scholarly journals Intestinal Parasitic Infections and Associated Risk Factors Among School-going Children of Age 1-5 years in Dharan, Eastern Nepal

2021 ◽  
Vol 5 (01) ◽  
pp. 26-35
Author(s):  
Dhiren Subba Limbu ◽  
Samana Shrestha ◽  
Kamana Bantawa ◽  
Ramesh Majhi ◽  
Milan Kharel
Keyword(s):  
Risk Factors ◽  
Drinking Water ◽  
Rural Areas ◽  
Laboratory Data ◽  
Parasitic Infections ◽  
Plastic Container ◽  
Intestinal Parasitic Infections ◽  
Public Health Burden ◽  
Stool Samples ◽  
Associated Risk Factors

 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.

scholarly journals Prevalence of intestinal parasitic infections and associated risk factors among children attending a tertiary care hospital

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2698-2703
Author(s):  
Rajendra Kumar Karadiya ◽  
Saroj Hooja ◽  
Nita Pal ◽  
Rajeev Yadav ◽  
Nitya Vyas
Keyword(s):  
Risk Factors ◽  
Drinking Water ◽  
Intestinal Parasites ◽  
Univariate Analysis ◽  
Tertiary Care ◽  
Parasitic Infections ◽  
Care Hospital ◽  
Intestinal Parasitic Infections ◽  
Stool Samples ◽  
Associated Risk Factors

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.

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

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Destaw Damtie ◽  
Minichil Liyih
Keyword(s):  
Risk Factors ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Center ◽  
Parasitic Infections ◽  
Intestinal Parasitic Infections ◽  
Raw Meat ◽  
Stool Samples ◽  
Taenia Species ◽  
Associated Risk Factors

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.

scholarly journals Assessment of Prevalence and Risk Factors for Intestinal Parasitosis, Malnutrition, and Anemia among School Children in Ghindae Area, Eritrea

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Yafet Kesete ◽  
Huruy Tesfahiwet ◽  
Ghimja Fessehaye ◽  
Yohana Kidane ◽  
Yafet Tekle ◽  
...  
Keyword(s):  
Risk Factors ◽  
Drinking Water ◽  
Rural Areas ◽  
Parasitic Infection ◽  
Public Health Problem ◽  
Effective Control ◽  
Parasitic Infections ◽  
Stepwise Logistic Regression ◽  
Intestinal Parasitic Infections ◽  
Intestinal Parasitosis

Background. Research studies on determination of risk factors for intestinal parasitic infections and related malnutrition and anemia in various tropical areas are necessary for appropriate preventive resource allocation and cost effective control. This study is aimed at evaluating the prevalence and risk factors of intestinal parasitosis, malnutrition, and anemia amongst elementary and junior school students in Ghindae area, Eritrea. Method. A cross-sectional study was conducted in 6 schools around Ghindae from February to April 2018. 460 children were selected randomly for analysis and consent was taken from guardians. The pertinent sociodemographic data was collected using a pretested questionnaire, and anthropometric measurements were carried out to determine the proportion of students with malnutrition, stunting, and thinness. Fecal samples were examined by formal-ether concentration technique, and blood specimen was collected and analyzed for the assessment of hemoglobin using Hemocue analyzers. The association between predictors and outcome variables were measured with a stepwise logistic regression model. Result. The overall prevalence of intestinal parasitosis was 45.3%. Protozoan infections (38.2%) were more prevalent than soil-transmitted helminthic infections (10.4%). The presence of different intestinal parasitic infections had statistically significant association with the residence area, hand washing habits, source of drinking water, and type of latrine used. The prevalence of malnutrition was 36.9% with 18.5% stunting and 21.2% thinness. Students of rural areas had 2.03 times more odds of having malnutrition. The current prevalence of anemia was 12.4%, out of which 7.6% had mild anemia while 4.4% of them had moderate anemia and 0.4% were severely anemic. Conclusion. The prevalence of parasitic infection among school-age children in Ghindae area was high. Unsafe drinking water sources from streams and springs were among the core problems for increased prevalence along with decreased awareness on personal hygienic and sanitation practices. Undernutrition was widely prevalent among students in Ghindae area. Height for age and BMI for age scores of all participants were found to be below the WHO growth standards. Malnutrition was in higher prevalence in rural areas outside Ghindae, which is attributed to two times higher odds than their counterparts. The magnitude of anemia found in this study is considered a mild public health problem.

scholarly journals Human Intestinal Parasites: Prevalence and Associated Risk Factors among Grade School Children in Maksegnit, Northwest Ethiopia

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Kefale Shiferaw ◽  
Teklemichael Tesfay ◽  
Girmay Kalayu ◽  
Gebrehiwot Kiros
Keyword(s):  
Risk Factors ◽  
School Children ◽  
Intestinal Parasites ◽  
Northwest Ethiopia ◽  
Personal Hygiene ◽  
Single Infection ◽  
Parasitic Infections ◽  
Grade School ◽  
Intestinal Parasitic Infections ◽  
Associated Risk Factors

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.

scholarly journals Epidemiological Survey of Toxoplasma gondii and Associated Risk Factors in Ruminant Species of the Khyber Pakhtunkhwa Province of Pakistan

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Abid Ali ◽  
Talha Omer ◽  
Asad Ullah ◽  
Abdul Haleem ◽  
Maryam Naseem ◽  
...  
Keyword(s):  
Risk Factors ◽  
Toxoplasma Gondii ◽  
Rural Areas ◽  
Epidemiological Survey ◽  
Parasitic Infections ◽  
Toxoplasma Infection ◽  
Ruminant Species ◽  
Starting Point ◽  
Khyber Pakhtunkhwa Province ◽  
Associated Risk Factors

Toxoplasma infection is one of the most common human parasitic diseases. During 2018-2020, in the rural areas of three districts of Pakistan, we surveyed a total of 451 animals, belonging to different asymptomatic ruminant species, to determine the prevalence of Toxoplasma gondii antibodies. We used ELISA assay as well as recorded some associated risk factors contributing to its transmission. IgM antibodies were detected in 17% and IgG in 13.4% of ruminant samples with the highest percentage, 10% for IgM and 8.6% for IgG in sheep. A strong significant association was found between antibodies and different species (IgM, χ 2 = 29 .280, P = .000 , and IgG, χ 2 = 22.580 , P = .000 ), respectively. Infection with T. gondii seems mainly associated with different geographic features and the presence of cats in the environment, low hygiene water systems and livestock that are mostly dependent on outdoor drinking and grazing. There was no significant association between IgM and age grouping ( χ 2 = 6.660 , P = 0.840 nor for IgG ( χ 2 = 8.136 , P = 0.43 ). The results of this study may be considered the starting point to promote the awareness about parasitic infections in ruminants in Pakistan in order to prevent this infection from further spreading.

scholarly journals Prevalence of Intestinal Parasitic Infections and Associated Risk Factors among the First-Cycle Primary Schoolchildren in Sasiga District, Southwest Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-13
Author(s):  
Baye Sitotaw ◽  
Wakgari Shiferaw
Keyword(s):  
Risk Factors ◽  
Low Income ◽  
Family Income ◽  
Low Income Countries ◽  
Personal Hygiene ◽  
Parasitic Infections ◽  
Intestinal Parasitic Infections ◽  
Southwest Ethiopia ◽  
Primary Schoolchildren ◽  
Associated Risk Factors

Intestinal parasitic infections (IPIs) have been major public health burdens in low-income countries like Ethiopia. Studies in different areas of Ethiopia have shown a high prevalence of IPIs in poor families. A similar study has not been conducted in Sasiga District given that the area is possibly at high-risk of IPIs due to the prevailing risk factors. This study is aimed at assessing the prevalence of IPIs and associated risk factors among schoolchildren in Sasiga District, southwest Ethiopia. A school-based cross-sectional study was conducted from December 2018 to March 2019 to estimate the prevalence of IPIs and associated risk factors among the study participants. A total of 383 children were selected using resident-type and grade-level stratified systematic random sampling technique. Stool samples were examined microscopically using direct wet mount and formal-ether concentration techniques. A structured questionnaire was used to get information on the associated risk factors. Data were analyzed using SPSS version 20 and p value of ≤0.05 was taken as statistically significant. The overall prevalence of IPIs among the children was 62.4% (239/383). Single, double, and triple infections were 49.9%, 10.7%, and 1.83%, respectively. Residence, family income, place of defecation, source of drinking water, shoe-wearing habit, handwashing habit after toilet use, ways of waste disposal, and cleanliness of fingernail were the most important predictors of IPIs (p<0.05). Ascaris lumbricoides (22.7% (87/383)) and hookworms (20.6% (79/383)) were the most prevalent parasites, followed by Entamoeba histolytica (8.1%), Trichuris trichiura (7.6%), Giardia intestinalis (6.5%), Hymenolepis nana (5.7%), and Schistosoma mansoni (4.4%), in that order. Sasiga District primary schoolchildren are likely at a high burden of IPIs. Intensive health education on personal hygiene and environmental sanitation is needed.

scholarly journals Prevalence of Intestinal Parasitic Infections and Associated Water, Sanitation, and Hygiene Risk Factors among School Children in Mwea Irrigation Scheme, Kirinyaga County, Kenya

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Elizabeth Njambi ◽  
Dennis Magu ◽  
Janet Masaku ◽  
Collins Okoyo ◽  
Sammy M. Njenga
Keyword(s):  
Risk Factors ◽  
School Children ◽  
Primary Schools ◽  
Parasitic Infections ◽  
Intestinal Protozoa ◽  
Intestinal Parasitic Infections ◽  
Sanitation And Hygiene ◽  
Stool Samples ◽  
Home And School ◽  
At Home

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.

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