scholarly journals Multiple parasitic infestation in a nine-month-old patient: a case report

2019 ◽  
Vol 56 (1) ◽  
pp. 53-56
Author(s):  
J. Intra ◽  
C. Sarto ◽  
E. Manuli ◽  
P. M. Vannini ◽  
P. Brambilla

SummaryWe are reporting the case of a nine-month-old Pakistani female with complaint of growth retardation who presented multiple intestinal parasitic infections. Probably because of contamination with fecal matter, the initial microscopic examination of the urinary sample revealed the presence of eggs of Enterobius vermicularis, cysts of Entamoeba coli, and an organism similar to mites. Stool samples were obtained after two weeks and microscopic investigation confirmed the presence of Enterobius vermicularis eggs, cysts of Entamoeba coli, and hookworm eggs. The patient was immediately subjected to mebendazole therapy associated with trimethoprim-sulfamethoxazole, to which she responded well. Follow-up stool re-examinations performed 15 and 30 days after the treatment tested negative for all parasitic ova and cysts. This study reflects the importance of considering multiple parasitic infestations in low socio-economic populations and highlights the need of improving poor hygienic conditions to prevent such infections, in particular in children.

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
A. E. Abah ◽  
F. O. I. Arene

Status of intestinal parasitic infections among primary school children in Rivers State, Nigeria, was investigated between January and December 2011. A total of 3,826 stool samples were collected from school children (1,828 males and 1998 females) in 36 primary schools from 13 local government areas of Rivers State. The samples were analyzed using wet saline/iodine and formol ether concentration methods. Of the 3,826 stool samples examined, 1059 (27.66%) were positive for different intestinal parasites, namely,Ascaris lumbricoides(51.78%), hookworm sp. (25.0%),Trichuris trichiura(15.18%),Strongyloides stercoralis(7.14%),Taeniasp. (0.89%), andEnterobius vermicularis(0.01%). The prevalence of the infection was generally higher in males (57.60%) than females (42.40%). The differences were not statistically significant (P>0.05). Among these intestinal parasites,Ascaris lumbricoides, hookworm sp., andTrichuris trichiurawere found in all the 13 local government areas studied whileStrongyloides stercoraliswas found in 12,Taeniasp. in five, andEnterobius vermicularisin only one community in Ahoada Local Government Area. The overall infection rate remains high and would require coordinated deworming of the school children within the state.


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 2020 ◽  
pp. 1-9
Author(s):  
Elizabeth Njambi ◽  
Dennis Magu ◽  
Janet Masaku ◽  
Collins Okoyo ◽  
Sammy M. Njenga

School children bear a significant burden of intestinal parasitic infections. Because they spend most of their time at home and school, it is necessary to identify the key water, sanitation, and hygiene (WASH) factors associated with these infections in both environments. This was a cross-sectional survey conducted in Mwea West, Kirinyaga County. 180 primary school children aged 8–14 years were randomly selected from three schools (Mianya, Mbui Njeru, and Mukou primary schools). Questionnaires and checklists were administered and single stool samples were collected. Stool samples were microscopically examined for Schistosoma mansoni, soil-transmitted helminths, and protozoan infections. Data on WASH were obtained at home and school. The factors significantly associated with S. mansoni and intestinal protozoa infections in the school children were determined using univariable and multivariable logistic regression models reporting the odds ratio at 95% confidence intervals. The overall prevalence of S. mansoni and intestinal protozoa infections was 70.5% (95% CI: 59.1–84.3) and 32.7% (95% CI: 26.8–40.1), respectively. Only one case of STH (A. lumbricoides) was identified. The prevalence of coinfections of S. mansoni and intestinal protozoa infections was 22.8% (95% CI: 19.2–27.1). An increased prevalence of S. mansoni infection was associated with children above 12 years (aOR = 3.19, p=0.015), those in Mianya primary (aOR = 1.23, p=0.001), those in Mukou primary (aOR = 3.19, p=0.001), and reported behavior of wearing shoes at home (aOR = 1.67, p=0.010). However, handwashing behavior after defecation at home (aOR = 0.39, p=0.001) was protective against S. mansoni infection. For any protozoan infection, male children had increased odds of infection (aOR = 2.41, p=0.001) while use of wiping material (aOR = 0.55, p=0.019) and water contact (aOR = 0.32, p=0.001) was protective against intestinal protozoa infections. Infections with S. mansoni and any protozoa and their coinfection were present. Findings revealed that several hygiene factors were protective against infections while other were risk factors. Therefore, deworming should be complemented with behavior education on hygienic habits.


2003 ◽  
Vol 33 (3) ◽  
pp. 173-173 ◽  
Author(s):  
Subhash Chandra Parija ◽  
Sanjay Bhattacharya ◽  
Prasant Padhan

Microscopic examination of a wet mount of the stool has been the standard practice for the laboratory diagnosis of intestinal parasitic infections. Here we describe a novel method of stool microscopy of 80 stool samples, 31 (38.75%) were positive by the new thick stool smear wet mount method, whereas the corresponding figure for the conventional method using lacto-phenol cotton blue was 16 (20%). The difference was found to be statistically significant ( P<0.04 by McNemar's test). The thick stool smear wet mount procedure promises to be superior to the direct wet mount method in the detection of the intestinal parasites.


2021 ◽  
Author(s):  
Gema Fernandez-Rivas ◽  
Belén Rivaya ◽  
Nona Romaní ◽  
Jun Hao Wang Wang ◽  
Mireya Alcaide ◽  
...  

Abstract Despite the low prevalence of parasitic infections in Europe, the diagnosis of intestinal parasites is difficult and laborious for microbiology laboratories. Currently, the antigens detection kits and the molecular biology have allowed an easier diagnosis. But these techniques have also limitations due to the fact that they do not detect all possible parasites presents in the samples. The objective of the study was to evaluate the accuracy and the usefulness of SediMAX2® (77 Elektronika, Budapest, Hungary) automated microscopy in the detection of parasitic structures from feces. A total of 197 formol-fixed stool samples were processed in parallel with wet mount examination and by SediMAX2®. Sensitivities, specificities and predictive values were analyzed, reaching sensitivity of 89.51% and specificity of 98.15%. Predictive values were also calculated with a very good positive predictive value (99.22%). SediMAX2® is a good tool for a reliable diagnosis of intestinal parasitic infections. The easiness of use, processing and the flexibility in the images analyse allows its incorporation in the day to day laboratory work as an extra step for the parasitologists workload.


2019 ◽  
Vol 15 (3) ◽  
pp. 175-178
Author(s):  
Sanjana Raj Kumari ◽  
Damodar Sharma ◽  
Brajesh Jha

Background: Intestinal parasitic infections are important public health problem and are globally endemic. These parasites are responsible for the major share of morbidity and mortality in those communities where there is overcrowding, poor environmental sanitation and personal hygienic practices. Intestinal parasitic infection is highly prevalent among the general population in Nepal. This study was aimed to evaluate the burden of the intestinal parasitic infections and the pattern of distributions among patients attending in a tertiary care setting in Bharatpur, Nepal, over a period of one year (August 2017 to July 2018). Methods: Stool samples of patients received in the Microbiology laboratory, COMS that were subjected for routine stool investigations were included in this study. Naked eye physical examination, microscopic examination was carried out and parasites were identified in the received stool samples. The results were recorded, and data were entered into excel spreadsheet 2007. The percentages of the parasites present were calculated to find out the frequency and distribution. Results: A total of 1,558 fresh stool samples were screened, of which 20.60% (n=321) were positive for various intestinal parasites. Overall, helminthic infections (81.30%) were higher than protozoal infections (18.70%). On the whole, Ascaris lumbricoides showed higher prevalence (39.56%) followed by Ancylostoma duodenale (19.31%) and Giardia lamblia (9.97%).  17(1.09%) of the samples showed more than one parasite. Highest prevalence was seen in age group 15 to 25 years of age (27.40%). Conclusions: Parasitic infection is endemic. Apart from the early diagnosis and effective treatment, health education is a requisite to control infections in this area and awareness of sanitation to reduce and control parasitic infection.  


2013 ◽  
Vol 4 (1) ◽  
pp. 120-130 ◽  
Author(s):  
Bizu Gelaye ◽  
Abera Kumie ◽  
Nigusu Aboset ◽  
Yemane Berhane ◽  
Michelle A. Williams

We sought to evaluate the impact of a hygiene and sanitation intervention program among school-children to control active trachoma and intestinal parasitic infections. This longitudinal epidemiologic study was conducted among 630 students in rural Ethiopia. Baseline and follow-up surveys were conducted to evaluate the impact of a three-pronged intervention program: (i) construction of ventilated improved pit latrines; (ii) provision of clean drinking water; and (iii) hygiene education. Socio-demographic information was collected using a structured questionnaire. Presence of trachoma and intestinal parasitic infections were evaluated using standard procedures. At baseline, 15% of students had active trachoma, while 6.7% of them were found to have active trachoma post-intervention (p &lt; 0.001). Similar improvements were noted for parasitic infections. At baseline, 7% of students were reported to have helminthic infections and 30.2% protozoa infections. However, only 4% of students had any helminthic infection and 13.4% (p &lt; 0.001) of them were found to have any protozoa infection during follow-up surveys. Improvements were also noted in students' knowledge and attitudes towards hygiene and sanitation. In summary, the results of our study demonstrated that provision of a comprehensive and targeted sanitation intervention program was successful in reducing the burden of trachoma and intestinal parasitic infection among schoolchildren.


2008 ◽  
Vol 50 (3) ◽  
pp. 145-149 ◽  
Author(s):  
Abolfath Shojaei Arani ◽  
Reza Alaghehbandan ◽  
Lame Akhlaghi ◽  
Maryam Shahi ◽  
Abdolaziz Rastegar Lari

The aim of this study was to describe epidemiologic characteristics of intestinal parasites in a population in south of Tehran, Iran. A retrospective cross-sectional study of patients with suspicious intestinal parasitic infections referred to the Zakaria Razi Laboratory in Shahre-Ray, southern Tehran, Iran, was conducted from April 21, 2004 to October 20, 2005. All stool samples were examined and socio-demographic informations were retrieved. Of 4,371 referred patients, 466 (239 males and 227 females) were laboratory diagnosed with intestinal parasites, with a period prevalence of 10.7%. Blastocystis hominis (B. hominis) and Giardia lamblia (G. lamblia) were the most frequent intestinal parasites. More than half of patients aged ³ 18 years had a low level of educational attainment (e.g. illiterate, primary school, high school) (170/331, 54.1%). Further, majority of patients were homemakers (42.3%, 140/331) or workers (28.1%, 93/331) employed in various business settings such as food industry and construction. Findings of this study showed that intestinal parasitic infections are still a major public health challenge in Iran that needs to be addressed. We believe that public education, improving sanitation conditions of underdeveloped areas/communities, community involvement, and supporting evidence-based practice/programs are the major keys to success in preventing the spread of intestinal parasitic infections in Iran.


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.


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