scholarly journals Multiparasitism among Schoolchildren of Akonolinga, Nyong et Mfoumou Division, Centre Region of Cameroon

2019 ◽  
Vol 10 (2) ◽  
pp. 90
Author(s):  
Martin Gael Oyono ◽  
Leopold Gustave Lehman ◽  
Samuel Fosso ◽  
Charles Félix Bilong Bilong

In general, school-age children are the most vulnerable to parasitic infections and are particularly exposed to multi-parasitism and its potential consequences. This study aimed at determining the intensity of multi-parasitism in Nyong et Mfoumou Division. A cross-sectional study took place from September 2017 to July 2018 among pupils of five (05) government schools from the Nyong et Mfoumou Division. Stool samples were collected from each child and examined for protozoan cysts, helminth eggs and larva while blood samples were collected for detection of Plasmodium sp. and filarial blood stages. In addition, socio-demographic information were documented. In total, 416 schoolchildren were recruited; out of which 309 (74.28%) were infected by at least one parasite species. 13 parasite species were found: 03 blood parasites and 10 intestinal parasites. Plasmodium falciparum was the main blood parasite (37.26%). Amongst intestinal parasites, Entamoeba coli were the most common among protozoa (29.33%) and Ascaris lumbricoides among helminths (21.39%). The frequency of multi-parasitism was 44.47% and the average species reach was 1.43 ± 0.01 per individual. Four types of multi-parasitism were found (bi-parasitism, tri-parasitism, quadri-parasitism and penta-parasitism); the bi-parasitism (26.68%) was the most common. Significantly statistic associations were found between parasite species such as: Entamoeba coli, Entamoeba histolytica/dispar, Ascaris lumbricoides, Trichuris trichiura can be explained by the same means of transmission. Association between Ascaris lumbricoides and Mansonella perstans could be a synergic interaction between these parasites. We conclude that the intensity of multiparasitism among schoolchildren in Nyong et Mfoumou Division is high with predominance in rural areas.

2019 ◽  
Author(s):  
Martin G. Oyono ◽  
Leopold G. Lehman ◽  
Samuel Fosso ◽  
C. F. Bilong Bilong

AbstractIn Sub-Saharan Africa, school-age children are the most vulnerable to parasitic infections and are particularly exposed to multi-parasitism and its potential consequences. This study aimed at determining the intensity of multi-parasitism in Nyong et Mfoumou Division and identifying its determinants. A cross-sectional study took place from September 2017 to July 2018 among pupils of five (05) government schools from the Nyong et Mfoumou Division. Stool samples were collected from each child and examined for protozoan cysts, helminth eggs and larva while blood samples were collected for detection of Plasmodium spp and filarial blood stages. In addition, socio-demographic and school environment related information were documented. In total, 416 schoolchildren were recruited; out of which 309 (74.28%) were infected by at least one parasite species. 13 parasite species were found: 03 hemoparasites and 10 intestinal parasites. Plasmodium falciparum was the main hemoparasite (37.26%). Amongst intestinal parasites, Entamoeba coli were the most common among protozoa (29.33%) and Ascaris lumbricoides among helminths (21.39%). The frequency of multi-parasitism was 44.47% and the average species reach was 1.43 ± 0.01 per individual. Four types of multi-parasitism were found (bi-parasitism, tri-parasitism, quadri-parasitism and penta-parasitism); the bi-parasitism (26.68%) was the most common. Significantly statistic associations were found between parasite species such as: Entamoeba coli, Entamoeba histolytica/dispar, Ascaris lumbricoides, Trichirus trichiura and Mansonella perstans and can generally be explained by the same means of transmission. We conclude that the intensity of multiparasitism among schoolchildren in Nyong et Mfoumou Division is high with predominance in rural areas.Author SummaryEverywhere in Sub-Saharan Africa, school-age children are most vulnerable to parasitic infections, and in higher risk of multiparasitism and its potential consequences. Here, we report results obtained from pupils aged from 4 to 15 years from the Nyong et Mfoumou Division in the Centre Region of Cameroon. Amongst these pupils, 74.28% were infected with one parasite specie at least and 13 parasite species were found in the study area. The highest frequency, 37.26%, was found for Plasmodium falciparum. Entamoeba coli (29.33%) and Ascaris lumbricoides (21.39%) were the most common intestinal protozoa and helminth respectively. The frequency of multiparasitism was 44.47%; 26.68% participants harbored two parasites species concurrently and the maximum number of parasites harbored by one host individual was 5. The risk of multiparasitism was significantly higher for females, schoolchildren aged from 8 to 11 years and those living in rural areas. We conclude that the frequency of multiparasitism is higher in the Nyong et Mfoumou Division. These findings could be helpful in defining and implementing more effective parasitic diseases control strategies.


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).


2020 ◽  
Vol 30 (1) ◽  
pp. 34764
Author(s):  
Andressa Barros Ibiapina ◽  
Janaína Soares Leal ◽  
Pedro Ricardo Alves de Santana ◽  
Marcelo Ribeiro Mesquita ◽  
Tito Lívio da Cunha Lopes ◽  
...  

AIMS: This research aims to determine the epidemiology and the spatial distribution of intestinal parasitosis in the city of Teresina.METHODS: A cross-sectional study was carried out based on the data of parasitological fecal exams performed in the Laboratory Raul Bacelar between January, 2014 and July, 2017. In addition to the prevalence of intestinal parasitosis and polyparasitism, we verified the association of these diseases with gender, zone and period of the year by means of the chi-squared test, whereas the relation with age was analyzed by the Mann-Kendall tests and multiple comparisons of age classes. The spatial distribution was performed using the QGIS georeferencing software.RESULTS: The prevalence of enteroparasitosis in Teresina is 17,8% with Ascaris lumbricoides being the most common species, due to the precarious sanitary conditions of the city. The prevalence of individuals with polyparasitism is 3,13%, in which an association between the species Entamoeba coli and Entamoeba histolytica/dispar was found. There was no relation between intestinal parasitosis with gender, but we verified that individuals in rural areas are more susceptible to these diseases. The species Ascaris lumbricoides and Entamoeba histolytica/dispar occur more frequently in the first and second semester, respectively. We observed that there is an apparent tendency to increase cases of E. histolytica/dispar and reduction of cases of Giardia sp. according to aging. Mapping intestinal parasitosis showed us that there is a prevalence between one and 20% in most of Teresina's neighborhoods, and Ascariasis embodies at least 40% of cases of enteroparasitosis in these neighborhoods.CONCLUSIONS: Investments in basic sanitation and new epidemiological investigations must be carried out to control intestinal parasitosis in Teresina, emphasizing that children and the elderly should be considered priority groups in these programs.


2020 ◽  
Vol 57 (4) ◽  
pp. 293-305
Author(s):  
H. M. Al-Mekhlafi

SummaryHymenolepis nana is the most common cestode reported in humans worldwide. It is prevalent among children in the tropics and subtropics, particularly in rural poor communities where sanitation is inadequate or lacking. This cross-sectional study aims to determine the prevalence and significant risk factors of H. nana infection among children in rural Yemen. Faecal samples were collected from 498 children and screened for intestinal parasites by using wet mount, formalin-ether concentration and Kato–Katz techniques. A pretested questionnaire was used to collect demographic, socioeconomic, housing condition, and personal hygiene information. Overall, 77.5 % (386/498) of the children were found to be infected by at least one intestinal parasite species. The overall prevalence of H. nana was 17.5 % (87/498). Multivariate analysis confirmed that an age of < 6 years (adjusted odds ratio [AOR] = 4.28; 95 % (confidence interval [CI] = 2.04, 8.98), presence of other family members infected with H. nana (AOR = 2.48; 95 % CI = 1.45, 4.24), living in the highlands (AOR = 2.87; 95 % CI = 1.56, 5.26), living in a house without improved toilet facilities (AOR = 2.19; 95 % CI = 1.23, 3.88), not washing vegetables before consumption (AOR = 2.11; 95 % CI = 1.06, 4.19), and not washing hands after defecation (AOR = 1.88; 95 % CI = 1.08, 3.27) were the key factors significantly associated with H. nana infection among the studied children. In conclusion, H. nana is prevalent among children in rural Yemen, particularly among preschool-aged children. Thus, an integrated and effective programme to control intestinal parasitic infections should include preschool-aged children. Such a programme should focus on providing health education on hygienic practices, providing adequate sanitation and improved sources of drinking water, and screening and treating other infected family members.


2020 ◽  
Author(s):  
Ermias Alemayehu ◽  
Alemu Gedefie ◽  
Aderaw Adamu ◽  
Jemal Mohammed ◽  
Brhanu Kassanew ◽  
...  

Abstract Background: Parasitic infections are known causes of morbidity among HIV infected patients with low CD4+ counts who are on antiretroviral therapy; mainly as a result of immune suppression. Thus, this study aimed to assess the extent of intestinal parasitic infection and its related risk factors among HIV infected patients attending ART clinic of Debretabor General Hospital, Northern Ethiopia.Patients and methods: A health facility based cross sectional study was conducted on a total of 383 HIV infected patients attending ART clinic of Debretabor General Hospital, Northern Ethiopia from December 2018 to March 2019. An interview based structured questionnaire were used to gather socio-demographic and risk factor data. About 5 grams of fresh stool specimen and 4 ml of venous blood sample were collected, then transported and tested in accordance with the laboratory standard operating procedures. The obtained data was entered into SPSS version 22.0; and analyzed. P-value <0.05 with 95% confidence interval was considered statistically significant.Result: The overall prevalence of intestinal parasites was 25.3%; with 18% and 23.8% by direct wet mount and formol-ether concentration technique respectively. 8 (2.1%) patients were infected by multiple parasites in concentration technique. Ascaris lumbricoides, 23(25.3%) was the most frequently identified parasite. Parasitic infection was significantly higher among illiterates (P=0.011); patients with a CD4 count of <200 cells/mm3 (P<0.001) and among patients who did not have latrine (P=0.049) than their counter parts.Conclusion: Relatively higher prevalence of intestinal parasitic infection was found among HIV/AIDS patients. The distribution of intestinal parasites is greatly affected by illiteracy, reduced CD4+ counts and absence of toilet. Thus, HIV/AIDS patients with low CD4+ counts should be diagnosed consistently for intestinal parasites and routine stool examination and awareness creation should be advocated to be included as an essential component of the ART monitoring strategy for improved patient care.


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.


Author(s):  
Alireza Javidmehr ◽  
Yagoob Garedaghi ◽  
Amir Babak Sioufi

Introduction: Cryptosporidiosis is a worldwide zoonotic disease that is caused by Cryptosporidium species and leads to acute or chronic diarrhea and vomiting in patients. Due to the suitable conditions of East Azerbaijan province for parasite transmission, the present study was performed to evaluate the prevalence of Cryptosporidium infection in patients with gastroenteritis referred to hospitals and reference laboratories of East Azerbaijan province during 2018-2019. Methods: A descriptive cross-sectional study was performed on patients with diarrhea who referred to hospitals and reference laboratories of East Azerbaijan province during 2018-2019. In this study, 180 fecal samples were collected from patients with gastroenteritis by cluster-random sampling. Stool samples were stored in 10% formalin and transferred to a parasitology laboratory and examined for parasite contamination by modified acid-fast staining (Modified Ziehl-Neelsen) method. Data were analyzed by chi-square test using SPSS. Results: Out of 180 samples, the highest number of diarrhea samples belonged to the age group over 40 years (35.5%) and the lowest belonged to the age group of 10-20 years (7.7%). Additionally, 56% of subjects were male and 44% were female. Of these patients, 57.7% lived in urban areas and 42.3% in rural areas. Cryptosporidium was observed in 1.6% (3 cases) of patients with gastroenteritis. There was a statistically significant relationship between Cryptosporidium infection and the age of patients with diarrhea (P<0.05). Conclusion: In the present study, a lower prevalence of cryptosporidiosis has been determined in comparison with previous studies in East Azerbaijan province. However, Cryptosporidium and other parasitic infections in the feces of patients with diarrhea referred to hospitals or reference laboratories need to be carefully diagnosed by appropriate parasitological methods.


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