scholarly journals Enteropathogenic Bacterial and Intestinal Parasitic Infections among Asymptomatic Food Handlers in Rangsit University Canteens, Central Thailand

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Sirima Kitvatanachai ◽  
Bajaree Jantrapanukorn ◽  
Utsanee Supcharoengoon ◽  
Chalirmporn Atasilp

Food handlers play an important role in the transmission of foodborne diseases. 108 asymptomatic food handlers work in RSU canteens and have never been checked for intestinal bacteria and parasites, which might be a potential source of infection for customers. This study is aimed at estimating the prevalence of enteropathogenic bacterial and intestinal parasitic infections among food handlers in Rangsit University canteens, central Thailand. A total of 79 food handlers were enrolled, and each provided one stool sample (response rate of 73.2%). Females comprised 93.7% of study participants, and the largest age group was 41–50 years (34.2%). The prevalence of enteropathogenic bacteria in stool cultures was 2.5%, and only Aeromonas spp. were detected. The pathogenic protozoa Giardia duodenalis was detected in 1.3% of samples, and nonpathogenic protozoa was found in 11.4%. No helminths were found in any samples. Approximately 80% of food handlers demonstrated good hygiene practices, including regular hand washing after visiting the toilet, regular hand washing when preparing food, using soap when washing hands, wearing uniforms/gowns, practicing correct hand washing techniques, and having short fingernails. However, the results showed a lack of personal hygiene training and routine medical care (>50% of samples). Stronger intervention would help to eliminate future infections.

2020 ◽  
Author(s):  
Asfaw Negero ◽  
Tomas Benti ◽  
Solomon Taye

Abstract Background: Intestinal parasitic infections are the most common infections in the developing world. Globally, out of the 1.5 billion annual cases of diarrhea, about 70% or 1.05 billion cases are thought to be caused by biological contamination of food. In Ethiopia, due to poor environmental sanitation, low awareness about personal hygiene, lack of pure potable water, and improper faecal disposal, intestinal parasitic infections are highly prevalent. Thus, the aim of this study was to determine the prevalence and associated factors of intestinal parasitosis among food handlers working in food and drinking establishments in Ginnir town, southeast, Ethiopia.Methods: Cross-sectional study design was employed from May 1 to May 29, 2014 in food and drinking establishments in Ginnir town. A total of 348 food handlers were enrolled and stool specimens were collected, and examined using direct saline and formol-ether concentration methods. Bivariable and multivariable logistic regression analysis was performed. A P-value <0.05 was considered as an indicator of statistical significance.Results: The overall prevalence of intestinal parasitosis among food handlers was 48/348 (13.8%) [95%, CI=6.8-20.6]. Entamoeba histolytica/dispar 23/348 (6.6%) followed by Giardia lamblia 16/348 (4.6%), Ascaris lumbricoides 7/348 (2.0%) and Strongyloides stercolaris 2/348 (0.6%) were the detected parasites. Moreover, amongst positives for intestinal parasites, comparable proportions of parasites were detected in males (52%) and females (48%). Habit of eating raw/under cooked vegetables (p=0.00; aOR=2.60; 95%, CI=1.94-8.67), hand washing habit before eating (p=0.03; aOR=1.22; 95%, CI=1.01-3.89), hand washing habit after visiting toilet (p=0.01; aOR=2.85; 95%, CI=2.06-8.31), hand washing habit before food preparation (p=0.02; aOR=1.85; 95%, CI=1.27-4.34) and poor personal hygiene (p=0.00; aOR=3.39; 95%, CI=1.51-10.23) were factors associated with intestinal parasitic infections.Conclusions: The prevalence of intestinal parasitosis among food handlers was relatively low. Though the prevalence was low; regular medical check-up, training and health education on safe food handling and processing should be given to all food handlers.


2019 ◽  
Author(s):  
Birhan Alemnew ◽  
Getnet Gedefaw ◽  
Gedefaw Diress ◽  
Asmamaw Bizuneh Demis

Abstract Background Intestinal infection is still an important public health problem in low-income countries. Food handlers may be infected by a wide range of enteropathogens and have been implicated in the transmission of many infections to the public in the community and the people living in working environments. Therefore, this systematic review and meta-analysis estimate the pooled prevalence and factors associated with intestinal parasitic infections among food handlers working at higher public University student’s cafeterias and public food establishments in Ethiopia. Methods International databases, including PubMed/ Medline, Science Direct, Google Scholar, andHinariwere systematically searched. All identified observational studies reporting the prevalence and factors associated with intestinal parasitic infections at higher public University student’s cafeterias and public food establishments were included. Two authors independently extracted all necessary data using a standardized data extraction format. STATA version 14 statistical software was used to do a meta-analysis. The Cochrane Q test statistics and I2 test were used to assess the heterogeneity of the studies. A random-effect model was computed to estimate the pooled prevalence and factors associated with intestinal parasitic infections. Results After reviewing of 138 studies, 18 studies fulfilled the inclusion criteria and were included in the meta-analysis. The findings from the 18 studies revealed that the pooled prevalence of intestinal parasitic infection among food handlers working in higher public university student’s cafeterias and public food establishments was 28.5% (95%CI: 27.4, 29.7). The dominant intestinal parasites were E.histolytica 6.38 (95%Cl: 5.73, 7.04), followed by A.lumbricodes4.12 (95%Cl: 3.56, 4.67), and G. lamblia 3.12(95%Cl: 2.65, 3.60). Fingernail trimming 3.04 (95% CI:2.19, 4.22), hand washing after defecation 2.71 (95%CI:1.93, 3.82), hand washing after touching any body parts 2.41 (95%CI:1.64, 3.56), medical checkup 2.26, (95%CI:1.57, 3.25), food safety training 1.79 (95%CI: 1.30, 2.45) were factors significantly associated with intestinal parasitic infections. Conclusion In this study, intestinal parasitic infections among food handlers working in higher public university student’s cafeterias and public food establishment’s in Ethiopia were significantly high. Fingernail trimming, hand washing after defecation, hand washing after touching any body parts, regular medical checkup, and food safety training were significantly associated with intestinal parasitic infections.


2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Solomon Yeshanew ◽  
Melaku Tadege ◽  
Abdulhakim Abamecha

Food handlers are important sources of intestinal parasitic infection to the public and mass catering service areas. Several reports worldwide particularly in developing countries showed a high prevalence of intestinal parasitic infections among these groups of individuals. In an attempt to determine the prevalence of intestinal parasites, a cross-sectional study was carried out among food handlers in food establishment areas of Mettu town, Southwest Ethiopia. To collect sociodemographic characteristics of the study participants, a structured questionnaire and physical observation were employed. Stool specimens collected from each food handlers participated in the study were then examined using light microscopy of the wet mount followed by formol-ether concentration methods to see infection status. A total of 139 food handlers were enrolled in the study. Majority of them were females 89 (64%), and 124 (89.2%) of them had not taken any training related to food handling and preparation. Sixty-two (44.6%) of the study participants were diagnosed with one or more intestinal parasites. The chi-square test showed that intestinal parasite infection was found associated with personal hygiene ( p  ≤ 0.0001), nail trimming status ( p  ≤ 0.0001), and hair cover status ( p  ≤ 0.040). The multivariable logistic regression indicated that the risk to be infected with intestinal parasites were related with older age ( p  ≤ 0.032), food handlers who had no hand wash practices ( p  ≤ 0.033), who had no food handling and preparation training ( p  ≤ 0.005), poor personal hygiene ( p  ≤ 0.0001), who had not taken regular medical checkup ( p  ≤ 0.008), and whose nail was not trimmed ( p  ≤ 0.0001). The most abundant intestinal parasite identified was G. lamblia (24, 26.7%) followed by E. histolytica/dispar (22, 24.4%), and A. lumbricoides (15, 16.7%). Twenty-eight (45.2%) study individuals were also found with mixed infections. The study thus revealed a high prevalence of intestinal parasitic infection among apparently healthy food handlers in food establishments of the study area. Mass drug administration for all food handlers working in food establishment areas of the town coupled with health education and training should be initiated urgently.


2020 ◽  
Author(s):  
Solomon Taye ◽  
Asfaw Negero ◽  
Tomas Benti

Abstract Background: Intestinal parasitic infections are the most common infections in the developing world. Globally, out of the 1.5 billion annual cases of diarrhea, about 70% or 1.05 billion cases are thought to be caused by biological contamination of food. In Ethiopia, due to poor environmental sanitation, low awareness about personal hygiene, lack of pure potable water, and improper faecal disposal, intestinal parasitic infections are highly prevalent. Thus, the aim of this study was to determine the prevalence and associated factors of intestinal parasitosis among food handlers working in food and drinking establishments in Ginnir town, southeast, Ethiopia.Method: Cross-sectional study design was employed from May 1 to May 29, 2014 in food and drinking establishments in Ginnir town. A total of 348 food handlers were selected using simple random sampling method. Stool specimens were collected and examined using direct saline and formol-ether concentration methods. Bivariate and multivariable logistic regression analysis was performed. A P-value <0.05 was considered as an indicator of statistical significance.Result: The overall prevalence of intestinal parasitosis among food handlers was 48/348(13.8%). Entamoeba histolytica/dispar 23/348(6.6%) followed by Giardia lamblia 16/348(4.6%), Ascaris lumbricoides 7/348(2.0%) and Strongyloides stercolaris 2/348(0.6%) were the most prevalent parasites. Moreover, comparable proportions of parasites were detected in males (52%) and females (48%). Habit of eating raw/under cooked vegetables (AOR=2.6, 95% CI=2.94-8.67) and poor personal hygiene (AOR=3.39, 95% CI=1.51-10.23) were factors significantly associated with intestinal parasitic infections.Conclusion: The prevalence of intestinal parasitosis among food handlers is relatively low. Though the prevalence rate is low; regular medical check-up, training and health education on safe food handling and processing should be given for all food handlers.


2019 ◽  
Author(s):  
Birhan Alemnew ◽  
Getnet Gedefaw ◽  
Gedefaw Diress ◽  
Asmamaw Demis Bizuneh

Abstract Background: Intestinal infection is still an important public health problem in low-income countries. Food handlers may be infected by a wide range of enteropathogens and have been implicated in the transmission of many infections to the public. Therefore, the aim of this review was to produce the pooled prevalence and factors associated with intestinal parasitic infections among food handlers working at higher public University student’s cafeterias and public food establishments in Ethiopia. Methods: Articles published in PubMed/Medline, Hinari, Web of Science, Science Direct, and Google Scholar were used using a search strategy. Observational studies (cross-sectional, cohort and case-control) revealing the prevalence and factors associated with intestinal parasitic infections at higher public University student’s cafeterias and public food establishments were incorporated. Two authors have reviewed the extraction and appraisal of the study using the extraction format. Meta-analysis was computed using STATA version 14 statistical software. Heterogeneity of the study was assessed using Cochrane Q test statistics and I2 test. The pooled prevalence of the intestinal parasitic infection and associated factors among food handlers was calculated by the random-effect model. Results: Out of 138 reviewed studies, 18 studies were included to estimate the pooled prevalence of intestinal parasitic infections among food handlers in Ethiopia. All the eighteen articles were included in the analysis. This study revealed that the pooled prevalence of intestinal parasitic infections was 28.5% (95%CI: 27.4, 29.7). E.histolytica 6.38 (95%Cl: 5.73, 7.04), A.lumbricodes 4.12 (95%Cl: 3.56, 4.67), and G. lamblia 3.12(95%Cl: 2.65, 3.60) were the most common intestinal parasitic infections in this study. Fingernail trimming 3.04 (95% CI: 2.19, 4.22), hand washing after defecation 2.71 (95%CI: 1.93, 3.82), hand washing after touching any body parts 2.41 (95%CI: 1.64, 3.56), medical checkup 2.26 (95%CI: 1.57, 3.25), food safety training 1.79 (95%CI: 1.30, 2.45) were factors significantly associated with intestinal parasitic infections. Conclusion: Parasitic infections among food handlers were significantly high. Fingernail trimming, hand washing after defecation, hand washing after touching any body parts, regular medical checkup and food safety training were significantly associated with intestinal parasitic infections. Keywords: Prevalence, intestinal parasite, associated factors, meta-analysis, systematic review, Ethiopia.


2021 ◽  
Vol 2021 ◽  
pp. 1-15
Author(s):  
Sunil Tulshiram Hajare ◽  
Robe Kuti Gobena ◽  
Nitin Mahendra Chauhan ◽  
Feleke Erniso

Intestinal parasites are responsible for one of the major health problems like food contamination with socioeconomic effects in the world with a prevalence rate of 30-60%, in developing countries that lie within tropical and subtropical areas. They pose a reasonable public health burden, particularly in low- and middle-income countries, including Ethiopia. Globally, due to intestinal parasitic infections, around 3.5 billion people are affected and more than 200,000 deaths are reported annually. Around 50000 deaths yearly are caused by intestinal parasites in Ethiopia. As such, intestinal parasites perceived global and local burdens to various countries. The risk of food contamination depends largely on the health status of the food handlers, their hygiene, knowledge, and practice of food hygiene. Food handlers with poor personal hygiene and sanitation conditions are the major potential sources of intestinal helminthes and protozoa worldwide. The proposed study was aimed at evaluating prevalence of intestinal parasitic infections and their associated factors among food handlers working in selected catering establishments. A cross-sectional study was conducted in Bule Hora Town from March to April 2020. A total of 136 catering establishments were selected using a systematic sampling technique. Data analysis was done using SPSS version 20. The prevalence of intestinal parasites in this study was 46.3%. Entamoeba histolytica was the most predominant parasite (33.3%, i.e., 21/63) while Giardia lamblia was the least (11.1%, i.e., 7/63). Consumption of vended or borehole water and hygienic practices such as hand washing before eating, after using toilet, before cooking and trimming of finger nail and wearing proper working clothes and shoes were statistically significant with intestinal parasitic infection ( P < 0.05 ). Generally, the prevalence of intestinal parasitic infection in this study was high and contributed by low socioeconomic status and poor environmental and personal hygiene. Measures including education on personal hygiene, environmental sanitation, drinking water supply, regular medical checkups, and treatment should be taken into account to reduce the prevalence of intestinal parasites.


2019 ◽  
Author(s):  
Birhan Alemnew ◽  
Yalemzewud Belay ◽  
Asmamaw Demis

Abstract Abstract Objectives: the main of this study was to assess the Magnitude of intestinal parasitic infections and associated factors among food handlers working at Woldia University Student’s cafeteria, Northeastern Ethiopia. An Institution based cross sectional study was conducted among 256 food handlers, Northern Ethiopia. Systematic random sampling were used to select study participants Results: A total of 256 food handlers were enrolled making the overall magnitude of intestinal parasite which was stool specimens positive for different diagnostic stages of parasites was found to be 43(16.8%). Entamoeba histolytica/dispar was the most prevalent parasites 14(5.5%), followed by Giardia lamblia 10(3.9%). Lack of food safety training (AOR = 6.58; 95%CI: 2.46–17.62), no regular medical checkup (AOR=2.41; 95 %CI: 1.47-4.24), no hand washing practice after toilet by soap (AOR =3.24; 95%CI: 1.28-8.19), no hand washing practice before eating by soap (AOR =4.03; 95%CI: 1.64-9.91) and haven’t food preparation license (AOR= 6.13; 95 % CI: 2.18-17.22) were significantly associated with parasitic infection among food handlers. Keywords: Intestinal parasites, Food handlers, Student cafeteria, Woldia University


2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Kefale Shiferaw ◽  
Teklemichael Tesfay ◽  
Girmay Kalayu ◽  
Gebrehiwot Kiros

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.


2021 ◽  
Vol 1 (1) ◽  
pp. 38
Author(s):  
Sherlina Rintik Tirta Ayu ◽  
Sri Haryati ◽  
Yulia Sari ◽  
Sutartinah Handayani

<p>Intestinal parasitic infections are caused by protozoa, STH and non-STH worms. Immunity, which can be determined by measuring nutritional status, and personal hygiene can affect the occurrence of intestinal parasite infections. This study aims to determine the relationship between personal hygiene and nutritional status against intestinal parasite infections in elementary school students in Simo Boyolali. This type of analytic observational research with a cross sectional approach. Total sampling was taken at elementary school of Wates, Talakbroto 1, and Kedunglengkong 1 Simo, Boyolali. There were 11 students with worms infections, 16 with protozoa infections, and 4 with worms and protozoa infection. There was a relationship between washing hands before eating (p = 0.004), after eating (0.027), after defecating (p = 0.04), biting nails (p = 0.008), wearing footwear when leaving the house (p = 0.008) , removing shoes while playing during school breaks (p = 0.001), and nutritional status (p = 0.002) with intestinal parasite infection. There was no relationship between nail clipping once a week (p = 0.118) and the availability of a latrine (p = 0.416) with intestinal parasitic infections. So, there is a relationship between personal hygiene (washing hands before eating, after eating, after defecating, biting nails, wearing footwear when leaving the house, removing shoes when playing during school breaks, and nutritional status) and intestinal parasitic infections.</p><p> </p><p>Keywords<strong>:</strong> elementary school; protozoa; worms.</p>


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