scholarly journals Prevalence of Intestinal Parasitic Infections and Associated Risk Factors among the First-Cycle Primary Schoolchildren in Sasiga District, Southwest Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-13
Author(s):  
Baye Sitotaw ◽  
Wakgari Shiferaw

Intestinal parasitic infections (IPIs) have been major public health burdens in low-income countries like Ethiopia. Studies in different areas of Ethiopia have shown a high prevalence of IPIs in poor families. A similar study has not been conducted in Sasiga District given that the area is possibly at high-risk of IPIs due to the prevailing risk factors. This study is aimed at assessing the prevalence of IPIs and associated risk factors among schoolchildren in Sasiga District, southwest Ethiopia. A school-based cross-sectional study was conducted from December 2018 to March 2019 to estimate the prevalence of IPIs and associated risk factors among the study participants. A total of 383 children were selected using resident-type and grade-level stratified systematic random sampling technique. Stool samples were examined microscopically using direct wet mount and formal-ether concentration techniques. A structured questionnaire was used to get information on the associated risk factors. Data were analyzed using SPSS version 20 and p value of ≤0.05 was taken as statistically significant. The overall prevalence of IPIs among the children was 62.4% (239/383). Single, double, and triple infections were 49.9%, 10.7%, and 1.83%, respectively. Residence, family income, place of defecation, source of drinking water, shoe-wearing habit, handwashing habit after toilet use, ways of waste disposal, and cleanliness of fingernail were the most important predictors of IPIs (p<0.05). Ascaris lumbricoides (22.7% (87/383)) and hookworms (20.6% (79/383)) were the most prevalent parasites, followed by Entamoeba histolytica (8.1%), Trichuris trichiura (7.6%), Giardia intestinalis (6.5%), Hymenolepis nana (5.7%), and Schistosoma mansoni (4.4%), in that order. Sasiga District primary schoolchildren are likely at a high burden of IPIs. Intensive health education on personal hygiene and environmental sanitation is needed.

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Kefale Shiferaw ◽  
Teklemichael Tesfay ◽  
Girmay Kalayu ◽  
Gebrehiwot Kiros

This study was aimed to assess the prevalence and associated risk factors of intestinal parasitic infections in grade school children in Maksegnit, Northwest Ethiopia. Five species of intestinal parasites were identified with an overall prevalence of 155 (40.4%). Among these, Ascaris lumbricoides 122 (31.8%) and Entamoeba histolytica 18 (4.7%) were predominant. Of the total 155 (40.4%) positive individuals, 149 (39%) had a single infection and the rest 6 (1.6%) had double parasitic infections. Of the different variables assessed, age, gender, shoe wearing, and eating raw or undercooked vegetables were not significantly associated with the prevalence of intestinal parasites ( P > 0.05 ). However, a statistically significant association ( P < 0.05 ) was observed between infected children and variables including defecation habit (AOR = 0.216), cleanliness of fingernails (AOR = 0.146), drinking river water (AOR = 0.124), and hand washing habit after defecation (AOR = 0.236) ( P < 0.05 ). Regular deworming, education on personal hygiene, and environmental sanitation to both students and their parents shall be implemented to reduce the prevalence rate of intestinal parasitic infections in the study area.


2020 ◽  
Vol 13 (2) ◽  
pp. 131-146
Author(s):  
Baye Sitotaw ◽  
Yezina Gebeyaw ◽  
Haile Mekonnen

The burden of intestinal parasitic infections (IPIs) has been a common problem on children in Ethiopia. While communities in Bure town, northwest Ethiopia, are presumed to be exposed to IPIs, no study has been conducted before. The aim of this study was therefore to assess the prevalence of IPIs and associated risk factors among school children in Bure town by conducting a cross-sectional study from January to June 2019. A total of 430 students were selected using stratified systematic random sampling technique. Direct wet-mount and formal-ether concentration techniques were used for parasitological analysis from stool samples taken from each student. Information about the risk factors was collected using structured questionnaire. Data were analyzed using SPSS version 24. The overall prevalence of IPIs among the children involved in the study was found to be 40% (172/430). Some 37.7% of the students exhibited single parasite infection, 2.1% double and 0.23% triple parasite. Seven species of intestinal parasites were detected, and Entamoeba histolytica/dispar was the most prevalent parasite (22.1%) followed by Giardia lamblia (8.6%), hookworms (6.75%) and Ascaris lumbricoides (3.7%). Hymenolepis nana, Trichuris trichuira and Taenia species were rare  (<1% prevalence each). Knowledge about personal and food hygiene as well as environmental sanitation were the most important predictors for IPIs (P<0.05). Primary school children in Bure town are at high risk of IPIs. Awareness creation on personal hygiene and environmental sanitation is strongly recommended. Keywords: Intestinal parasitic infections; Prevalence; Primary school children; Risk factor; Bure town


2017 ◽  
Vol 5 (4) ◽  
pp. 121-126
Author(s):  
Hassan Rezanezhad ◽  
Mohammad Reza Shokouh ◽  
Enayatollah Shadmand ◽  
Nooshin Mohammadinezhad ◽  
Zahra Mokhtarian ◽  
...  

Background: Parasitic infections, especially intestinal agents could affect social and personal hygiene and health; and to avoid the spread of pollution, monitoring the infectious sources is critical. Objective: The aim of this study is to estimate the prevalence of intestinal parasites and identify factors associated with intestinal parasitic infections among students of Jahrom University of Medical Sciences between 2013-1014. Materials and Methods: This study was carried out between September 2013and February 2014. A total number of 1293 stool samples were taken from 431 students and were examined by direct wet mounting and formalin-ether methods. A questionnaire for common risk factors was completed for each individual. Results: Overall, the prevalence of intestinal parasitic infections was estimated to be 125 (29%) that infected by pathogenic and non-pathogenic intestinal parasites. Various species of protozoan infections were detected: Entamoeba coli was the most common parasite (9.04%) followed by Blastocystis hominis (8.12%), and Giardia lamblia (4.64%). About 3.2% students were infected with multiple parasites. A significant association was observed between the prevalence of intestinal parasite infections with the type of accommodation (OR=1. 5; 95% CI: 1.1; 1.9), parents’ educational level (OR=1. 5; 95% CI: 1.1; 1.9) and gender (OR=1. 5; 95% CI: 1.1; 1.9). No age association was detected, and a slightly positive prevalence with increasing age was observed (p=0.66). Conclusions: These data showed intestinal parasites were slightly more prevalent than expected, that might be due to interior sources of infection in college, such as carrier students. Hence, performing periodic monitoring among students is a necessity to promote the hygiene of the students.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gedamu Gebreamlak Hailu ◽  
Esubalew Tesfahun Ayele

Abstract Background Intestinal parasitic infections (IPIs) are still among the major public health issues in developing countries. Assessing the prevalence of IPIs and potential risk factors in different localities is essential to enhance control strategies. To date, no prevalence assessment study was conducted in Debre Berhan town. Therefore, the aim of this study was to assess the prevalence of IPIs and associated habit and culture-related risk factors among primary schoolchildren in Debre Berhan town, Northeast Ethiopia. Method School based cross-sectional study was conducted from April to June 2017. A total of 645 children aged 6–15 years were selected from six primary schools in Debre Berhan town via a multistage random sampling technique. A structured questionnaire was used to collect data about sociodemographic and potential risk factor variables. Fresh stool samples were collected from each child and examined using direct smear and formal-ether concentration technique. Result Among the 645 children participated in the study, 341 (52.9%) were infected by one or more intestinal parasites. Helminths (33.8%) were more prevalent than protozoa (20%). Double parasitic infection rate was 0.9%. The predominant parasites were Ascaris lumbricoides (22.6%), Entamoeba histolytica/dispar/moshkovskii (18.1%) and Hymenolepis nana (5.7%). Multivariable logistic regression analysis showed that age of child (6–9 years), family size (above 5), mother’s illiteracy and primary education, father’s illiteracy, urban-farmer father, manual-worker father, not washing hands before eating, unclean fingers, open defecation site (ODS) near residence, latrine type, cultural response to dropped food (cleaning and eating; ‘kiss and replace’), habit of playing with waste water, habit of playing with soil, habit of sucking fingers and habit of eating when playing were significantly associated with IPIs (p< 0.05). Likewise, age (6–9 years), mother’s illiteracy, urban-farmer father, not washing hands before eating, ODS near residence, tradition of cleaning and eating dropped food, habit of playing with soil, sucking fingers and eating when playing were identified as significant risk factors of A. lumbricoides infection. Conclusion High prevalence of IPIs among the study participants demands improvement of environmental sanitation, personal hygiene, and health education regarding the potential habit and culture-related risk factors.


2021 ◽  
Vol 5 (01) ◽  
pp. 26-35
Author(s):  
Dhiren Subba Limbu ◽  
Samana Shrestha ◽  
Kamana Bantawa ◽  
Ramesh Majhi ◽  
Milan Kharel

 Intestinal parasitic infections have been a major public health burden of developing countries, especially in children. Higher prevalence has been reported among school children, mostly in rural areas of Nepal where water, toilets, hygiene, and sanitation facilities are insufficient. This cross-sectional study was carried out from April to September 2019 to determine the prevalence of intestinal parasitic infections among school-going children1-5 years of Dharan, Nepal, and to assess the associated risk factors. Stool samples were collected in a clean, dry, screw-capped, and wide-mouthed plastic container, kept in an icebox, and transported to the laboratory. Data relating to different risk factors were collected from the parents of 116 participants using a structured questionnaire. The parasites were identified by using the direct wet mount method and formal-ether concentration method. Pearson’s chi-square test was carried out to establish associations between dependent and independent variables using SPSS version 20, and the test considered a greater than < 0.05% as statistically significant with a 95% confidence level. Out of the 116 stool samples, 9 (7.75%) tested positive for the parasitic infections in which 5 (55.5%) were protozoa and 4 (44.45%) were helminths. The prevalent parasites, were Entamoeba histolytica (23%), Hyamenolepis nana (22%), Giardia lamblia (11%), Hookworm (11%), Entamoeba coli (11%), Ascaris lumbricoides (11%), and Intestinal parasitic infections had a significant association with drinking water, bowel syndrome, bathing habit, toilet facility, and washing hands after toilets (p<0.05). Lack of toilets, poor hygiene, and unsafe drinking water were the main risk factors. Improved hygienic practices, safe drinking water, and the use of latrines could lower the rate of parasitic infections.


PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0258037
Author(s):  
Walid Elmonir ◽  
Haitham Elaadli ◽  
Anan Amer ◽  
Hammed El-Sharkawy ◽  
Mohamed Bessat ◽  
...  

Intestinal parasitic infections (IPIs) are among the major public health problems globally, particularly in developing countries like Egypt. This study aimed to evaluate prevalence and risk factors associated with IPIs among preschool and school children in Egypt. A cross-sectional study was conducted on 996 randomly selected preschool and school-aged children in Gharbia governorate during January to April 2018. Stool specimens were examined for the presence of the parasite by direct smear and the formol-ether concentration methods. The overall prevalence of IPIs was 46.2%. Entamoeba histolytica and Ascaris lumbricoides were the most predominant parasites (12.7% per each). This is followed by Enterobius vermicularis (8.6%), Giardia lamblia (7.1%), Cryptosporidium parvum (1.5%), Heterophyes heterophyes (1.4%), Hymenolepis nana (0.7%), Hookworms (0.6%), Fasciola hepatica (0.5%) and Dipylidium caninum (0.4%). Infected children with no symptoms (26.8%) were significantly (P < 0.001) more frequent than those with medical complaint (19.4%). Socio-demographic predictors of IPIs were preschool age (OR = 4.9; P < 0.001; 95%CI 3.3–7.3), living in rural dwellings (OR = 1.96; P < 0.001; 95%CI 1.5–2.5), and belonging to a low-income family (OR = 4.7; P < 0.001; 95%CI 2.3–9.3). The absence of safe drinking water, lack of hand washing (after soil contact, or before meals, or after toilet usage), and eating unwashed vegetables were risk factors for IPIs in the study region (OR = 1.3–6.9, P < 0.001 –P = 0.05). Higher odds for exposure to potential zoonotic parasites were evident in children with pets in their homes for G. lambia and D. caninum (OR = 2.1–8.3; P = 0.02 –P = 0.04), children having household reared ruminants for C. parvum (OR = 10.4; P < 0.001), and children that play with stray animals for E. histolytica and Hookworm (OR = 1.8–6.3; P = 0.04 –P = 0.05)compared to other children with no animal contact. The present study highlights the importance of periodic screening and treatment of IPIs in children, deworming companion animals, and public education for effective prevention of IPIs in children in Egypt.


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