scholarly journals Prevalence and Associated Risk Factors of Intestinal Parasitic Infections among Pregnant Women Attending Antenatal Care in Yifag Health Center, Northwest Ethiopia

Author(s):  
Destaw Damtie ◽  
Minichil Liyih

Background. A cross-sectional study was conducted from November 2019 to March 2020 to determine the prevalence and associated risk factors of intestinal parasitic infections (IPIs) among pregnant women attending antenatal care (ANC) at Yifag Health Center. Methods. The data were collected by a questionnaire interview technique and collecting the stool samples from each pregnant woman. Wet-mount and formol-ether concentration techniques were applied to identify the IPIs. Data were analyzed using SPSS, version 25, and P -values < 0.05 were considered statistically significant. Results. Out of the total 280 pregnant women who were selected using a simple random sampling technique, 277 participated in the questionnaire survey and gave stool samples (a response rate of 98.9%). The prevalence of IPIs among pregnant women was 53.4% (95% CI: 47.37, 59.42). Taenia species (18.1%) was the predominant parasite followed by Giardia lamblia (12.6%), Entamoeba histolytica/dispar (9.4%), hookworms (9%), Ascaris lumbricoides (4%), Schistosoma mansoni (3.2%), Hymenolepis nana (0.7%), Strongyloides stercoralis (0.4%), and Enterobius vermicularis (0.4%). Eating raw vegetables (AOR = 2.721; 95% CI: 1.266, 5.849; P = 0.010 ) and poor personal hygiene (AOR = 4.015; 95% CI: 1.456, 11.07; P = 0.007 ) were associated risk factors for G. lamblia, while eating raw meat (AOR = 2.477; 95% CI: 1.252, 4.902; P = 0.009 ) for Taenia species infections. The prevalence of intestinal parasites was high and still a health burden to the pregnant women in the study area. We recommend avoiding eating raw meat, strengthening sanitation and hygiene programs, and routine deworming of pregnant mothers to reduce the burden of IPIs among pregnant women.

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.


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2698-2703
Author(s):  
Rajendra Kumar Karadiya ◽  
Saroj Hooja ◽  
Nita Pal ◽  
Rajeev Yadav ◽  
Nitya Vyas

Intestinal parasitic infections (IPIs) are one of the major causes of morbidity in the developing world. This hospital-based prospective study was undertaken to estimate the prevalence rates of IPIs and to assess the risk factors associated with these infections in children attending a paediatric hospital. Seven hundred and five patients were analysed for IPIs and associated risk factors from April 2018 to March 2019. Information on the associated risk factors was obtained from a structured questionnaire protocol. Microscopic examination of stool samples was done by direct slide smear and after the formol-ether concentration technique. The overall prevalence of IPIs was 20.9%. In the age group, 5-9 years, the prevalence of parasitic infection (27.4%) was high. Among the intestinal parasites detected helminths and protozoans were 60.8% and 39.1% respectively. Among the helminths, Ascaris lumbricoides (20.5%) was most prevalent followed by Trichuris trichiura (18.1%) while among the protozoa Giardia intestinalis (18.7%) was most prevalent, followed by Entamoeba spp. (8.4%). Among the positive samples, the single parasite was detected in 87.8% while dual parasites were detected in 12.2% stool samples. Univariate analysis showed age, drinking water from an open well, a habit of open defecation, illiteracy and living in a rural area to be associated with a high risk of IPIs (P<0.05). Multivariate logistic regression revealed a significant association of intestinal parasitic infections with age (0-5years) and (10-14 years) and drinking water from an open well. Identifying and rectifying risk factors by creating awareness are needed to prevent community spread. Periodic deworming programmes should be implemented successfully in the community.


2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Gebre Ayanaw Alula ◽  
Abaineh Munshea ◽  
Endalkachew Nibret

Intestinal parasitic infections (IPIs) are the common health problems in developing countries with low socioeconomic and poor living conditions. IPIs affect millions of pregnant women worldwide and may lead to adverse maternal and fetal effects. The present study was aimed at determining the prevalence and associated risk factors of IPIs among pregnant women in Ethiopia. A hospital-based cross-sectional study involving 384 pregnant women was conducted from November 2018 to March 2019. Relevant information on potential risk factors associated with IPIs was gathered using a semistructured questionnaire. Stool samples were collected and examined using wet mount and formol-ether concentration techniques. Logistic regression was used to evaluate the possible association between dependent and independent variables. The overall prevalence of IPIs was 36.7%. Seven species of parasites were identified. The most prevalent intestinal protozoan parasite identified was Entamoeba histolytica/dispar (9.6%) followed by Giardia intestinalis (8.9%). The predominant helminth parasite identified was Ascaris lumbricoides (8.6%), followed by hookworm (5.2%), Taenia spp. (3.6%), Strongyloides stercoralis (1.3%), and Schistosoma mansoni (1.04%). Six pregnant women (1.56%) had infection by two parasite species. The odds of IPIs were higher among illiterates ( AOR = 4.63 ), lowest monthly income earners ( AOR = 3.49 ), primigravida (pregnant for the first time) ( AOR = 2.04 ), those who used unboiled well/stream/river water for drinking ( AOR = 14.55 ), ate soil ( AOR = 2.32 ), and consumed raw vegetables ( AOR = 1.91 ). The prevalence of IPIs in the study subjects was substantially high. Thus, screening of the women for IPIs and providing health education during their antenatal care (ANC) visit are recommended to prevent possible adverse maternal and fetal effects resulting from these infections.


Author(s):  
Ali Taghipour ◽  
Sahar Ghodsian ◽  
Mahdi Jabbari ◽  
Meysam Olfatifar ◽  
Amir Abdoli ◽  
...  

Abstract Background Intestinal parasitic infections (IPIs) during pregnancy, if left untreated, can cause adverse effects for the mothers, foetuses and newborns. However, limited information is available about the global status of IPIs in pregnant women. Here we undertook a meta-analysis to estimate the global prevalence of IPIs and associated risk factors in pregnant women. Methods We searched the PubMed, Science Direct, Scopus, Web of Science and Google Scholar databases for relevant studies that were published between 1 January 1987 and 30 December 2019. A random effects meta-analysis model was used to estimate the pooled prevalence, odds ratios (ORs) and 95% confidence intervals (CIs). Results A total of 114 studies comprising 98 342 pregnant women across 35 countries were included in the systematic review and meta-analysis. Among IPIs identified from pregnant women, three helminth infections (hookworm 19% [95% CI 15 to 23], Ascaris lumbricoides 17% [95% CI 13 to 21] and Trichuris trichiura 11% [95% CI 7 to 16]) and three protozoan infections (Blastocystis sp. 21% [95% CI 4 to 46], Entamoeba histolytica/dispar 9% [95% CI 3 to 19] and Giardia sp. 8% [95% CI 4 to 13]) were identified as the most prevalent intestinal parasites. Moreover, we found that there was a significant association between IPIs with increased risk of anaemia in pregnant women (OR 2.65 [95% CI 2.08 to 3.37]). The prevalence of IPIs was slightly higher in geophagic pregnant women compared with controls, but this was not significant (OR 1.22 [95% CI 0.87 to 1.71]). According to species, the pooled OR of A. lumbricoides infection had a significantly higher risk in geophagic pregnant women compared with controls (OR 2.66 [95% CI 1.37 to 5.16]). There was a positive relationship between the high prevalence of IPIs in pregnant women living in rural areas compared with urban residents (OR 3.36 [95% CI 1.57 to 7.19]). Conclusions The current review revealed a relatively high prevalence of IPIs in pregnant women, especially in some low- and middle-income countries. These results suggest a need for improved prevention and control efforts to reduce the health risks to pregnant women.


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.


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