Physician Perception and Diagnosis of Intestinal Parasitic Infections among Patients with Gastrointestinal Symptoms in Ghana

This study evaluated physicians’ perception and diagnosis of intestinal parasitic infections (IPI) in patients with gastrointestinal (GI) symptoms. This cross-sectional survey used a Google form questionnaire distributed online. Demographic and clinical practice information was solicited, including if “IPI was considered as a diagnosis in the last patient seen,” “if stool investigation was requested among the last patients seen,” and physicians’ perception of the burden of IPI in the country. Using Pearson chi-square and multivariate logistic regression analysis, we tested the significance of the associations of the job cadre of the physicians and their perception of the IPI burden with consideration of IPI as a diagnosis in the last patient seen, request for stool investigation in the last patient seen, and overall frequency of the request for stool investigation. Ultimately, 184 physicians responded. The majority agreed to “often seeing patients with GI symptoms” (156, 84.7%), “not considering IPI among the last patient seen” (106, 57.6%), and “not requesting stool investigation among the last patient seen with symptoms” (136, 73.9%). House officers (81, 44.2%) constituted the highest proportion of physicians who considered IPI as a diagnosis among the last patient seen (39, 48.1%, p = 0.05 ). Most physicians (138, 75%) considered IPI as a burden in Ghana. They constituted significant proportions of the physicians who considered IPI as a diagnosis among their last patients seen (65, 83.3%, p = 0.02 ) and were twice more likely to consider IPI as a diagnosis among the last patients seen than their colleagues who did not consider IPI as a burden in Ghana (AOR 2.26, p = 0.04 ). The consideration of IPI as a diagnosis among patients with GI symptoms and request for stool investigations was low among physicians in this study. Further engagements with physicians in Ghana are needed to help improve their diagnosis of IPI in patients with GI symptoms.

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Anaemia among young male workers in Alexandria, Egypt

Eastern Mediterranean Health Journal ◽

10.26719/2000.6.5-6.1005 ◽

2000 ◽

Vol 6 (5-6) ◽

pp. 1005-1016 ◽

Cited By ~ 1

Author(s):

F. Curtale ◽

M. Abdel Fattah ◽

M. El Shazly ◽

M. Youssef Shamy ◽

F. El Sahn

Keyword(s):

Dietary Habits ◽

Parasitic Infection ◽

Young Male ◽

Parasitic Infections ◽

Socioeconomic Conditions ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Intestinal Parasitic Infections ◽

Main Factor ◽

Male Workers

In a cross-sectional survey, we investigated exposure to and the presence of factors associated with anaemia, such as socioeconomic conditions, dietary habits, intestinal parasitic infections and lead among 355 young male workers [7-19 years of age]employed in private workshops. Of the total study sample, 44.5% [158 participants]were found to be anaemic. The major risk factors for anaemia were multiple parasitic infection, high intensity of parasitic [Ascaris lumbricoides]infection and drinking tea soon after a meal. A significantly lower prevalence of anaemia was noted after Ramadan; it appeared to be the main factor associated with the presence or absence of anaemia and warrants further attention.

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A high triglyceride glucose index is more closely associated with hypertension than lipid or glycemic parameters in elderly individuals: a cross-sectional survey from the Reaction Study.

10.21203/rs.3.rs-20132/v2 ◽

2020 ◽

Author(s):

Binruo Zhu ◽

Jie Wang ◽

Kang Chen ◽

Wenhua Yan ◽

Anping Wang ◽

...

Keyword(s):

Logistic Regression ◽

Multivariate Logistic Regression Analysis ◽

Multivariate Logistic Regression ◽

Cross Sectional Survey ◽

Discriminative Ability ◽

Cross Sectional ◽

Elderly Individuals ◽

Reaction Study ◽

Tyg Index ◽

Risk Of Cancer

Abstract Background: Both lipid and glucose abnormalities are associated with hypertension (HTN). However, it is unclear whether the triglyceride-glucose (TyG) index is associated with HTN. Therefore the aim of this study is to investigate the association of the TyG index and HTN and to compare the discriminative power of the TyG index, lipid, glycemic parameters for the risk of HTN in elderly individuals.Methods: The present study was nested in a longitudinal (REACTION) study from May 2011 to December 2011, which was designed to demonstrate the association of abnormal glucose metabolism with the risk of cancer in the Chinese population. In total, 47808 participants were recruited in this cross-sectional study. The TyG index was divided into five groups: the <20% group, the 20-39% group, the 40-59% group, the 60-79% group and the ≥80% group, according to quintile division of the subjects. Three multivariate logistic regression models were used to evaluate the association between the TyG vs. lipid parameters, glycemic parameters and HTN.Results: Multivariate logistic regression analysis shows that compared with lipid and glycemic parameters, the TyG index remains significantly associated with HTN in either total subjects or subjects separated into men and women (odds ratio (OR) 1.33, 95% confidence interval (CI) 1.18-1.51, p <0.0001 in total subjects; OR 1.39, 95% CI 1.11-1.74, p=0.0042 in men; OR 1.28, 95% CI 1.11-1.49, p=0.0010 in women). In a stratified analysis, an elevated TyG index is significantly associated with HTN in the subgroup of the oldest age (≥65) (OR 1.67, 95% CI 1.30-2.14, p <0.0001), as well as with obesity (Body mass index (BMI) ≥28 kg/m2) (OR 1.85, 95% CI 1.29-2.66, p=0.0009) or lower estimated glomerular filtration rate (eGFR) (<90 mL/ (min·1.73 m2)) (OR 1.72, 95% CI 1.33-2.21, p <0.0001).Conclusion: The TyG index is significantly associated with HTN and shows the superior discriminative ability for HTN compared with lipid and glycemic parameters in the Chinese elderly population.

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High triglyceride glucose index is more closely associated with hypertension than lipid or glycemic parameters in elderly individuals: a cross-sectional survey from the Reaction Study.

10.21203/rs.3.rs-20132/v1 ◽

2020 ◽

Author(s):

Binruo Zhu ◽

Jie Wang ◽

Kang Chen ◽

Wenhua Yan ◽

Anping Wang ◽

...

Keyword(s):

Logistic Regression ◽

Multivariate Logistic Regression Analysis ◽

Multivariate Logistic Regression ◽

Cross Sectional Survey ◽

Discriminative Ability ◽

Cross Sectional ◽

Elderly Individuals ◽

Reaction Study ◽

Tyg Index ◽

Risk Of Cancer

Abstract Background: Both lipid and glucose abnormalities are associated with hypertension (HTN). However, it is unclear whether triglyceride-glucose (TyG) index is associated with HTN. Therefore, the aim of this study is to investigate the association of TyG index and HTN and compare the discriminative power of TyG index, lipid, glycemic parameters for the risk of HTN in the elderly individuals.Methods: The present study was nested in a longitudinal (REACTION) study from May 2011 to December 2011, which was designed to demonstrate the association of abnormal glucose metabolism with the risk of cancer in the Chinese population. 43591 participants were recruited in this cross-sectional study. TyG index were divided into 5 groups: <20% group, the 20-39% group, the 40-59% group, the 60-79% group and the ≥80% group according quartile division of the subjects. Three multivariate logistic regression models were used to evaluate the association between TyG v.s lipid parameters, glycemic parameters and HTN.Results: Multivariate logistic regression analysis shows that compared with lipid and glycemic parameters, TyG index remains significantly associated with HTN in either total subjects or subjects separated into men and women (odds ratio (OR) 1.33, 95% confidence interval (CI) 1.18-1.51, p <0.0001 in total subjects; OR 1.39, 95% CI 1.11-1.74, p=0.0042 in men; OR 1.28, 95% CI 1.11-1.49, p=0.0010 in women). In stratified analysis, elevated TyG index is significantly associated with HTN in the subgroup of oldest age (≥65) (OR 1.67, 95% CI 1.30-2.14, p <0.0001), obesity (Body mass index (BMI) ≥28 kg/m2) (OR 1.85, 95% CI 1.29-2.66, p 0.0009) or lower estimated glomerular filtration rate (eGFR) (<90 mL/ (min·1.73 m2)) (OR 1.72, 95% CI 1.33-2.21, p <0.0001).Conclusion: TyG index is significantly associated with HTN and shows the superior discriminative ability for HTN compared with lipid and glycemic parameters in the Chinese elderly population.

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Common Gastrointestinal Symptoms and Associated Factors Among Under-5 Children in Rural Dembiya, Northwest Ethiopia: A Community-Based Cross-Sectional Study

Environmental Health Insights ◽

10.1177/1178630220927361 ◽

2020 ◽

Vol 14 ◽

pp. 117863022092736

Author(s):

Zemichael Gizaw ◽

Ayenew Addisu ◽

Destaye Guadie

Keyword(s):

Cross Sectional Study ◽

Northwest Ethiopia ◽

Living Environment ◽

Abdominal Discomfort ◽

Parasitic Infections ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Intestinal Parasitic Infections ◽

Gi Symptoms

Background: Gastrointestinal (GI) symptoms such as abdominal discomfort, abdominal cramp, nausea, vomiting, gas in the GI tract, changes in bowel habits (e.g. diarrhea), or heartburn are common in the community. However, these symptoms may be misinterpreted and their impact and significance misunderstood, especially in the rural communities. This study was, therefore, conducted to assess common GI symptoms among children in rural Dembiya, northwest Ethiopia. Methods: A community-based cross-sectional study was conducted in May 2017 among 225 randomly selected under-5 children. We primarily used mothers’ report to assess GI symptoms. Health professionals also diagnosed for some symptoms. Direct stool examination technique was used to identify parasitic infections. Bacteriological analysis of drinking water was done to determine the quality of drinking water. Food safety, environmental sanitation, and hygiene condition of children were assessed using observation checklists. Multivariable binary logistic regression analysis was employed to identify factors associated with GI symptoms on the basis of adjusted odds ratio (OR) with 95% confidence interval (CI) and P < .05. Results: The current study depicted that 139 of 225(61.8%) of the children had GI symptoms. Abdominal discomfort (137 of 139 [98.7%]), abdominal cramp (125 of 139 [89.9%]), and diarrhea (118 of 139 [84.9%]) were the highest GI symptoms reported. GI symptoms were significantly associated with childhood intestinal parasitic infections (OR = 13.69, 95% CI = 3.31-56.59), unclipped and unclean finger nails (OR = 2.28, 95% CI = 1.02-5.10), inadequate living environment sanitation (OR = 2.37, 95% CI = 1.08-5.18), unclean living houses (OR = 9.06, 95% CI = 2.60-31.54), and owning livestock (OR = 4.68, 95% CI = 1.82, 12.03). Conclusion: The prevalence of GI symptoms among under-5 children in rural Dembiya, northwest Ethiopia, was found to be high. GI symptoms were significantly associated with childhood intestinal parasitic infections, hand hygiene condition of children, and sanitation condition of the living environment. Therefore, preventing intestinal parasitic infections, improving hand hygiene condition, and promoting environmental sanitation will have overriding contributions to prevent symptoms among children in rural Dembiya.

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Webuye Health and Demographic Surveillance Systems Baseline Survey of Soil-Transmitted Helminths and Intestinal Protozoa among Children up to Five Years

Journal of Tropical Medicine ◽

10.1155/2013/734562 ◽

2013 ◽

Vol 2013 ◽

pp. 1-7 ◽

Cited By ~ 8

Author(s):

A. A. Obala ◽

C. J. Simiyu ◽

D. O. Odhiambo ◽

V. Nanyu ◽

P. Chege ◽

...

Keyword(s):

Giardia Lamblia ◽

Baseline Survey ◽

Parasitic Infections ◽

Surveillance Systems ◽

Cross Sectional Survey ◽

Chi Square ◽

Intestinal Protozoa ◽

Cross Sectional ◽

Soil Transmitted Helminths ◽

Demographic Surveillance Systems

Background. The intestinal parasitic infections (IPIs) are globally endemic, and they constitute the greatest cause of illness and disease worldwide. Transmission of IPIs occurs as a result of inadequate sanitation, inaccessibility to potable water, and poor living conditions.Objectives. To determine a baseline prevalence of IPIs among children of five years and below at Webuye Health and Demographic Surveillance (HDSS) area in western Kenya.Methods. Cross-sectional survey was used to collect data. Direct saline and formal-ether-sedimentation techniques were used to process the specimens. Descriptive and inferential statistics such as Chi-square statistics were used to analyze the data.Results.A prevalence of 52.3% (417/797) was obtained with the male child slightly more infected than the female (53.5% versus 51%), but this was not significant (χ2=0.482,P>0.05).Giardia lambliaandEntamoeba histolyticawere the most common pathogenic IPIs with a prevalence of 26.1% (208/797) and 11.2% (89/797), respectively. Soil-transmitted helminths (STHs) were less common with a prevalence of 4.8% (38/797), 3.8% (30/797), and 0.13% (1/797) forAscaris lumbricoides, hookworms, andTrichuris trichiura, respectively.Conclusions.Giardia lambliaandE. histolyticawere the most prevalent pathogenic intestinal protozoa, while STHs were less common. Community-based health promotion techniques are recommended for controlling these parasites.

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The Correlation between Personal Hygiene and Intestinal Parasitic Infection in Students of SDN 060889, SDN 060894, and SDN 060831 Medan

Journal of Endocrinology, Tropical Medicine, and Infectiouse Disease (JETROMI) ◽

10.32734/jetromi.v3i3.3550 ◽

2021 ◽

Vol 3 (3) ◽

pp. 78-84

Author(s):

Yolanda Rebecca Tambunan ◽

Yoan Carolina Panggabean

Keyword(s):

Parasitic Infection ◽

Personal Hygiene ◽

Bivariate Analysis ◽

Parasitic Infections ◽

Chi Square ◽

Cross Sectional ◽

Intestinal Parasitic Infections ◽

Endemic Diseases ◽

Concentration Method ◽

Chi Square Test

Background. Intestinal parasitic infections are globally endemic diseases. The presence of parasites in the intestine will lead to growth disturbance. Knowledge of personal hygiene is necessary for responding to an illness or other health problems. This study was conducted to determine the correlation between personal hygiene and intestinal parasitic infections in students. Method. This study is an observational analytic study with a cross-sectional design. Samples of this study were taken from students in grades IV, V, VI of SDN 060889, SDN 060894, and SDN 060831 Medan who met the inclusion and exclusion criteria, as many as 62 people. The research data are primarily collected in the form of questionnaires, and fecal specimens examined microscopically using the Kato-Katz and Ether Formol Concentration method. The data that has been collected will be analyzed using bivariate analysis with the chi-square test. Results. From 62 respondents, it was found that 26 (41.93%) respondents suffer from intestinal parasitic infections. There were 16 (25.80%) respondents who had poor personal hygiene, while 46 (74.19%) others had good personal hygiene. A significant correlation was found between personal hygiene and intestinal parasitic infections in study respondents (p = 0.001). Conclusions. There is a significant correlation between personal hygiene and intestinal parasitic infections in this study

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Prevalence of Intestinal Parasitic Infections among Individuals Referred to the Medical Centers of Coastal Cities, Guilan Province, Northern Iran, 2015-2017

Iranian Journal of Public Health ◽

10.18502/ijph.v49i6.3368 ◽

2020 ◽

Author(s):

Yaser ABDIPOUR ◽

Hooshang KHAZAN ◽

Eznollah AZARGASHB ◽

Mohammad Reza MAHMOUDI ◽

Ali FARAHNAK ◽

...

Keyword(s):

Stool Examination ◽

Parasitic Infections ◽

Cross Sectional Survey ◽

Northern Iran ◽

Cross Sectional ◽

Intestinal Parasitic Infections ◽

Soil P ◽

Medical Centers ◽

Coastal Cities ◽

Guilan Province

Background: Intestinal parasitic infections (IPIs) are among the major public health problems, especially in developing countries. Northern Iran is highly endemic area for these infections. This study aimed to investigate the prevalence of IPIs among people referred to the medical centers of the coastal cities in Guilan Province, Northern Iran. Methods: In this descriptive cross-sectional survey, 1232 stool samples were collected during 2015-2017. We used a structured questionnaire to obtain socio-demographic characteristics, and stool examination was performed using direct slide smear, formalin-ether concentration, trichrome and modified Ziehl-Neelsen staining techniques. The results were analyzed using SPSS and Chi-square test. Results: The overall prevalence of IPs in our study was 17.8% (219/1232). The most common IP was Blastocystis sp. 154/1232 (12.59%), followed by Giardia lamblia 50/1232 (4.1%) and Entamoeba hartmani 45/1232 (3.7%). Out of the 219 positive patients, 82 (55.14%) and 137 (44.85%) were female and males, respectively. Regarding the socio-demographic variables, educational status (P=0.226), contact with domestic animals and soil (P=0.476), age years (P=0.78), Occupation (0.637) and Gender (P=0.417) were not significantly associated to IPIs. Conclusion: In the past, parasitic infections were more prevalent in different parts of Iran. However, today it has declined indicating a significant improvement in level of individual hygiene, and environmental standards.

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Common gastrointestinal symptoms and associated factors among under five children in Rural Dembiya, northwest Ethiopia: a community-based cross-sectional study

10.21203/rs.2.10788/v1 ◽

2019 ◽

Author(s):

Zemichael Gizaw ◽

Ayenew Addisu ◽

Destaye Guadie

Keyword(s):

Cross Sectional Study ◽

Northwest Ethiopia ◽

Living Environment ◽

Parasitic Infections ◽

Community Based ◽

Cross Sectional ◽

Intestinal Parasitic Infections ◽

Under Five ◽

Under Five Children ◽

Gi Symptoms

Abstract Background Gastrointestinal (GI) symptoms such as abdominal discomfort, abdominal cramp, nausea, vomiting, gas in the GI tract, or changes in bowel habits (e.g., diarrhea) are common in the community. However, these symptoms may be misinterpreted and their impact and significance misunderstood, especially in the rural communities. This study was, therefore, conducted to assess common GI symptoms among children in rural Dembiya, northwest Ethiopia. Methods A community-based cross-sectional study was conducted in May 2017 among 225 randomly selected under five children. The presence of GI symptoms among children was assessed by health professionals and mothers’ report. Direct stool examination technique was used to identify parasitic infections. Bacteriological analysis of drinking water was done to determine the quality of drinking water. Food safety, environmental sanitation and hygiene condition of children were assessed using standardized observation checklists. Multivariable binary logistic regression analysis was employed to identify factors associated with GI symptoms on the basis of adjusted odds ratio (AOR) with 95% confidence interval (CI) and p < 0.05. Results The current study depicted that 139 of 225(61.8%) of the children had GI symptoms. Abdominal discomfort [137 of 139(98.7%)], abdominal cramp [125 of 139(89.9%)] and diarrhea [118 of 139(84.9%)] were the highest GI symptoms reported. GI symptoms were significantly associated with childhood intestinal parasitic infections [AOR = 13.69, 95% CI = 3.31, 56.59)], unclipped and unclean finger nails [AOR = 2.28, 95% CI = (1.02, 5.10)], inadequate living environment sanitation [AOR = 2.37, 95% CI = (1.08, 5.18)], unclean living houses [AOR = 9.06, 95% CI = (2.60, 31.54)] and owning livestock [AOR = 4.68, 95% CI = (1.82, 12.03)]. Conclusion The prevalence of GI symptoms among under five children in rural Dembiya, northwest Ethiopia was found to be high. GI symptoms were significantly associated with childhood intestinal parasitic infections, hand hygiene condition of children and sanitation condition of the living environment. Therefore, preventing intestinal parasitic infections, improving hand hygiene condition and promoting environmental sanitation will have overriding contributions to prevent symptoms among children in rural Dembiya.

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