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

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Bijay Kumar Shrestha ◽  
Manita Tumbahangphe ◽  
Jenish Shakya ◽  
Anu Rai ◽  
Kabita Dhakal ◽  
...  

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.

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2698-2703
Author(s):  
Rajendra Kumar Karadiya ◽  
Saroj Hooja ◽  
Nita Pal ◽  
Rajeev Yadav ◽  
Nitya Vyas

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.


2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Davoud Balarak ◽  
Mohammad Jafari Modrek ◽  
Edris Bazrafshan ◽  
Hossein Ansari ◽  
Ferdos Kord Mostafapour

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.


Author(s):  
PREM PRAKASH MISHRA ◽  
ANIL KUMAR ◽  
DEEPAK UPADHYAY ◽  
AMIT GARG ◽  
SHRISTI SHARMA

Objective: Intestinal parasitic infection is a burgeoning health issue, especially in developing countries owing to low socioeconomic conditions, poor sanitation, poor personal hygiene, and lack of access to potable drinking water. This study aims to determine the prevalence of different intestinal parasites among the patients. Methods: This cross-sectional study was conducted among 470 patients attending our hospital from October 2018 to September 2019. Specimens were collected and examined macroscopically and microscopically using concentration methods and modified Ziehl–Neelsen staining for coccidian parasites. Results: Out of the 470 patients, prevalence of intestinal infections was 4.89%. The helminthic infections were more common (52.17%), which was topped by Hookworm infection (26.09%) followed by Ascariasis (13.04%). Among the protozoa, Giardia lamblia (26.09%) was the most common, followed by Entamoeba histolytica (17.39%). The parasitic infections were more in female (5.62%) than male (4.19%) and highest in the pediatric age group and between 51 and 60 years. Conclusion: The prevalence of intestinal parasitic infections is decreasing due to increasing awareness about sanitation, effects of open defecation, safe drinking water, and personal hygiene. However, the need of intervallic monitoring of intestinal parasitic infections is necessary.


2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Yafet Kesete ◽  
Huruy Tesfahiwet ◽  
Ghimja Fessehaye ◽  
Yohana Kidane ◽  
Yafet Tekle ◽  
...  

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.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Eshetu Gadisa ◽  
Kefiyalew Jote

Abstract Background Intestinal parasitic infection is diversified illness and diseases caused millions morbidity among under-five children lives in developing countries particularly vulnerable rural communities. Deworming coverage in such community is low. The aim of this study was to determine the prevalence and associated risk factors of intestinal parasitic infections (IPIs) among under-five children live in and around Haro Dumal Town. Methods Community-based cross-sectional study was conducted in 561 randomly selected under-five children from June to August, 2018. The stool samples were collected and examined by basic parasitological techniques. Data related to socio-demographic and risk factors were collected using a self administered questionnaire. Statistical data analysis was done using SPSS version 21 and the bivariate and multivariate logistic regression used to compute the association between variables. P-value of < 0.05 was statistical significance. The results Of the 561 total under-five children, 216 (38.5%) were found to be infected with intestinal parasites. E.histolytica/dispar (15.3%) was the most prevalent parasite, followed by hook worm (14.4%) and T.trichuria (13.9%). Regarding risk factors, geo-phage [(AOR = 4.7; 95%CI: 2.0–10.4), P < 0.001], tungiasis [(AOR = 3.1; 95%CI: 1.1–6.6), P < 0.001], eating raw vegetable [(AOR = 1.3; 95%CI: 1.4–3.3), P < 0.001] were significantly associated with intestinal parasitic infections. Conclusion Intestinal parasitic infections (IPIs) were found to be highly prevalent in the study area. Hence, improving sanitation, controlling ecto-parasite such as tungiasis, provision of safe water and successful mass-deworming are important.


2020 ◽  
Vol 8 (1) ◽  
pp. 5-13
Author(s):  
Janak Raj Subedi ◽  
Krishna Prasad Gaire ◽  
Ravi Prasad Devkota

Background and Objectives: Gastrointestinal infections impose a great and often silent burden of morbidity and mortality on poor populations in developing countries. School age children are one of the groups at high-risk for intestinal parasitic infections. The objective of this study was to compare the prevalence rate of intestinal helminthes parasites among private and public school children of Devdaha Municipality of Rupandehi district and to determine the association of prevalence with different risk factors. Material and methods: The study was carried out during June to July 2019. A total of 150 (75 from public and 75 from private school) stool samples were collected in clean, dry and screw capped plastic vials and were studied for the presence of intestinal helminthes parasites using direct smear method. Results: Overall parasitic prevalence rate was 18.66% (28/150). Prevalence rate was considerably higher in public school children (22.66%; 17/75) compared with private school (14.66%; 11/75) (P>0.05). The prevalence of helminthes parasitic infections was statistically independent with age and gender of the students (P>0.05). The current finding was maximum for single parasitic infection in both public (88.23%) and private (90.90%) school. Total four genera of parasites were identified. Among them, Ascaris lumbricoides was most common followed by Trichuris trichiura, Hookworms and Taenia sp. Conclusion: Transmissions of infections were generally due to poor sanitary habits, use of contaminated drinking water and improper disposal management. This study suggests the need of health education program in schools along with regular screening of intestinal parasites and periodic administration of anti-parasitic drugs for the effective management of the intestinal parasitic infections among school children in Nepal.


2021 ◽  
Vol 9 (02) ◽  
pp. 30-35
Author(s):  
Shristi Raut ◽  
Srijan Bhattarai ◽  
Rita Khanal ◽  
Sulochana Khatiwada ◽  
Rajeshwar Reddy Kasarla

INTRODUCTION: Intestinal parasites cause significant morbidity and mortality, particularly in the tropics including Nepal. The main objective of this study was to explore the burden of intestinal parasitic infections among children in 5 different primary schools in Bhairahawa, Nepal. MATERIAL AND METHODS: This was a cross-sectional comparative study among 408 children from 5 schools in Bhirahawa, Nepal. Stool specimens collected in a plastic container were transported to microbiology laboratory in Universal College of Medical Sciences Teaching Hospital (UCMSTH) immediately. Each sample was examined macroscopically and microscopically for the evidence of parasitic infection. All samples were re-analysed by sedimentation and floatation concentration techniques one after another. RESULTS: The overall prevalence of the parasitic infection was 46.5%. The prevalence varied by the methods that included routine microscopy (23.2%), sedimentation (41.6%) and flotation (8.3%). Ascaris lumbricoides was the most common (29.1%) parasite followed by Entamoeba histolytica (6.1%). Mixed infection was also seen in 7.8% of the samples. Factors such as children’s academic year, age, religion, existing illness, household water sources, meat consumed, domestic animals at house, and recent history of taking anti-helminthics were significantly associated with the intestinal parasitic infections. Prevalence of intestinal parasitic infection was higher in public school (61.1%) compared to private school (37%). Male students had slightly more infections (47.3%) than females (45.7%). CONCLUSIONS: Enteric parasitic infection was very high among the primary schools’ students in Bhairahawa, Nepal. Integrating concentration techniques in routine test can help to detect most of the enteric parasites in stool specimens.


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 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 5 (01) ◽  
pp. 26-35
Author(s):  
Dhiren Subba Limbu ◽  
Samana Shrestha ◽  
Kamana Bantawa ◽  
Ramesh Majhi ◽  
Milan Kharel

 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.


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