dwellers and prison inmates was relatively high. Fingernail status had statistically significant association with intestinal parasitic infection. The prevention and control strategy of intestinal parasitic infection should also target socially deprived segment of the population such as street dwellers and prison inmates.


2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Tadesse Hailu ◽  
Endalkachew Nibret ◽  
Arancha Amor ◽  
Abaineh Munshea

Background. Strongyloidiasis is an intestinal parasitic infection mainly caused by Strongyloides stercoralis. Although it is a predominant parasite in tropics and subtropics where sanitation and hygiene are poorly practiced, the true prevalence of strongyloidiasis is not known due to low-sensitivity diagnostic methods. Objective. This systematic review and meta-analysis is aimed at determining the pooled prevalence of strongyloidiasis in African countries, stratified by diagnostic methods, study settings, and patients. Methods. Cross-sectional studies on strongyloidiasis published in African countries from the year 2008 up to 2018 in PubMed and Google Scholar databases and which reported at least one Strongyloides spp. infection were included. Identification and screening of eligible articles were also done. Articles whose focus was on strongyloidiasis in animals, soil, and foreigners infected by Strongyloides spp. in Africa were excluded. The random effects model was used to calculate the pooled prevalence of strongyloidiasis across African countries as well as by diagnostic methods and study settings. The heterogeneity between studies was also computed. Result. A total of 82 studies were included. The overall pooled prevalence of strongyloidiasis was 2.7%. By individual techniques, the pooled prevalence of strongyloidiasis was 0.4%, 1.0%, 3.4%, 9.3%, 9.6%, and 19.4% by the respective direct saline microscopy, Kato-Katz, formol ether concentration, polymerase chain reaction, Baermann concentration, and culture diagnostic techniques. The prevalence rates of strongyloidiasis among rural community, school, and health institution studies were 6.8%, 6.4%, and 0.9%, respectively. The variation on the effect size comparing African countries, diagnostic methods, study settings, and patients was significant ( P ≤ 0.001 ). Conclusions. This review shows that strongyloidiasis is overlooked and its prevalence is estimated to be low in Africa due to the use of diagnostic methods with low sensitivity. Therefore, there is a need for using a combination of appropriate diagnostic methods to approach the actual strongyloidiasis rates in Africa.


Foods ◽  
2020 ◽  
Vol 9 (9) ◽  
pp. 1169
Author(s):  
Andrea Insfran-Rivarola ◽  
Diego Tlapa ◽  
Jorge Limon-Romero ◽  
Yolanda Baez-Lopez ◽  
Marco Miranda-Ackerman ◽  
...  

Foodborne diseases are a significant cause of morbidity and mortality worldwide. Studies have shown that the knowledge, attitude, and practices of food handlers are important factors in preventing foodborne illness. The purpose of this research is to assess the effects of training interventions on knowledge, attitude, and practice on food safety and hygiene among food handlers at different stages of the food supply chain. To this end, we conducted a systematic review and meta-analysis with close adherence to the PRISMA guidelines. We searched for training interventions among food handlers in five databases. Randomized control trials (RCT), quasi-RCTs, controlled before–after, and nonrandomized designs, including pre–post studies, were analyzed to allow a more comprehensive assessment. The meta-analysis was conducted using the random-effects model to calculate the effect sizes (Hedges’s g) and 95% confidence interval (CI). Out of 1094 studies, 31 were included. Results showed an effect size of 1.24 (CI = 0.89–1.58) for knowledge, an attitude effect size of 0.28 (CI = 0.07–0.48), and an overall practice effect size of 0.65 (CI = 0.24–1.06). In addition, subgroups of self-reported practices and observed practices presented effect sizes of 0.80 (CI = 0.13–1.48) and 0.45 (CI = 0.15–0.76) respectively.


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