scholarly journals Cystic Echinococcosis: Knowledge, Attitude, and Practices (KAP) among Surgically Operated Cases in Fars Province, Southern Iran

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Zahra Hosseini ◽  
Reza Shahriarirad ◽  
Bahador Sarkari
Keyword(s):  
Hydatid Cyst ◽  
Cystic Echinococcosis ◽  
Urban Areas ◽  
Positive Attitude ◽  
Good Practice ◽  
Fars Province ◽  
Control Plan ◽  
Southern Iran ◽  
Dog Owners ◽  
And Control

Introduction. Cystic echinococcosis (CE) is a neglected zoonotic disease caused by Echinococcus granulosus with major health and economic burden. The information on how the community members perceive the disease is crucial in order to recommend an effective preventive and control plan. The current study is aimed at finding out knowledge, attitude, and practices (KAP) of surgically operated cases of hydatid cyst in educational hospitals of Shiraz in Fars Province, southern Iran, toward the CE. Methods. A cross-sectional survey was conducted among 180 CE patients who underwent surgery due to CE. Using a well-designed questionnaire, a telephone-based survey was carried out to collect the data. The contents of the questionnaire included basic personal information and questions related to the participants’ knowledge, attitude, and behavioral patterns toward CE. Univariate and then multivariate linear regression analyses were used to identify factors associated with the KAP. Unstandardized regression coefficients (β) and odds ratios (ORs) and their 95% confidence intervals (CIs) were used to quantify the associations between variables and KAP. Results. A total of 180 CE patients with a mean age of 35.64 (±17.59) years were recruited. The mean score of participant’s knowledge was 8.7 ( SD = 2.8 , range: 0-17), whereas these scores were 1.3 ( SD = 0.7 , range 0-2) for attitude and 1.2 ( SD = 1.0 , range 0-4) for practice. Findings of the study demonstrated that 20 of the participants (11.1%) had good knowledge towards CE, 82 (45.6%) demonstrated a positive attitude, and 57 (47.5%) without having dogs demonstrated a good practice towards CE ( score = 2 / 2 ), while from 60 dog owners, only 7 (11.6%) participants demonstrated good practice (score 3 and 4/4). Factors that were associated with knowledge were age ( OR = − 0.49 , P value = 0.001) and educational level ( OR = 0.668 , P value = 0.001), where higher age was associated with lower knowledge and also higher educational levels were associated with higher knowledge regarding hydatid cyst. Regarding attitude, only living location had a significant association with participants’ attitude where those who were living in urban areas demonstrating a more positive attitude towards CE ( OR = 0.261 , P value = 0.022). The practice of the participants was grouped into dog owners and participants with no dogs, in which among participants who did not own a dog, those living in urban areas demonstrating weaker practice towards CE ( OR = − 0.491 , P value>0.001). Moreover, a lack of counseling of patients after the surgery on how to prevent reinfection was noticed. Conclusion. Findings of the study revealed that the CE patients in southern Iran had poor knowledge and attitude toward the disease, and their practice may help in maintaining the disease in the community. Health education is highly needed to increase community awareness and to prevent and control this neglected parasitic infection in the area.

scholarly journals Uncommon Locations of Cystic Echinococcosis: A Report of 46 Cases from Southern Iran

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Reza Shahriarirad ◽  
Amirhossein Erfani ◽  
Mehrdad Eskandarisani ◽  
Mohammad Rastegarian ◽  
Bahador Sarkari
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Cystic Echinococcosis ◽  
The Body ◽  
Pelvic Cavity ◽  
Fars Province ◽  
Hydatid Cysts ◽  
Unusual Location ◽  
Southern Iran ◽  
Demographical Data

Background. Most cases of hydatid cysts form in the liver and lung and other tissues are considered as unusual locations in hydatid cysts. The current study aimed to find out the rate and features of hydatid cysts in uncommon locations in Fars Province, Southern Iran, over a 15-year period. Methods. The hospital records of patients who underwent surgery for hydatid cysts in university-affiliated hospitals in Fars Province, Southern Iran, from 2004 to 2018, were retrospectively reviewed. For each patient, clinical and demographical data were recorded. Results. During a 15-year period, a total of 501 patients were surgically treated for hydatid cysts, and out of these, 46 (9.2%) were presented with the unusual locations of hydatid disease. Males constituted 28 (60.9%) of these patients while 18 (39.1%) of the patients were females. The patients’ age ranged from 5 to 80 years (mean = 40.49; SD = 20.37). The size of the cysts ranged from 2 to 20 cm (mean = 8.69, SD = 4.59). The most common unusual location for the hydatid cyst was the spleen with 30.4% of cases, followed by the pelvic cavity (15.2%). Out of 46 cases with unusual location of the hydatid cyst, 10 (21.7%) cases had lung, 22 (47.8%) cases had liver, and 5 (10.9%) cases had both liver and lung hydatid cysts, simultaneously with cysts in unusual locations. Conclusion. In cystic echinococcosis- (CE) endemic areas, hydatid disease can affect any organ, from head to toe, in humans. The disease should be considered in the differential diagnosis of any cystic entities anywhere in the body.

scholarly journals AsymptomaticLeishmaniaInfected Children: A Seroprevalence and Molecular Survey in a Rural Area of Fars Province, Southern Iran

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Akram Layegh Gigloo ◽  
Bahador Sarkari ◽  
Zahra Rezaei ◽  
Gholam Reza Hatam ◽  
Mohammad Hassan Davami
Keyword(s):  
Rural Area ◽  
Buffy Coat ◽  
Seroprevalence Rate ◽  
Fars Province ◽  
Healthy Children ◽  
Serum Samples ◽  
Southern Iran ◽  
Negative Findings ◽  
And Gender ◽  
And Control

The current study aimed to evaluate the seroprevalence of visceral leishmaniasis in asymptomatic healthy children in a rural area of Fars province, Southern Iran. Blood samples were taken from 617 asymptomatic healthy children and serum samples along with buffy coat were separated from the blood. The serum samples were assessed for antibodies againstLeishmania infantumby an indirect ELISA and the buffy coats were tested for the presence ofL. infantumDNA by molecular method. Of the 617 recruited children, 297 (48.1%) were female and 317 (51.4%) were male. Anti-Leishmaniaantibodies were detected in 17 (2.8%) of the children. From those 17 seropositive cases, 5 (29.4%) were male and 12 (70.6%) cases were female. Children aged 5–8 years had the highest seroprevalence rate; however, no associations were found between seropositivity toLeishmaniaand gender or age of the children. Moreover,L. infantumDNA was detected in buffy coat of 8 (1.3%) of 617 children. Three of the PCR-positive cases were seropositive whereas 14 of seropositive subjects (82.3%) were PCR-negative. Findings of the current study revealed a considerable subclinical leishmanial infection in children in the studied rural area in the south of Iran. Results of the current study could be used for surveillance, prevention, and control of VL in the area.

scholarly journals Knowledge, Attitude and Practice of Mothers on Prevention and Control of Intestinal Parasitic Infestations in Sekota Town, Waghimra Zone, Ethiopia

2019 ◽  
Author(s):  
Mesfin Wudu Kassaw ◽  
Ayele Mamo Abebe ◽  
Biruk Beletew Abate ◽  
Alemu Birara Zemariam ◽  
Ayelign Mengesha Kassie
Keyword(s):  
Preschool Children ◽  
Prevention And Control ◽  
Positive Attitude ◽  
Intestinal Parasites ◽  
Good Practice ◽  
Parasitic Infection ◽  
System Level ◽  
Attitude And Practice ◽  
And Control ◽  
Knowledge Attitude And Practice

Abstract Background Intestinal parasites were a major public health problem in many developing countries. It accounts for 1.5 billion infections with one or more causative agents. The national prevalence of helminthiasis in Ethiopia was 29.8% with considerable variability across the different regions. Young children had a high infection rate and suffered with a substantial worm burden of A. lumbricoides, trichuris trichiura and schistosomes . Parasitic infection has also serious consequences on human health, such as hepatomegaly, bleeding, esophageal varices, delay in physical development. It also decrease the immunity system, level of intelligence, and labor productivity. Therefore, this study was intended to assess mothers’ knowledge, attitude and practice on prevention and control of intestinal parasitic infection among their preschool children in Sekota town, Waghimra zone, EthiopiaMethods A cross sectional study was carried out on 378 mothers who had under six years but over two years old children. Although, 384 mothers were selected using sample size calculation in the year 2019, the data was collected from 378 mother-child pairs. A face to face interview was performed using pretested and structured questionnaire in the urban villages, Sekota town. The level of maternal knowledge, attitude and practice were presented in percentage, frequency and table. Results The overall level of good knowledge or knoledgable, positive attitude and good practice of mothers towards intestinal parasites prevention and control in considering their preschool children in Sekota town was 45.2%, 55.3% and 51.1% respectively. Seventy seven 77(20.4%) respondents reported that they knew Ascaris Lumbricoids , 62 (16.4%) participants wash vegetables as a means of intestinal prevention, and 252 (66.7%) of participants stated that their children had at least one stool examination previously.Conclusions The overall level of optimum knowledge, attitude and practice of mothers on prevention and control of intestinal parasites is low. In particular, the level of optimal knowledge is very low in this study. According to the median parameter, 50% and above of mothers had both positive attitude and good practice. But mothers who were knowledgeable fall below 50%. Therefore, community awareness about intestinal parasitic infestations prevention and control should be created with special emphasis on mothers.

scholarly journals Seroprevalence of Cystic Echinococcosis and related risk factors for infection among children in a rural community in Fars Province, Southern Iran

2020 ◽  
Vol 8 (1) ◽  
pp. 13-16 ◽  
Author(s):  
Bahador Sarkari ◽  
Nasir Arefkhah ◽  
Fariba Ghorbani ◽  
Farzaneh Meskini ◽  
Narjes Yektaeian ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rural Community ◽  
Cystic Echinococcosis ◽  
Fars Province ◽  
Southern Iran ◽  
Related Risk

scholarly journals Seroprevalence of cystic echinococcosis in blood donors in Fars province, southern Iran

2017 ◽  
Vol 2 (1) ◽  
pp. 8-12 ◽  
Author(s):  
Bahador Sarkari ◽  
Farshid Hosseini ◽  
Samaneh Abdolahi Khabisi ◽  
Farzaneh Sedaghat
Keyword(s):  
Cystic Echinococcosis ◽  
Blood Donors ◽  
Fars Province ◽  
Southern Iran

scholarly journals Management of Liver Hydatid Cysts: A Cross-Sectional Retrospective Analysis of 293 Cases From Southern Iran

2021 ◽  
Author(s):  
Amirhossein Erfani ◽  
Reza shahriarirad ◽  
Mehrdad Eskandarisani ◽  
Mohammad Rastegarian ◽  
Bahador Sarkari
Keyword(s):  
Hydatid Cyst ◽  
Radical Surgery ◽  
Conservative Surgery ◽  
Fars Province ◽  
Hydatid Cysts ◽  
Cross Sectional ◽  
Liver Hydatid Cyst ◽  
Southern Iran ◽  
The Mean ◽  
Clinical Records

Abstract Background: The current study aimed to evaluate the therapeutic features and complications of liver hydatid cyst in patients who underwent surgery for CE in Fars province, southern Iran.Methods: A total of 293 patients who underwent surgery for liver hydatid cyst from 2004 to 2018 in Fars Province, southern Iran, were retrospectively evaluated. The clinical records of patients were reviewed and the demographic and clinical characteristics of each patient were assessed.Results: Of the total of 293 cases, 178 (60.9%) were females and 115 (39.1%) were males. The mean age of the subjects was 37.22 (±20.55) years. The mean size of the liver hydatid cyst was 9.18 (± 4.365). Of the 293 patients studied, 227 (77.4%) had hydatid cysts only in the liver, while 55 (9.4%) had both liver and lung cysts. More than half of the liver cysts (65.9%) were located in the right portion of the liver (segment 5 to 8). Of the 293 cases, 52 (17.7%) underwent radical surgery while 241 (82.3%) underwent conservative surgery. Recurrence of hydatid cyst was recorded in 46 (15%) of cases. Patients who were treated with radical surgery in comparison with those who had conservative surgery had a lower recurrence rate but a longer duration of hospital stay (p<0.05). Conclusion: Recurrence remains as one of the major challenges in the management of hydatid cyst. Radical surgery reduces the chance of recurrence, although this procedure increases the length of hospital stay.This study was registered at Clinicaltrials.gov with registration ID of NCT04363151. https://clinicaltrials.gov/ct2/show/NCT04363151?cntry=IR&city=Shiraz&draw=2&rank=1

scholarly journals Knowledge, Attitudes and Practices on Rabies among Human and Animal Health Professionals in Senegal

Pathogens ◽  
2021 ◽  
Vol 10 (10) ◽  
pp. 1282
Author(s):  
Mouhamadou Faly Ba ◽  
Ndèye Mbacké Kane ◽  
Mamadou Kindi Korka Diallo ◽  
Oumar Bassoum ◽  
Oumy Kaltome Boh ◽  
...  
Keyword(s):  
Health Professionals ◽  
Urban Areas ◽  
Positive Attitude ◽  
Tertiary Education ◽  
Animal Health ◽  
Good Practice ◽  
Public Health Problem ◽  
Attitudes And Practices ◽  
Sufficient Knowledge ◽  
Knowledge Attitudes And Practices

Rabies is still a public health problem in Senegal. This study aimed to assess the knowledge, attitudes and practices on rabies among human and animal health professionals. It was a cross-sectional, descriptive and analytical study conducted in the Kaffrine district. Data were collected from 28 June to 01 July 2021. An exhaustive recruitment was done, and the final sample size was 95 health professionals. R software was used for descriptive, bivariate and multivariate analyses. Health professionals with sufficient knowledge, positive attitudes and good practices in relation to rabies represented 35.8%, 26.3% and 45.3% of the study respectively. The results of the multivariate analysis showed that professionals who worked in urban areas (AOR = 11.10; 95% CI = [3.50–41.69]) and who worked in animal health (AOR = 7.45; 95% CI = [1.16–70.40]) were more likely to have sufficient knowledge about rabies. Professionals with tertiary education (AOR = 12.40; CI95% = [1.80–268.00]) and with sufficient knowledge (AOR = 3.41; CI95% = [1.01–12.70]) were more likely to have a positive attitude about rabies. Professionals with a positive attitude about rabies (AOR = 3.23; 95% CI = [1.08–10.70]) were more likely to have a good practice when presented with an animal bite case. These results suggest that improving health professionals’ knowledge about rabies is essential in order to influence their attitudes and practices against rabies.

scholarly journals Knowledge, Attitude and Practice of Mothers on Prevention and Control of Intestinal Parasitic Infection in Sekota Town, Wag-Himra Zone, Ethiopia

2020 ◽  
Author(s):  
Mesfin Wudu Kassaw ◽  
Ayele Mamo Abebe ◽  
Biruk Beletew Abate ◽  
Alemu Birara Zemariam ◽  
Ayelign Mengesha Kassie
Keyword(s):  
Preschool Children ◽  
Prevention And Control ◽  
Positive Attitude ◽  
Intestinal Parasites ◽  
Good Practice ◽  
Parasitic Infection ◽  
Intestinal Parasitic Infection ◽  
Attitude And Practice ◽  
And Control ◽  
Knowledge Attitude And Practice

Abstract Background: Intestinal parasites were a major public health problem in many developing countries. It accounts for 1.5 billion infections with one or more causative agents. The national prevalence of helminthiasis in Ethiopia was 29.8% with considerable variability across the different regions. Young children had a high infection rate and suffered with a substantial worm burden of A. lumbricoides, trichuris trichiura and schistosomes . Parasitic infection has also serious consequences on human health, such as hepatomegaly, bleeding, esophageal varices, delay in physical development. It also decreases the immunity system, level of intelligence, and labor productivity. Therefore, this study was intended to assess mothers’ knowledge, attitude and practice on prevention and control of intestinal parasitic infection among their preschool children in Sekota town, Waghimra zone, Ethiopia Methods: A cross sectional study was carried out on 378 mothers who had under six years but over two years old children. Although, 384 mothers were selected using sample size calculation in the year 2019, the data was collected from 378 mother-child pairs. A face to face interview was performed using pretested and structured questionnaire in the urban villages, Sekota town. The level of maternal knowledge, attitude and practice were presented in percentage, frequence and table. In each step standard operational procedures were followed. Results: The overall level of good knowledge or knoledgable, positive attitude and good practice of mothers towards intestinal parasites prevention and control in considering their preschool children in Sekota town was 45.2%, 55.3% and 51.1% respectively. Seventy-seven 77(20.4%) respondents reported that they knew Ascaris Lumbricoids , 62 (16.4%) participants wash vegetables as a means of intestinal prevention, and 252 (66.7%) of participants stated that their children had at least one stool examination previously. Conclusions: The overall level of optimum knowledge, attitude and practice of mothers on prevention and control of intestinal parasites is low. In particular, the level of optimal knowledge is very low in this study. According to the median parameter, 50% and above of mothers had both positive attitude and good practice. But mothers who were knowledgeable placed below 50%. Therefore, community awareness about parasitic infestation would be created.

scholarly journals Pulmonary hydatidosis genotypes isolates from human clinical surgery based on sequencing of mitochondrial genes in Fars, Iran

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Parviz Mardani ◽  
Ali Talebi Ezabadi ◽  
Bahareh Sedaghat ◽  
Seyed Mahmoud Sadjjadi
Keyword(s):  
Hydatid Cyst ◽  
Statistical Correlation ◽  
Left Lobe ◽  
Cox1 Gene ◽  
Fars Province ◽  
Study Population ◽  
Right Lobe ◽  
And Gender ◽  
The Right ◽  
Pulmonary Hydatid Cyst

Abstract Background Cystic echinococcosis (CE)/hydatidosis is an important neglected parasitic zoonotic disease caused by the metacestode of Echinococcus granulosus s.l. The present study was designed to identify the pulmonary CE species/genotypes in isolated human underwent to surgery in our center in Southern Iran. Methods The study population of this study were all patients in Fars province who were admitted to Namazi Hospitals for pulmonary hydatid cyst surgery. Thoracic surgery was performed in the thoracic ward and the cyst/s was removed by open surgery via posterolateral or lateral thoracotomy. DNA was extracted from the germinal layer or the protoscoleces. PCR technique was performed using the cytochrome C oxidase subunit1 (cox1) gene, and the products were sequenced. Results A total of 32 pulmonary hydatid cyst samples were collected from 9 (28%) female and 23 (72%) male aged from 4 to 74 years old. A total of 18(56%) cyst/s were in the left lobe and 14 (44%) cysts in the right lobe. Sequence analysis of the cysts showed that 24 samples (75%) were E. granulosus s.s (G1-G3) genotype and 8 (25%) were E. canadensis (G6/G7) genotype. Conclusion E.granulosus s.s genotype was the most prevalent genotype followed by E. canadensis (G6/G7) genotype. There was no significant statistical correlation between cysts’ size, location, genotype strain, and patients’ age and gender.

scholarly journals Human Cystic Echinococcosis in Lebanon: A Retrospective Study and Molecular Epidemiology

2021 ◽  
Author(s):  
Gaelle Joanny ◽  
Maria Grazia Cappai ◽  
Francesca Nonnis ◽  
Claudia Tamponi ◽  
Giorgia Dessì ◽  
...  
Keyword(s):  
Echinococcus Granulosus ◽  
Cystic Echinococcosis ◽  
Epidemiological Data ◽  
Sensu Stricto ◽  
Control Measures ◽  
Mediterranean Countries ◽  
High Gene ◽  
Human Infections ◽  
And Control ◽  
Human Cystic Echinococcosis

Abstract Purpose Human cystic echinococcosis (CE) is a zoonotic parasitic disease that constitutes a public health challenge and a socio-economic burden in endemic areas worldwide. No specific surveillance system of CE infections in humans exists in Lebanon. The incidence and trends over time have not been documented. The current study aimed to assess the demographic and epidemiologic features of human CE surgical cases over a 14-year period in the five main regions of Lebanon. Methods From 2005 to 2018, a total of 894 surgically confirmed cases of hydatidosis were recorded from five anatomy and pathology laboratories. Results The mean annual surgical incidence was 1.23/100,000 inhabitants. Over the span of these years, the incidence increased from 0.53 to 1.94 cases/100,000 inhabitants in 2005 and 2018, respectively. CE is present in Lebanon with an uneven distribution from one region to the other with higher prevalence in Bekaa (29.0%), a rural area where sheep raising is widespread. Human CE cases were more common in females (60.1%) than in males (39.9%) and a high burden of infection was reported for the age group of 30–39 years. Besides, 66.7% of the cases expressed only liver complications whereas, 20.5% showed predilection towards lungs. The 7.8% of cases presented cysts in other organs, and 1.3% showed multiple localizations. Additionally, predominant involvement of Echinococcus granulosus sensu stricto was recorded in human infections. Comparison of Echinococcus granulosus s.s. populations from different Mediterranean countries also revealed high gene flow among this region and sharing of alleles. Conclusion The current study is a step forward to fill the gap of knowledge for the hydatidosis in Lebanon where the lack of epidemiological data and control measures have resulted in higher incidence of human CE. Graphic Abstract

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