scholarly journals Prevalence and clinical outcomes of Plasmodium falciparum and intestinal parasitic infections among children in Kiryandongo refugee camp, mid-Western Uganda: a cross sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Paul Oboth ◽  
Yahaya Gavamukulya ◽  
Banson John Barugahare
2019 ◽  
Author(s):  
Sabit Zenu Siraj ◽  
Eshetu Alemayehu ◽  
Kifle Woldemichael

Abstract Background Street child is any child whose age is less than 18 years for whom the street has become his or her habitual abode and/or source of livelihood, is inadequately protected, supervised or directed by responsible adults. In Ethiopia the health problems of street children are given poor attention in research. This problem is pronounced when it comes to intestinal parasitic infections. The aim of this study was to assess the prevalence of intestinal parasitic infections and associated factors among street children in Jimma town in the year 2019.Methods: Community based cross sectional study was employed. Complete enumeration was used to include 312 street children. Pretested questionnaire was used to collect the data. Data was entered to Epidata version 3.1 and exported to SPSS version 20. Stool samples were examined by wet mount and formalin ether concentration techniques. Bivariable and multivariable logistic regression was used to identify factors associated with intestinal parasitic infection. Significance of association was decided by using the 95% confidence interval of AOR and P-value of ≤ 0.05 in the multivariable model. Result: A total of 312 children of the street were involved in the study making the response rate 96.2%. The prevalence of intestinal parasitic infection was 66.7%. Untrimmed finger nails AOR=2.03;95%CI (1.02-4.06), eating street food AOR=2.24;95% CI (1.04-5.02), practice of swimming in unprotected water bodies AOR=2.5; 95% CI (1.24-5.04), not wearing shoes at the time of data collection AOR= 3.8;95% CI (1.8-8.2) and lacking knowledge of way of transmission of intestinal parasites AOR= 2.5; 95% CI (1.25- 5.0) were significantly associated with parasitic infections. Conclusions: The prevalence of intestinal parasitic infections among street children in the study area was high and require integrated interventions to avert the problem. Factors like untrimmed finger nails, swimming practice, eating street foods, shoe wearing and lacking knowledge of ways of transmission of intestinal parasitic infections are associated with infection status. Measures has to be taken to curb the problem by including them in mass drug administration and targeted health education towards identified factors.


2019 ◽  
Author(s):  
Sabit Zenu Siraj ◽  
Eshetu Alemayehu ◽  
Kifle Woldemichael

Abstract Background Street child is any child whose age is less than 18 years for whom the street has become his or her habitual abode and/or source of livelihood, is inadequately protected, supervised or directed by responsible adults. In Ethiopia the health problems of street children are given poor attention in research. This problem is pronounced when it comes to intestinal parasitic infections . The aim of this study was to assess the prevalence of intestinal parasitic infections and associated factors among street children in Jimma town in the year 2019. Methods and Materials: Community based cross sectional study was employed. Complete enumeration was used to include 312 street children. Pretested questionnaire was used to collect the data. Data was entered to Epidata version 3.1 and exported to SPSS version 20. Stool samples were examined by wet mount and formalin ether concentration techniques. Bivariable and multivariable logistic regression was used to identify factors associated with intestinal parasitic infection. Significance of association was decided by using the 95% confidence interval of AOR and P-value of ≤ 0.05 in the multivariable model. Result: A total of 312 children of the street were involved in the study making the response rate 96.2%. The prevalence of intestinal parasitic infection was 66.7%. Untrimmed finger nails AOR=2.03;95%CI (1.02-4.06), eating street food AOR=2.24;95% CI (1.04-5.02), practice of swimming in unprotected water bodies AOR=2.5; 95% CI (1.24-5.04), not wearing shoes at the time of data collection AOR= 3.8;95% CI (1.8-8.2) and lacking knowledge of way of transmission of intestinal parasites AOR= 2.5; 95% CI (1.25- 5.0) were significantly associated with parasitic infections. Conclusion and Recommendations: The prevalence of intestinal parasitic infections among street children in the study area was high and require integrated interventions to avert the problem. Factors like untrimmed finger nails, swimming practice, eating street foods, shoe wearing and lacking knowledge of ways of transmission of intestinal parasitic infections are associated with infection status. Measures has to be taken to curb the problem by including them in mass drug administration and targeted health education towards identified factors. Key words : Street children, Intestinal parasites, Jimma


2013 ◽  
Vol 7 (11) ◽  
pp. 868-872 ◽  
Author(s):  
Sintayehu Fekadu ◽  
Kefyalew Taye ◽  
Wondu Teshome ◽  
Solomon Asnake

Introduction: Intestinal parasitic infectionsare a major public health burden in tropical countries. Although all HIV/AIDS patients are susceptible to parasitic infections, those having lower immune status are at greater risk. The aim of this study was to determine the prevalence of intestinal parasitic infections in patients living with HIV/AIDS. Methodology: This was a facility-based cross-sectional study. A total of 343 consecutively sampled HIV/AIDS patients from the HIV care clinic of Hawassa University Referral Hospital were included. Subjects were interviewed for demographic variables and diarrheal symptoms using structured questionnaires. Stool examinations and CD4 cells counts were also performed. Results: The prevalence of intestinal parasitic infection was 47.8% among HIV/AIDS patients;  single helminthic infection prevalence (22.7%) was higher than that the prevalence of protozoal infections (14.6%). About 54% of study participants had chronic diarrhea while 3.4% had acute diarrhea. The prevalence of intestinal parasites in patients with chronic diarrhea was significantly higher than in acute diarrhea (p <0.05). Non-opportunistic intestinal parasite infections such as Ascaris lumbricoides, Taenia spp., and hookworm were commonlyfound, regardless of immunestatus or diarrheal symptoms. Opportunistic and non-opportunistic intestinal parasitic infection were more frequent in patients with a CD4 count of <200/mm3 (OR=9.5; 95% CI: 4.64-19.47) when compared with patients with CD4 counts of >=500 cells/mm3. Conclusions: Intestinal parasitic infections should be suspected in HIV/AIDS-infected patients with advanced disease presenting with chronic diarrhea. Patients with low CD4 counts should be examined critically for intestinal parasites, regardless of diarrheal status.


2020 ◽  
Vol 14 ◽  
pp. 117863022092736
Author(s):  
Zemichael Gizaw ◽  
Ayenew Addisu ◽  
Destaye Guadie

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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