scholarly journals Epidemiology of intestinal parasitic infections in Ethiopian children: A systematic review and meta-analysis

2019 ◽  
Author(s):  
Zeleke Mekonnen ◽  
Yonas Alemu ◽  
Daniel Emana ◽  
Legese Chelkeba

Abstract Background : Numerous studies have been carried out on assessing the prevalence of intestinal parasites infections (IPIs) among preschool and school age children in Ethiopia, however, there was no study to gather and systematically analyze this information for policy makers. Methods : We searched Medline via PubMed, Scopus, Science Direct, Web of Science (ISI), and Google Scholar and local peer-reviewed journals published from inception to 2019 for studies describing prevalence of IPIs among preschool and school age children. We conducted meta-regression to understand the trend and the source of heterogeneity and pooled the prevalence using ‘metaprop’ command using STATA software (Intercooled, version 14, STATA Corp, College Station, TX). Results : Eighty three (83) studies examining 56,786 fecal specimens were included. The prevalence of IPIs was 48 %( 95%CI: 42% to 53%) and showed a gradual, but significantly decreasing trends 17% (95% CI: 2.5% to 32%) for each consecutive 6 years) and was similar in males and females. The pooled prevalence in years 1997–2002, 2003–2008, 2009–2014 and >2014 was 71% (95% CI: 57% to 86%), 42% (95% CI: 27% to 56%), 48% (95% CI: 40% to 56%) and 42% (95% CI: 34% to 49%), respectively. Poly-parasitism was observed in 16% (95% CI: 13% to 19 %,) of children while, single parasite infection was observed in 36 %( 95% CI: 30% to 41%). Conclusion: IPIs are highly prevalent and well distributed across the regional states of Ethiopia. Southern and Amhara regional states carry the highest burden. We observed a gradual, but significant decreasing trends in prevalence of IPIs among Ethiopian children over the last two decades.

2019 ◽  
Author(s):  
Legese Chelkeba ◽  
Zeleke Mekonnen ◽  
Yonas Alemu ◽  
Daniel Emana

Abstract Background : Numerous studies have been carried out on assessing the prevalence of intestinal parasites infections (IPIs) among preschool and school age children in Ethiopia, however, there was no study to gather and systematically analyze this information for policy makers. Methods : We searched Medline via PubMed, Scopus, Science Direct, Web of Science (ISI), and Google Scholar and local peer-reviewed journals published from inception to 2019 for studies describing prevalence of IPIs among preschool and school age children. We conducted meta-regression to understand the trend and the source of heterogeneity and pooled the prevalence using ‘metaprop’ command using STATA software (Intercooled, version 14, STATA Corp, College Station, TX). Results : Eighty three (83) studies examining 56,786 fecal specimens were included. The prevalence of IPIs was 48 %( 95%CI: 42% to 53%) and showed a gradual, but significantly decreasing trends 17% (95% CI: 2.5% to 32%) for each consecutive 6 years) and was similar in males and females. The pooled prevalence in years 1997–2002, 2003–2008, 2009–2014 and >2014 was 71% (95% CI: 57% to 86%), 42% (95% CI: 27% to 56%), 48% (95% CI: 40% to 56%) and 42% (95% CI: 34% to 49%), respectively. Poly-parasitism was observed in 16% (95% CI: 13% to 19 %,) of children while, single parasite infection was observed in 36 %( 95% CI: 30% to 41%). Conclusion: IPIs are highly prevalent and well distributed across the regional states of Ethiopia. Southern and Amhara regional states carry the highest burden. We observed a gradual, but significant decreasing trends in prevalence of IPIs among Ethiopian children over the last two decades.


2020 ◽  
Author(s):  
Legese Chelkeba ◽  
Zeleke Mekonnen ◽  
Yonas Alemu ◽  
Daniel Emana

Abstract Background : Numerous studies have been carried out on assessing the prevalence of intestinal parasites infections (IPIs) among preschool and school-age children in Ethiopia, but there is lack of study systematically gathered and analyzedinformation for policymakers. Therefore, the aim of this systematic review and meta-analysis was to provide a summary on prevalence, geographical distribution and trends of IPIs among preschool and school-age childrenin Ethiopia. Methods :The search were carried out in Medline via PubMed, Scopus, Science Direct, Web of Science, and Google Scholar from 1996to July2019 for studies describing prevalence of IPIs among preschooland school-age children. We conducted meta-regression to understand the trends and the source of heterogeneity and pooled the prevalence using ‘metaprop’ command using STATA software version 14. Results : Eighty-three(83) studies examining 56,786 fecal specimens were included. The prevalence of IPIs was 48 %( 95%CI: 42% to 53%) and showedsignificantly decreasing trends 17% (95% CI: 2.5% to 32%) for each consecutive 6 years) and was similar in males and females. The pooled prevalence in years 1997–2002, 2003–2008, 2009–2014 and >2014 was 71% (95% CI: 57% to 86%), 42% (95% CI: 27% to 56%), 48% (95% CI: 40% to 56%) and 42% (95% CI: 34% to 49%), respectively. Poly-parasitism was observed in 16% (95% CI: 13% to 19 %,) of the cases. Conclusion: Intestinal parasite infections are highly prevalent among preschool and school-age children and well distributed across the regional states of Ethiopia. Southern and Amhara regional states carry the highest burden.We observed significant decreasing trends in prevalence of IPIs among preschool and school-age Ethiopian children over the last two decades.Therefore, this study is important to locate the geographical distribution and identified high risk areas that should be prioritized further interventions, which complement global efforts towards elimination of IPIs infections by 2020


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zelalem Animaw ◽  
Addisu Melese ◽  
Habtamu Demelash ◽  
Girma Seyoum ◽  
Abiy Abebe

Abstract Background Intestinal parasitic infections (IPIs) are public health problems widely distributed in the world and cause significant morbidity and mortality; many of which occur among women of reproductive age. IPIs caused by helminthes and protozoan parasites are common among pregnant women. Data on the national pooled prevalence of intestinal parasites and associated factors during pregnancy is not documented well in Ethiopia. This review aims at summarizing evidences on the burden of IPIs and associated factors among pregnant women in Ethiopia. Methods Published and unpublished studies were thoroughly searched at MEDLINE/PubMed, EMBASE, Google Scholar, CINAHL, Cochrane library and Science Direct. In addition, repositories of Addis Ababa, Gondar and Jimma Universities were searched. Eligible studies were selected following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guideline. The pooled prevalence of intestinal parasites and summary odds ratios (ORs) were determined with 95 % confidence intervals (CI). Sub-groups analyses were done based on study region, types of parasites, methods of stool examination and study setting. The statistical analyses were performed using STATA version 14.0 software. Results Among 168 retrieved studies, 31 studies with a total population of 12,118 pregnant women were included. The estimated pooled prevalence of IPIs among pregnant women in Ethiopia was 27.32 % (95 % CI: 20.61, 33.87 %). In the subgroup analysis, Oromia and Amhara regions had the highest prevalence with a 29.78 % (95 % CI: 15.97, 43.60) and 29.63 % (95 % CI: 15.37, 43.89); respectively. In addition, studies conducted in the community showed higher prevalence than institution based studies (49.93 % Vs 24.84 %; respectively). The most prevalent type of intestinal parasite identified were Hookworm followed by Ascaris lumbricoides with a pooled prevalence of 11.2 and 10.34 %, respectively. In our analysis; residence, being bare footed, lack of hand washing habit and eating uncooked/raw vegetables were significantly associated with IPIs among pregnant women in Ethiopia. Conclusions Prevalence of IPIs during pregnancy is relatively high in Ethiopia. Poor hygienic practices were identified as risk factors. Based on our finding, targeted preventive measures shall be considered so as to prevent morbidity and mortality due to IPIs.


2019 ◽  
Author(s):  
Awrajaw Dessie ◽  
Tesfay Gebregzabher ◽  
Berihu Kiros ◽  
Sintayehu Daba Wami ◽  
Daniel Haile Chercos

Abstract [EXSCINDED] Abstract Abstract Abstract Abstract Abstract Abstract Abstract Objective The aim of this study was to determine the prevalence of intestinal parasitic infections and associated factors among school children in Sebeya primary school, Northern Ethiopia, 2017.Results The prevalence of intestinal parasites in school age children was (29.9%). E.histolytica/dispar 62 (49.21%), G.lamblia 28 (22.22%), and A. lumbricoides 23 (18.25%) were the most prevalent parasitic organisms identified. Unclean finger nail (AOR= 1.72), defecating in the open field (AOR=2.82), and being barefooted (AOR=1.72) were the determinant factors for intestinal parasitic infections. Frequently washing hands reduced the chance of infections by 68%. Furthermore, children in grade 1-4 and 5-6 had higher odds developing the infections than those in grade 7-8 (AOR=8.21 and AOR=2.50, respectively).


2019 ◽  
Author(s):  
Awrajaw Dessie ◽  
Tesfay Gebregzabher ◽  
Berihu Kiros ◽  
Sintayehu Daba Wami ◽  
Daniel Haile Chercos

Abstract [EXSCINDED] Objective The aim of this study was to determine the prevalence of intestinal parasitic infections and associated factors among school children in Sobeya primary school, Northern Ethiopia, 2017.Results The prevalence of intestinal parasites in school age children was (29.9%). E.histolytica/dispar 62 (49.21%), G.lamblia 28 (22.22%), and A. lumbricoides 23 (18.25%) were the most prevalent parasitic organisms identified. Unclean finger nail (AOR= 1.72), defecating in the open field (AOR=2.82), and being barefooted (AOR=1.72) were the determinant factors for intestinal parasitic infections. Frequently washing hands reduced the chance of infections by 68%. Furthermore, children in grade 1-4 and 5-6 had higher odds developing the infections than those in grade 7-8 (AOR=8.21 and AOR=2.50, respectively).


2019 ◽  
Author(s):  
Awrajaw Dessie ◽  
Tesfay Gebregzabher ◽  
Berihu Kiros ◽  
Sintayehu Daba Wami ◽  
Daniel Haile Chercos

Abstract Objective The aim of this study was to determine the prevalence of intestinal parasitic infections and associated factors among school children in Sebeya primary school, Northern Ethiopia, 2017.Results The prevalence of intestinal parasites in school age children was (29.9%). E.histolytica/dispar 62 (49.21%), G.lamblia 28 (22.22%), and A. lumbricoides 23 (18.25%) were the most prevalent parasitic organisms identified. Unclean finger nail (AOR= 1.72), defecating in the open field (AOR=2.82), and being barefooted (AOR=1.72) were the determinant factors for intestinal parasitic infections. Frequently washing hands reduced the chance of infections by 68%. Furthermore, children in grade 1-4 and 5-6 had higher odds developing the infections than those in grade 7-8 (AOR=8.21 and AOR=2.50, respectively).


2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Awrajaw Dessie ◽  
Tesfay Gebregzabher Gebrehiwot ◽  
Berihu Kiros ◽  
Sintayehu Daba Wami ◽  
Daniel Haile Chercos

Abstract Objective This study aimed to determine the prevalence of intestinal parasitic infections and associated factors among school-age children in Sebeya primary school, northern Ethiopia, 2017. Results The prevalence of intestinal parasites in school-age children was (29.9%). A total of six parasites were detected in this study. E. histolytica/dispar 19.43% (82/422) and G. lamblia 8.29% (35/422) were the predominant ones. Unclean fingernail (AOR = 1.72), defecating in the open field (AOR = 2.82), and being barefooted (AOR = 1.72) were the determinant factors for intestinal parasitic infections. Frequently washing hands reduced the chance of infections by 68%. Furthermore, children in grade 1–4 and 5–6 had higher odds developing the infections than those in grade 7–8 (AOR = 8.21 and AOR = 2.50, respectively).


2019 ◽  
Author(s):  
Birhan Alemnew ◽  
Getnet Gedefaw ◽  
Gedefaw Diress ◽  
Asmamaw Bizuneh Demis

Abstract Background Intestinal infection is still an important public health problem in low-income countries. Food handlers may be infected by a wide range of enteropathogens and have been implicated in the transmission of many infections to the public in the community and the people living in working environments. Therefore, this systematic review and meta-analysis estimate the pooled prevalence and factors associated with intestinal parasitic infections among food handlers working at higher public University student’s cafeterias and public food establishments in Ethiopia. Methods International databases, including PubMed/ Medline, Science Direct, Google Scholar, andHinariwere systematically searched. All identified observational studies reporting the prevalence and factors associated with intestinal parasitic infections at higher public University student’s cafeterias and public food establishments were included. Two authors independently extracted all necessary data using a standardized data extraction format. STATA version 14 statistical software was used to do a meta-analysis. The Cochrane Q test statistics and I2 test were used to assess the heterogeneity of the studies. A random-effect model was computed to estimate the pooled prevalence and factors associated with intestinal parasitic infections. Results After reviewing of 138 studies, 18 studies fulfilled the inclusion criteria and were included in the meta-analysis. The findings from the 18 studies revealed that the pooled prevalence of intestinal parasitic infection among food handlers working in higher public university student’s cafeterias and public food establishments was 28.5% (95%CI: 27.4, 29.7). The dominant intestinal parasites were E.histolytica 6.38 (95%Cl: 5.73, 7.04), followed by A.lumbricodes4.12 (95%Cl: 3.56, 4.67), and G. lamblia 3.12(95%Cl: 2.65, 3.60). Fingernail trimming 3.04 (95% CI:2.19, 4.22), hand washing after defecation 2.71 (95%CI:1.93, 3.82), hand washing after touching any body parts 2.41 (95%CI:1.64, 3.56), medical checkup 2.26, (95%CI:1.57, 3.25), food safety training 1.79 (95%CI: 1.30, 2.45) were factors significantly associated with intestinal parasitic infections. Conclusion In this study, intestinal parasitic infections among food handlers working in higher public university student’s cafeterias and public food establishment’s in Ethiopia were significantly high. Fingernail trimming, hand washing after defecation, hand washing after touching any body parts, regular medical checkup, and food safety training were significantly associated with intestinal parasitic infections.


Retos ◽  
2020 ◽  
pp. 404-412
Author(s):  
José Antonio Ortiz Sánchez ◽  
Jesús Del Pozo-Cruz ◽  
Rosa María Alfonso-Rosa ◽  
Daniel Gallardo-Gómez ◽  
Francisco Álvarez-Barbosa

  El objetivo de este estudio fue conocer qué investigaciones de carácter longitudinal se han llevado a cabo que hayan analizado variables relacionadas con el sobrepeso, la obesidad y el sedentarismo en edad escolar, y qué datos se pueden extraer de las mismas. Se revisaron las siguientes bases de datos: MEDLINE (PubMed), Scopus, SportDiscus y WOS (Web of Science). Dicha revisión fue realizada siguiendo el modelo PICOs, y a partir de él, se constituyó el protocolo de búsqueda utilizando términos que definan o representen a niños y jóvenes en edad escolar, que puedan presentar o no sobrepeso u obesidad y sedentarismo. Siguiendo el procedimiento Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA), de los 2237 estudios encontrados tan solo 28 cumplieron todos los criterios, por lo que fueron analizados en su totalidad para poder ser incluidos en la revisión. La calidad metodológica de los estudios se evaluó mediante la escala Newcastle-Otawa. De los 28 estudios seleccionados finalmente, 13 tenían una calidad metodológica buena, mientras que los 15 restantes tenían una calidad aceptable. Tras realizar la revisión, se puede concluir que el sedentarismo se ve aumentado paulatinamente con la edad mientras que la actividad física decrece, y consecuentemente, esta situación hace que el sobrepeso y la obesidad se vean incrementadas.  Abstract: The objective of this study was to find out what longitudinal researches have been carried out that have analyzed variables related to overweight, obesity and sedentary lifestyle in school age, and what data can be extracted from them. A systematic review of the MEDLINE (PubMed), Scopus, SportDiscus and WOS (Web of Science) databases was carried out following the PICOs model, using terms that define or represent children and young people of school age, who may or may not be overweight or obese. Following the PRISMA procedure, of the 2237 studies found only 28 met all the criteria and were therefore analyzed in their entirety for inclusion in the review. The methodological quality of the studies was assessed using the Newcastle-Otawa scale. Of the 28 studies finally selected, 13 were of good methodological quality, while the remaining 15 were of acceptable quality. After review was conducted, it can be concluded that sedentary lifestyle is gradually increased with age while physical activity decreases, and consequently, this situation causes overweight and obesity increase.


Gut Pathogens ◽  
2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Mohammad Javad Abbaszadeh Afshar ◽  
Mehdi Mohebali ◽  
Sina Mohtasebi ◽  
Aref Teimouri ◽  
Bahareh Sedaghat ◽  
...  

Abstract Background Poor self-care skills and personal hygiene resulted from limitations in learning and understanding, put intellectually disabled individuals at greater risk for intestinal parasitic infections (IPIs). Despite several regional reports in Iran, the overall burden on IPIs among intellectually disabled individuals is poorly understood. Hence, the present study aimed to estimate the pooled prevalence of IPIs among intellectually disabled individuals in Iran. Methods Using the PRISMA guidelines, we conducted a systematic review and meta-analysis of data retrieved from seven electronic databases (PubMed, Web of Science, Scopus, Embase, and ProQuest for English articles, as well as SID and Magiran for Persian) from their inception up to December 2020. Pooled prevalence was estimated using a random-effects model with a 95% confidence interval (CI) and depicted as a forest plot, while heterogeneity was evaluated using Cochran’s Q-test. Results Exactly 1263 of the 3004 intellectually disabled individuals examined by 14 studies across 10 provinces of Iran were positive for IPIs. Overall pooled prevalence estimate was 41% (95% CI 29–53%) with a range of 21% (95% CI 10–32%) to 68% (95% CI 55–80%) across sub-groups. Entamoeba coli (16.2%; 95% CI 10.3–22%), Blastocystis spp. (12.2%; 95% CI 7.2–17.2%), and Giardia duodenalis (11.9%; 95% CI 7.4–16.3%) were the most prevalent protozoan species. In terms of helminthic agents, the most prevalent species were Enterobius vermicularis (11.3%; 95% CI 6.3–16.3%) followed by Strongyloides stercoralis (10.9%; 95% CI 5.0–16.9%) and Hymenolepis nana (2.8%; 95% CI 0.4–5.2%) Conclusion IPIs are highly prevalent among intellectually disabled individuals in Iran. Improving the health status and implementing infectious disease prevention strategies in rehabilitation centers, health promotion interventions to improve personal hygiene of intellectually disabled individuals, as well as utilize sensitive diagnostic methods besides routine stool examination techniques, and treatment of infected individuals will help in the control of these infections among intellectually disabled individuals.


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