scholarly journals Prevalence of intestinal parasitic infection in patients attending National Referral Hospital, Thimphu, from 2013 to 2015: A retrospective study

2018 ◽  
Vol 4 (1) ◽  
pp. 46-49
Author(s):  
Karma Norbu ◽  
Adeep Mongar ◽  
Nima Dorji ◽  
Leki D. Drukpa

Introduction: Infection with intestinal parasites continues to be a significant public health problem worldwide. There is no information on the prevalence of these intestinal parasites in patients visiting the National Referral Hospital, Thimphu, Bhutan. Methods: The study utilized information of stool data from 2013 to 2015 and was analyzed using SPSS 16.0. Wet and Iodine mount technique were used for identification. Results: The overall intestinal prevalence rate was 2.1%. Out of 5919 stool samples, Giardia lamblia has the highest rate of 0.93%, followed by Entamoeba coli 0.15%, Trichomonahomonis 0.19% and Taeniaspp. 0.17%.Giardia lamblia infection was 1.03% in males and 0.85% in females. The overall prevalence rate of parasitic infections was highest in >56 years age group with 2.83% in females and 2.0% in males. Conclusion: The overall prevalence of intestinal parasites is a concern in the country. Furthermore, this study provides insights to develop effective public health intervention for reducing parasitic infections in the country.

2019 ◽  
Vol 19 (3) ◽  
pp. 284-287
Author(s):  
S. Viesy ◽  
J. Abdi ◽  
Z. Rezaei

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.


2021 ◽  
Vol 5 (01) ◽  
pp. 15-19
Author(s):  
Madhav Raj Sharma ◽  
Sohan Jha ◽  
Pawan Jha ◽  
Prashant Dahal

Intestinal parasitic infections caused by intestinal helminthes and protozoa are the most common human infections endemic throughout the world especially in tropical and subtropical countries including Nepal. This study was conducted to study the prevalence of intestinal parasites among patients visiting Sub-Regional Hospital, Dadeldhura, Nepal. Altogether 480 stool samples were collected from April 2017- October 2017. Microscopic examination of stool was done by using formal-ether concentration technique in the Microbiology Laboratory of Sub-Regional Hospital, Dadeldhura Nepal. The overall prevalence rate was found to be 10.625%. The prevalence of parasitic infection was higher in males (52.94%) than in females (47.06%). In the age group below 15 years, the prevalence was found to be higher (52.94 %) than other age groups. Total 6 species of intestinal parasites; 2 (33.33%) were protozoan parasites viz. cysts and trophozoites of Giardia lamblia, and cysts of Entamoeba histolytica, and 4 (66.67%) were helminths viz. ova of Ascaris lumbricoides, Trichuris trichuria, Hymenolepis nana, and Ancylostoma duodenale. The infection rate was found to be higher in people taking normal tap water. The study concluded that intestinal protozoan infection is still a public health problem of concern among the people of Dadeldhura. The prevalence of intestinal protozoan infection was found to be high in children and low educated groups in Dadeldhura. Thus, health education along with infection management actions and awareness programs for sanitation improvements are required to reduce protozoan infections.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Gemechu Ameya ◽  
Zerihun Zerdo ◽  
Mihret Tesfaye ◽  
Chimdo Jabesa ◽  
Abayneh Awaje ◽  
...  

Abstract Background Intestinal parasitic infection is one of the parasitic infections affecting people living in prison. Helminths and intestinal protozoan infections are the most common parasitic infection that may cause serious life-threatening diseases in inmates living in developing countries. This study was aimed to investigate the prevalence and associated factors of intestinal parasitic infections (IPIs) among inmates living in Arba Minch prison, southern Ethiopia. Methods Institutional based cross sectional study was conducted on Arba Minch inmates, southern Ethiopian. Pre-tested semi-structured questionnaire was used to gather the data of socio-demographic characteristics, hygiene status of the prisoners, sanitation condition of the prison, and associated factors for IPIs by face to face interview. Direct wet-mount examination and formol-ether sedimentation techniques were used to examine intestinal parasitic infection from stool specimens. Binary logistic regression analysis was used to see the association between different variables and the IPI. Odds ratio with 95% CI was computed to determine the presence association and strength of the associated factors. Result A total of 320 prisoners were participated in this study. Of these, 154(48.1%) of them were infected with one or more intestinal parasites. Eight different intestinal parasites species were identified and Giardia lamblia was the predominant parasite. Among infected inmates, nearly one out of four of them had multiple parasitic infections dominated by Giardia lamblia and E. histolytica/dispar co-infection. Sleeping in group [AOR = 1.9; 95% CI: (1.0–3.8)], married prisoners [AOR = 1.8; 95% CI: (1.1–2.9)], and hand washing habits after handling soil [AOR = 2.4; 95% CI: (1.0–5.6)] were independently associated with IPI. Conclusion High prevalence of intestinal parasitic infection was detected in Arba Minch inmates, southern Ethiopian. Absence of hand washing, marital status, and way of sleeping were the factors associated with the IPI. Implementation of mass drug administration, education on water, sanitation and hygiene (WASH) and periodic screening of intestinal parasitic infection is very important to reduce the high prevalence IPIs in prison.


2020 ◽  
Author(s):  
Sebastian von Huth ◽  
Louise B. Thingholm ◽  
Poul-Erik Kofoed ◽  
Corinna Bang ◽  
Malte C. Rühlemann ◽  
...  

Abstract Background: Intestinal parasitic infections, caused by helminths and protozoa, are globally distributed and major causes of worldwide morbidity. The gut microbiota may modulate parasite virulence and host response upon infection. The complex interplay between parasites and the gut microbiota is poorly understood, partly due to sampling difficulties in remote areas with high parasite prevalence and burden. Results: In a large study of children in Bissau, Guinea-Bissau, we found high prevalence of intestinal parasites, including hookworms, Entamoeba spp. and Giardia lamblia. By high-quality sequencing of the 16S rRNA gene of fecal samples stored on filter paper from a total of 1,204 children, we demonstrate that the bacterial microbiota is more or less unaltered by helminth infections, whereas it is shaped by the presence of both pathogenic and non-pathogenic protozoa, including Entamoeba spp. and Giardia lamblia. Within-sample (alpha) diversity remains largely unaffected, whereas overall community composition (beta diversity) is significantly affected by infection with both nonpathogenic Entamoeba coli (R2=0.0131, P= 0.0001) and Endolimax nana (R2=0.00902, P= 0.0001), and by pathogenic Entamoeba histolytica (R2=0.0164, P= 0.0001) and Giardia lamblia (R2=0.00676, P= 0.0001). Heavy infection load with multiple parasite species induces more pronounced shifts in microbiota community than mild ones. A total of 31 bacterial genera across all four major gut bacterial phyla associates with protozoan infection, including increased abundance of Prevotella, Campylobacter and two Clostridium clades (IV and WIVb), and decreased abundance of Collinsella (associated with irritable bowel syndrome), Lactobacillus, Ruminococcus, Veillonella and one Clostridium clade (XVIII). Further, we demonstrate that filter papers are usable for storage of samples at room temperature in large-scale studies where immediate freezing is not possible with minor alterations of microbiota composition. Conclusion: In the present largest-to-date study, we demonstrate that the fecal bacterial microbiota is shaped by intestinal parasitic infection, with most pronounced associations for protozoan species. Our results provide insights into the interplay between the microbiota and intestinal parasites, which are useful to understand infection outcome and design further studies aimed at optimizing treatment strategies.


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.  


Author(s):  
Kayque Wellek Delgado do Amaral ◽  
Cristiane Venturini Garlet ◽  
Daniel Contreira Júnior ◽  
Marcus Tadeu Fernandes Gomes da Silva ◽  
Laura Simões Cogorno ◽  
...  

Introduction: Parasitosis is a type of endoparasitism, which is directly related to sanitary conditions and is an important public health problem in developing countries. Objective: To determine the prevalence of intestinal parasites in children attending a primary public school in Pedro Juan Caballero - PY. Materials and Methods: 85 (eighty-five) stool samples were analyzed using the centrifugal sedimentation technique. Results: Cysts and/or parasite eggs were observed in the stool samples of 67 (78.8%) children. Giardia lamblia cysts were those that showed the highest incidence in the children. Conclusion: The high Giardia lamblia index demonstrates the lack of access to drinking water for consumption, inadequate sanitation and the absence of a public health network. This study highlights the importance of encouraging the use of serial analysis of stool, strengthening preventive measures for parasitosis, developing protocols for their approach, and designing a strategy that includes the preschool population in the programs that periodically evaluate the development of children.


2015 ◽  
Vol 42 (1) ◽  
pp. 91-103 ◽  
Author(s):  
Hasina Banu ◽  
Hamida Khanum ◽  
Md Anwar Hossain

A total of 1570 adolescent girls (aged 10-19 years) of rural, urban and slum areas in and around Dhaka city were investigated to determine the association of anaemia with parasitic infection. About one third (33.50%) of the adolescent girls were found to be infected with one or more protozoans (Entamoeba histolytica, Giardia lamblia) and helminths (Ascaris lumbricoides, Trichuris trichura, Strongyloieds stercoralis, hookworms). Anaemia (32.22%) was reported among the adolescent girls and 39.52% anaemic girls were infected with intestinal parasites against the 30.63% non anaemic cases. Anaemia was significantly associated with parasitic infestation (?2 =11.76, p<0.000). Percentage of anaemic cases was higher in slum area (38.75%) and lower in urban area (24.11%) respectively. Socioeconomic status of the adolescent girls had also impact on the prevalence of parasites and anaemia. Parasitic infestation was much lower (16.10%) among the literate compared to the illiterate respondents (47.58%). The prevalence of parasite infection was positively associated with illiterate adolescent girls (?2=171.27, OR=4.73, p<0.000). The level of education was inversely related (r = -0.98, p<0.01) with the prevalence of anaemia. Unhygienic latrine users were associated with parasite infection (OR=2.80) and anaemia (OR=2.16) respectively. The present study revealed that parasitic infection and socioeconomic status may be responsible for anaemia among the adolescent girls.Bangladesh J. Zool. 42(1): 91-103, 2014


Author(s):  
K. Mohammed ◽  
E. Emeagubor ◽  
M. U. Iduh ◽  
M. K. Garba ◽  
S. U. Nataala ◽  
...  

Background: Hookworm is an intestinal parasite of human and is one of the major public health burdens in developing countries, particularly in Sub-Saharan Africa. It is estimated that about 3.5 billion people globally and 450 million people are thought to be ill as a result of such infections, the majority being children. Aims: The study aimed to determine the prevalence of Hookworm and other intestinal parasitic infection among primary school children Study Design: This was a cross-sectional, descriptive study Place and Duration of Study: This study was conducted in among patients attending Usmanu Danfodiyo University, Teaching Hospital, Sokoto, Sokoto state, between March to November, 2017. Methodology: A total of 224 participants were enrolled for the study. Standard parasitological  examination  was carried  out  on  stool  samples  using microscopy followed by formal  ether  concentration  methods Results: Finding revealed, an overall prevalence of 4.5% out of 224 samples examined recorded for both Hookworm and other intestinal parasitic infection. There was high prevalence rate of Hookworm and other intestinal parasitic infection among males (5.3%) than females (3.6%).29 (12%) were positive for intestinal parasitic infections. Males  recorded  higher  prevalence  than  the  females  with 19 (11.9%)  and  10 (11.8%)  respectively Conclusion: The total low prevalence rate of Hookworm and other intestinal parasitic infection may be as a result of improved standard of living and awareness of the Hookworm and other intestinal parasites in the study area. The government, non-governmental agencies and private individuals should help in the provision of social amenities to ensure total eradication of these diseases. The teaching of health education in both private schools should be encouraged by the government which will go a long way in  reducing  prevalence and  intensity  of  Hookworm  infections  among  the  study community.


2020 ◽  
Author(s):  
Kassahun Tassow Haile ◽  
Deneke Wolde ◽  
Girum Tesfaye ◽  
Tilahun Yemane ◽  
Abebe Timerga ◽  
...  

Abstract Background: Anemia is a worldwide public health problem and also associated with H. pylori infection. Determining the association of anemia with H. pylori infection is important to develop evidence-based decision and intervention strategies. Association between anemia and H. pylori infection is not well known in Ethiopia. Thus, this study aimed to determine the association between anemia and H. pylori infection among adult dyspeptic patients attending Wachemo University Nigist Eleni Mohammad Memorial Referral Hospital in southwest Ethiopia.Method: A cross-sectional study was conducted from January to April 2019 involving 362 consecutive adult dyspeptic patients who came to the hospital during the study period. Socio-demographic, clinical and other related data were collected by structured questionnaires. Four milliliters of the venous blood sample was collected for hematological parameters analysis and blood film preparation. A stool sample was collected to detect H. pylori antigen and intestinal parasites. Data were analyzed by SPSS version 21. Logistic regression analyses were performed and p-value <0.05 was considered as statistically significant.Results: The overall prevalence of anemia among dyspeptic patients was 24.3% (95%CI: 19.9- 28.7). Among H.pylori infected participants 29.2% were anemic, of which 69.2% had mild anemia and 63.5% had normocytic normochromic anemia. Rural residence (AOR: 1.9, 95%CI: 1.1-3.3), H. pylori infection (AOR: 1.77, 95%CI: 1.05-2.98) and intestinal parasitic infection (AOR: 2.14, 95%CI: 1.14-4.03) were significantly associated with anemia.Conclusion: The prevalence of anemia in this study indicated that it is a moderate public health problem. Rural residence, H. pylori and intestinal parasitic infection were significantly associated with anemia. The findings of this study should be taken into account for the prevention and control of anemia among dyspeptic adults.


2019 ◽  
Author(s):  
Million Getachew Mesfun ◽  
Andre Fuchs ◽  
Martha Charlotte Holtfreter ◽  
Torsten Feldt ◽  
Dieter Häussinger

Abstract Background: Intestinal parasitic infections are a major public health challenge in many tropical countries. Opportunistic intestinal coccidia such as Cryptosporidia, Cytoisospora or Cyclospora species are common pathogens which are regularly missed using widely practiced wet mount stool microscopy techniques. Therefore, treatment choices are limited and mostly rely on empirical use of cotrimoxazole. The aim of this study was to determine the prevalence of intestinal parasitosis among HIV-infected individuals with and without diarrhoea at the Asella Teaching and Referral Hospital in Ethiopia. Methods: This institution-based cross sectional study was conducted among 163 ambulatory HIV-infected patients with and without diarrhoea. Stool samples were processed for both wet mount and Kinyoun stain. EDTA blood was collected for analysis of CD4 cell count using BD FACSCount™ Flow Cytometer. Sociodemographic and behavioural data was collected using a standardized questionnaire. Chi-squared test was used for statistical analysis. Results: The majority of study participants (62.0%, n=101) were female and the mean age was 38.2 (SD +10.7) years. 52.1% (n=85) of the participants suffered from diarrhoea. The overall prevalence of intestinal parasitic infection in the study population was 18.4% (n=30). Protozoa (Cryptosporidium spp., E. histolytica, G. lamblia and Pentatrichomonas hominis) and helminths (Taenia spp., A. lumbricoides, S. stercoralis, T. trichuria and H. nana) were detected in 12.9% (n=21) and 5.5% (n=9) of patients, respectively. The likelihood for having a parasitic infection was more than eight times higher in participants having diarrhoea. No oocysts of coccidian parasites were detected in the routinely performed wet mount stool microscopy, as expected. Conclusions: There was a high prevalence of opportunistic intestinal parasitic infection in the studied population. Considering the clinical relevance of opportunistic infections particularly in individuals with low CD4 cell count and diarrhoea, the implementation of both stool concentration and modified acid fast staining techniques should be considered to enhance the quality of health care service for HIV-infected patients in resource-limited settings as Ethiopia.


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