Plasmodium falciparum and intestinal parasitic co-infections in HIV-infected patients in Benin City, Edo State, Nigeria

Introduction: Human co-infection with Plasmodium falciparum and helminthes is ubiquitous throughout Africa. This study aimed to determine the co-infections of Plasmodium falciparum infection in HIV and intestinal parasitic infections, and their immunological distribution, in Benin City, Nigeria. Methodology: A total of 2,000 stool specimens from HIV-positive patients and 500 controls (HIV-negative individuals) were examined for ova, cysts, or parasites using standard procedures. In addition, patients' blood samples were analyzed for CD4 counts by flow cytometry and examined for Plasmodium falciparum by microscopy. Results: The prevalence of single parasitic infection among HIV patients was 18.1% in males and 16.9% among females with no significant difference (p = 0.536) while gender was a risk factor in multiple parasitic infections (male versus female: 4.2% and 1.8% OR = 2.384; 95% CI = 1.371, 4.147) (p = 0.0025). Increasing age was not associated with increased risk of both single and multiple parasitic infections (p = 0.083; p = 0.248). CD4 + T cell count less than 200 cells/µl was a risk factor for acquiring single and multiple parasitic infections among HIV patients (OR = 5.565; 95% CI = 4.136, 7.486; p = 0.0001; OR = 4.283; 95% CI = 2.424, 7.566; p = 0.0001). The most common co-infection observed was between Plasmodium falciparum and Ascaris lumbricoides 43% (10) among HIV patients. Conclusion: This study provides evidence of co-infections between Plasmodium falciparum and intestinal parasites. Diagnosis of parasitic infections among HIV patients is advocated as this will enhance better management of HIV-infected patients.

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Polyparasitism with Malaria and Intestinal Parasite Infections among Infants and Preschool-Aged Children in Egbedore, Osun State, Nigeria

Journal of Parasitology Research ◽

10.1155/2020/8810148 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

S. N. Odoemene ◽

A. S. Oluwole ◽

H. O. Mogaji ◽

M. V. Adegbola ◽

O. O. Omitola ◽

...

Keyword(s):

Rural Communities ◽

Intestinal Parasites ◽

Demographic Data ◽

Parasitic Infection ◽

Sub Saharan Africa ◽

Bivariate Analysis ◽

Parasitic Infections ◽

Significant Difference ◽

Fresh Stool ◽

Preschool Aged Children

Polyparasitism is widespread in many communities in Sub-Saharan Africa. However, there is paucity of data on polyparasitism in infants and preschool-aged children (IPSAC), to inform policy developments. Therefore, a survey of 1110 consented IPSAC was undertaken in Egbedore Local Government Area (LGA), Osun State, Nigeria, to determine the prevalence of polyparasitism in IPSAC in ten randomly selected rural communities. Fresh stool and blood samples were collected and processed for intestinal parasites and malaria infection. Mothers/caregivers were interviewed using a structured questionnaire to obtain demographic data of their IPSAC and to document knowledge, attitude, and practice (KAP) on parasitic infections. Data obtained through the questionnaire were analyzed using EpiData version 3.1, while parasitological data were analyzed using Statistical Package for Social Sciences (version 20.0). Descriptive statistics were computed for demographic data and association which were tested using bivariate analysis at a 95% confidence level while significance was set at p<0.05. The results showed that 349 (46.29%) were infected with a single parasite. Infants and preschool-aged children infected with double, triple, and quadruple parasites are 268 (35.54%), 122 (16.18%), and 15 (1.99%), respectively. The prevalence of polyparasitism is 405 (53.71%). Although females (54.07%) were more infected than males (45.93%), there was no significant difference (p>0.05) observed. Significantly (p<0.05) more preschool children (65.93%) harbour more infections than the infants do (34.07%). Ara community (14.81%) had the highest cases of polyparasitized IPSAC, but no significant difference (p>0.05) was observed across the communities. Double parasitic infection of Plasmodium falciparum and Ascaris lumbricoides (30.12%) and triple parasitic infection of P. falciparum, A. lumbricoides, and T. trichiura (14.81%) were the most common forms of polyparasitism encountered in the study. This study showed that polyparasitism is a burden in IPSAC and needs further investigation.

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Intestinal Parasitosis among Human Immunodeficiency Virus Infected Patients Visiting Different Care Centers of Eastern Nepal

Himalayan Journal of Science and Technology ◽

10.3126/hijost.v2i0.25836 ◽

2018 ◽

Vol 2 ◽

pp. 20-25

Author(s):

Hemanta Khanal ◽

Sanjita Bhujel

Keyword(s):

Human Immunodeficiency Virus ◽

Prevalence Rate ◽

Intestinal Parasites ◽

Parasitic Infections ◽

Hiv Patients ◽

Intestinal Parasitosis ◽

Significant Difference ◽

Immunodeficiency Virus ◽

Enteric Parasites ◽

Hiv Seropositive

Gastrointestinal parasitic infections are the major sources of diarrheal disease in developing countries and Human Immunodeficiency virus (HIV) infected patients are at the most risk. The objective of this study was to determine the prevalence of intestinal parasitic infections (IPIs) in the HIV-infected individuals visiting different care centers of Morang and Sunsari districts. The present cross-sectional study was conducted from two different HIV rehabilitation centers and one antiretroviral therapy center from eastern Nepal. A semi structured questionnaires was provided to HIV patients and 149 stool specimens were collected to analyze macroscopically and microscopically for the presence of enteric parasites. Data were analyzed by SPSS version 16. A total of 149 HIV seropositive patients with and without diarrhea were included in the study. Overall prevalence rate of enteroparasites was 19.46%. The prevalence rate of enteric parasites in HIV patients showed higher rate of protozoan infections (58.6%) than helminths (41.4%). High prevalence of parasitic infection was seen in male and also among male in the age groups of 31-40 years. The polyparasitism was not detected. A significant difference (p<0.05) was observed in the level of infection of intestinal parasites between the HIV seropositive with gastrointestinal tract (GIT) symptoms and HIV seropositive without GIT symptoms. The enteric parasitic infections were detected in 19.46% among HIV seropositive patients. Early detection of enteric parasitic infections could help in the management and improvement of the quality of life for HIV-infected individuals.

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Prevalence of Intestinal Parasitic Infection among Food Handlers in Northwest Iran

Journal of Parasitology Research ◽

10.1155/2016/8461965 ◽

2016 ◽

Vol 2016 ◽

pp. 1-6 ◽

Cited By ~ 13

Author(s):

Davoud Balarak ◽

Mohammad Jafari Modrek ◽

Edris Bazrafshan ◽

Hossein Ansari ◽

Ferdos Kord Mostafapour

Keyword(s):

Intestinal Parasites ◽

Parasitic Infection ◽

Parasitic Infections ◽

Parasitic Diseases ◽

Food Handlers ◽

Intestinal Parasitic Infections ◽

Health Card ◽

Significant Difference ◽

To Receive ◽

The City

Parasitic diseases are among the most important infectious diseases and pose health problems in many countries, most especially in developing countries. Workers at food centers could transmit parasitic infections in the absence of sanitation. This is a descriptive study conducted to determine the prevalence of intestinal parasitic infections in food clerks in the city of Tabriz in 2014. Data was recorded in the offices of the health center for all food handlers who were referred to the laboratory for demographic and stool tests to receive the health card. Parasitic infection was observed in 172 cases (3.73%) of 4612 samples. A total of 156 positive samples (90.69%) were related to protozoa and 16 (9.3%) were related to helminthes. Most of the parasitic infections were related toGiardiaandEntamoeba coliand the lowest infection was related toH. nana. Also, there was a significant relationship between level of education and parasitic infection rate (P=0.0044). But there was no significant difference between the type of infection and amount of intestinal parasites. The results show that the prevalence of intestinal parasites, especially pathogenic protozoa, is common in some food handlers. Therefore, more sanitary controls are required and increasing of education will play a crucial role in improving the health of these people.

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Prevalence of intestinal parasitic infections among people living with HIV/AIDS visiting a central hospital of Kathmandu Nepal

Asian Journal of Medical Sciences ◽

10.3126/ajms.v8i5.17731 ◽

2017 ◽

Vol 8 (5) ◽

pp. 87-92 ◽

Cited By ~ 1

Author(s):

Homa Nath Sharma ◽

Bimal Shama Chalise ◽

Ganesh Rai ◽

Nabaraj Adhikari ◽

Anup Bastola ◽

...

Keyword(s):

T Cell ◽

Intestinal Parasites ◽

Parasitic Infection ◽

Cd4 T Cell ◽

Parasitic Infections ◽

People Living With Hiv ◽

Hiv Patients ◽

Cell Counts ◽

Living With Hiv ◽

Hiv Aids

Backgrounds: Intestinal Parasitic Infection (IPI) plays a vital role in the prognosis of People Living with HIV/AIDS (PLHA).Aims and Objectives: In this study, we aimed to measure the prevalence and associated factors of IPI among PLHA and non-HIV patients attending Sukraraj Tropical and Infectious Disease Hospital, Teku, Kathmandu.Materials and Methods: A cross-sectional study was conducted among 193 PLHA and 111 non-HIV patients having either of gastrointestinal disorders. Direct smear, Formalin ethyl acetate sedimentation and Kinyoun’s modified acid fast staining methods were applied to detect intestinal parasites from stool samples and CD4 T-cell counts of PLHA was recorded from ART centre of hospital.Results: The overall prevalence of IPI was found to be 16.12% (19.17% in PLHA and 10.81% in non-HIV subjects). Prevalence was higher in PLHA (p<0.06) in which poly parasitic infection was common (24%) with the protozoa predominating over helminths. CD4 T-cell counts <200/μl (p<0.06) and diarrhoea (p<0.06) were associated with increased IPI in PLHA. Cryptosporidium parvum was found in 19.05% cases of PLHA having CD4 T-cell counts <200/μl.Conclusions: The higher prevalence of opportunistic protozoa among PLHA indicates the need of routine parasitic investigation using sensitive methods so that it will be helpful for the proper therapeutic management.Asian Journal of Medical Sciences Vol.8(5) 2017 87-92

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Occurrence of Gastrointestinal Parasitic Associated with Exotic Dogs in Commercial Breeding Mills in Jos Metropolis-Nigeria

Academic Journal of Life Sciences ◽

10.32861/ajls.53.15.22 ◽

2019 ◽

pp. 15-22

Author(s):

Amapu T. Y. Amapu T. Y. ◽

Latu M. Y. Latu M. Y. ◽

Dapiya H. S. Dapiya H. S. ◽

Pam K. V. Pam K. V. ◽

Job M. O. Job M. O. ◽

...

Keyword(s):

Intestinal Parasites ◽

Parasitic Infection ◽

Age Groups ◽

Gastrointestinal Parasites ◽

Parasitic Infections ◽

Ancylostoma Caninum ◽

Dipylidium Caninum ◽

Significant Difference ◽

Parasitic Burden ◽

Commercial Breeding

In Nigeria, there has been an increasing trend towards establishing puppy mills for commercial breeding of exotic dogs. This study determined gastrointestinal parasites associated with exotic dogs of the existing puppy mills in Jos Metropolis Nigeria. A total of 150 dogs’ fresh feacal samples were collected from 25 different puppy mills and examined using formol ether and floatation concentration techniques. Data on risks factors variables of dogs’ age, number of dogs per kernel kennel type, nature of food and history of antiparasitic drugs usage were collected from the breeders using predesigned questionnaire. The result revealed an overall prevalence of 71.33% intestinal parasitic burden among the dogs. Chi square (χ2) analysis showed association (p< 0.05) between breeds of dogs and occurrence of parasites. The gastrointestinal parasites associated were most prevalent dogs in Neapolitan mastiff (86.36%) followed by Rottweiler (75.70%) and German Shepherd (57.14%) was the least infected Predominantly, a total of seven (7) species of intestinal parasites; Ancylostoma caninum (28.00%) Dipylidium caninum (23.33%), Toxocara canis (14.00%), Trichuris vulpis (11.33%), Taenia sp. (5.33%) Giardia sp. (7.33%) and Coccidia sp. (5.33%) were identified. Among different gastrointestinal parasitic infections, occurrence of Ancylostoma caninum (28.00%) was highest, followed by Dipylidium caninum (23.33%). Multiple parasitic infections among positive dogs sampled were observed, however, risk factors variables did not (p > 0.05) affect parasitic infection. Age based gastrointestinal parasitic infection peak (77.78%) was reported among 7 9 months old and decreased with ages of dogs The result showed no significant difference in prevalence of gastrointestinal parasites among age groups of the dogs (χ2 = 2.616, d.f. = 5, P = 0.624). This trend implies that puppies of younger age groups had higher prevalence and tendency for infection with gastrointestinal parasites than their older counterparts.This study provides baseline data on the spectrum of intestinal parasitic infection of exotic dogs in commercial puppy mills in Jos-Nigeria. Therefore, the phenomenon could represent an important health threat and needs to be regulated, so that breeders adhere to hygiene practices and veterinary guidelines. This will serve as an approach to reduce the tendency of increasing intestinal parasitic burden of local dogs as well as eliminate emergent zoonotic intestinal parasites in the dogs.

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Prevalence and Related Risk Factors of Intestinal Parasitosis among Private School-Going Pupils of Dharan Submetropolitan City, Nepal

Journal of Parasitology Research ◽

10.1155/2021/6632469 ◽

2021 ◽

Vol 2021 ◽

pp. 1-10

Author(s):

Bijay Kumar Shrestha ◽

Manita Tumbahangphe ◽

Jenish Shakya ◽

Anu Rai ◽

Kabita Dhakal ◽

...

Keyword(s):

Risk Factors ◽

Drinking Water ◽

Private School ◽

Intestinal Parasites ◽

Parasitic Infection ◽

Parasitic Infections ◽

Intestinal Parasitic Infections ◽

Nail Biting ◽

Related Risk ◽

Significant Difference

Introduction. Intestinal parasitic infections are most common and prevalent among children and accounts for great morbidity and mortality. Objective. This research is aimed at studying the prevalence and related risk factors of parasitic infections among private school-going pupils of Dharan Submetropolitan City. Methods and Materials. This was a cross-sectional laboratory-based study conducted from 13 November 2018 to 26 February 2019 among 400 private school pupils. The stool samples were collected and microscopically examined for parasites using the formalin ethyl acetate sedimentation technique. Data Analysis. Statistical analysis was performed by using SPSS version 16.0. Pearson’s Chi-square test was used to establish association between dependent and independent variables. The association was also determined using crude and adjusted odds ratio, and the test considered a P value < 0.05 as statistically significant with 95% confidence interval. Result. In this study, 46 (11.5%) children were positive for intestinal parasites. In this study, 3 protozoans (Entamoeba histolytica = 3 (0.75%)) and 43 helminths (Ascaris lumbricoides = 22 (5.5%); Enterobiusvermicularis = 6 (1.5%); Ancylostoma duodenale = 2 (0.5%); and Trichuris trichiura = 13 (3.25%)) were isolated and identified. Statistically, significant difference in the parasitic prevalence with respect to age and gender was not seen ( P > 0.05 ). However, the prevalence of parasitic infection was strongly associated with the ethnicity of the pupils ( P = 0.001 ). The strong associated risk factors of intestinal parasitic infections were nail-biting habit, source of drinking water, biannual deworming, thumb-sucking, hand sanitation before having food and after toilet, knowledge of parents on parasitosis, health and sanitation, keeping cat/dog as pet, and wearing protective shoes during play ( P = 0.001 ). Bowel syndromes like abdominal cramp and constipation also had a strong statistical association ( P = 0.001 ) with the prevalence of parasitic infection. According to binary and multivariate logistic regression analyses, the parents without awareness, pupils with a nail-biting habit, pupils not wearing shoes during play, lack of deworming, drinking direct tap water, and pupils with poor hand sanitation were more likely to be infested with intestinal parasitic infections. Conclusion. This study concludes that intestinal parasites are still prevalent among private school-going pupils of Dharan Submetropolitan City. The poor sanitation and sanitary habits like biting nails, consumption of untreated drinking water, and failure to practice proper hand washing were studied as contributors to the acquisition of intestinal parasitic infections. Therefore, integration of control measures such as provision of clean and safe drinking water, improved sanitation and hygiene, with biannual administration of drugs are necessary for effective eradication of parasitic infections.

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What are Hidden Facts behind Intestinal Parasitic Infections in Ilam City?

Infectious Disorders - Drug Targets ◽

10.2174/1871526518666180508125418 ◽

2019 ◽

Vol 19 (3) ◽

pp. 284-287

Author(s):

S. Viesy ◽

J. Abdi ◽

Z. Rezaei

Keyword(s):

Public Health ◽

Intestinal Parasites ◽

Parasitic Infection ◽

Public Health Education ◽

Health Problems ◽

Parasitic Infections ◽

Blastocystis Hominis ◽

Cross Sectional ◽

Intestinal Parasitic Infections ◽

Number Of Patients

Background: Intestinal parasitic infections are the one of the most common health problems in developing countries. Objective: A number of patients die annually due to complications caused by these parasites.Therefore, the aim of this study was to investigate the rate and type of parasitic infections, determine the factors affecting them in Ilam city and also provide strategies to prevent them.In this descriptive cross-sectional study conducted in one of the Ilam labs in 2016, 417 stool specimens were randomly collected. All specimens were examined using direct and ethanol formaldehyde.Suspect specimens were examined using Trichrom staining. Demographic information was also recorded in a questionnaire, and finally the results were analyzed using statistical software SPSS 20.The data were then compared with Chi-square test. Results: Out of the 417 patients examined, 59 (14.1%) were infected with intestinal parasites. The type of parasitic infection in 9.4% was Blastocystis hominis, 3.6% Entamoeba coli, 0.5% Entamoeba histolytica, 0.5% Giardia and 0.2% Trichomonas hominis. Conclusion: Despite the improvement of public health, parasitic infections are still considered as one of the health problems in the city of Ilam. Therefore, proper planning, public health education, raising the level of health in the area and the provision of safe drinking water are some of the ways to reduce parasitic infections in the region.

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Prevalence and Correlates of Intestinal Parasites among Patients Admitted to Mirembe National Mental Health Hospital, Dodoma, Tanzania

Journal of Parasitology Research ◽

10.1155/2017/5651717 ◽

2017 ◽

Vol 2017 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Azan A. Nyundo ◽

David Z. Munisi ◽

Ainory P. Gesase

Keyword(s):

Neglected Tropical Diseases ◽

Intestinal Parasites ◽

Psychiatric Patients ◽

Parasitic Infection ◽

Parasitic Infections ◽

Intestinal Parasitic Infection ◽

Psychiatric Facility ◽

Concentration Data ◽

Cross Sectional ◽

Stool Samples

Background. Neglected tropical diseases continue to be one of the leading causes of morbidity and mortality in the developing world. Psychiatric patients are among groups at risk for parasitic infection although control and monitoring programs largely overlook this population. This study aimed at determining prevalence and factors associated with intestinal parasitic infection among patients admitted to a psychiatric facility.Method. The study followed cross-sectional design; all the residing patients that met the inclusion criteria were included in the survey. Stool samples were collected and examined by direct wet preparation and formol-ether concentration. Data were analyzed with STATA version 12.1; Chi-square test was computed to determine the level of significance atpvalue < 0.05.Results.Of all 233 patients who returned the stool samples, 29 (12.45%) screened were positive for an intestinal parasite. There was no significant association between parasite carriage and age, sex, or duration of hospital stay.Conclusion. The study shows that intestinal parasitic infection is common among patients in a psychiatric facility and highlights that parasitic infections that enter through skin penetration may be a more common mode of transmission than the oral route. Furthermore, the study underscores the need for surveillance and intervention programs to control and manage these infections.

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Parasitic Infections Associated with Unfavourable Outcomes in Transplant Recipients

Medicina ◽

10.3390/medicina54020027 ◽

2018 ◽

Vol 54 (2) ◽

pp. 27 ◽

Cited By ~ 1

Author(s):

Wojciech Wołyniec ◽

Małgorzata Sulima ◽

Marcin Renke ◽

Alicja Dębska-Ślizień

Keyword(s):

Bone Marrow ◽

Opportunistic Infections ◽

Immunosuppressive Treatment ◽

Parasitic Infection ◽

Parasitic Infections ◽

Solid Organ ◽

Tropical Countries ◽

Real Risk ◽

Increased Risk ◽

Disseminated Disease

Introduction. The immunosuppression used after transplantation (Tx) is associated with an increased risk of opportunistic infections. In Europe, parasitic infections after Tx are much less common than viral, bacterial and fungal ones. However, diseases caused by parasites are very common in tropical countries. In the last years the number of travellers with immunosuppression visiting tropical countries has increased. Methods. We performed a literature review to evaluate a risk of parasitic infections after Tx in Europe. Results. There is a real risk of parasitic infection in patients after Tx travelling to tropical countries. Malaria, leishmaniasis, strongyloidiasis and schistosomiasis are the most dangerous and relatively common. Although the incidence of these tropical infections after Tx has not increased, the course of disease could be fatal. There are also some cosmopolitan parasitic infections dangerous for patients after Tx. The greatest threat in Europe is toxoplasmosis, especially in heart and bone marrow recipients. The most severe manifestations of toxoplasmosis are myocarditis, encephalitis and disseminated disease. Diarrhoea is one of the most common symptoms of parasitic infection. In Europe the most prevalent pathogens causing diarrhoea are Giardia duodenalis and Cryptosporidium. Conclusions. Solid organ and bone marrow transplantations, blood transfusions and immunosuppressive treatment are associated with a small but real risk of parasitic infections in European citizens. In patients with severe parasitic infection, i.e., those with lung or brain involvement or a disseminated disease, the progression is very rapid and the prognosis is bad. Establishing a diagnosis before the patient’s death is challenging.

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A coprological survey of gastro-intestinal parasites of water buffaloes (Bubalus bubalis) in Kurigram district of Bangladesh

Journal of the Bangladesh Agricultural University ◽

10.3329/jbau.v9i1.8752 ◽

1970 ◽

Vol 9 (1) ◽

pp. 103-110 ◽

Cited By ~ 9

Author(s):

MAA Mamun ◽

N Begum ◽

MMH Mondal

Keyword(s):

Intestinal Parasites ◽

Parasitic Infection ◽

Age Groups ◽

Bubalus Bubalis ◽

Parasitic Infections ◽

Water Buffaloes ◽

Toxocara Vitulorum ◽

Coprological Examination ◽

Males And Females ◽

Paramphistomum Cervi

Epidemiology of gastro-intestinal parasites of water buffaloes was investigated in Kurigram district of Bangladesh between November 2007 and October 2008 through coprological examination. A total of 236 water buffaloes were examined, among them 144 (61.02%) buffaloes were found infected with one or more species of gastro-intestinal parasites. Nine species of gastro-intestinal parasites were identified, of them four species were trematodes, namely, Paramphistomum cervi (29.24%), Fasciola gigantica (22.46%), Schistosoma indicum (1.27%), Schistosoma spindale (0.85%); three species were nematodes, namely, Toxocara vitulorum (2.54%), Strongyles (0.85%), Strongyloides sp. (0.42%) and two species were protozoa, namely, Eimeria sp. (3.39%) and Balantidium coli (37.29%). No cestode was detected. Among the gastro-intestinal parasites mixed infection was common. In this investigation, prevalence of parasites in relation to age, sex and seasonal dynamics was also studied. Significantly (p<0.01) higher prevalence of gastro-intestinal parasites was observed in rainy season followed by summer and winter seasons. Males and females were almost equally (odd ratio 1.08) susceptible to gastro-intestinal parasitic infection. In the age groups, young (< 2 to 5 years) were mostly (p<0.01) susceptible to gastro-intestinal parasites. In the present study, EPG (Egg/cyst Per Gram of Feces) was also determined. The range of EPG varied from 100-5000 among the identified parasites. The results of the present investigation revealed that the prevalence of gastro-intestinal parasites in buffaloes is very common and quite severe. It is imperative that integrated strategies and measures be taken to control gastrointestinal parasitic infections in buffaloes in kurigram district and elsewhere in Bangladesh. Keywords: Buffalo; Gastro-intestinal parasites; Kurigram district DOI: http://dx.doi.org/10.3329/jbau.v9i1.8752 JBAU 2011; 9(1): 103-109

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