Epidemiological and clinical profile of intestinal parasitosis of children in rural areas in Central African Republic

Tekpa, G; Fikouma, Valentin; Gbangbangai, E.; Mejiozem, Brice Olivier Bogning; Nazita, S. Ningatouloum; Koffi, B.

doi:10.1016/j.arcped.2018.11.006

Cited by 5 publications

(3 citation statements)

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“…The present study aimed to understand the epidemiology of intestinal parasitic infections in the Ndelele, Kentzou and Lolo Health Areas of the Ndelele Health District. Overall, 74.9% of participants were infected by at least one intestinal parasite species, which is similar to the infection rate (88.2%) in the neighboring areas of Central African Republic [24]. By contrast this prevalence was very high compared to those obtained by Mbuh [25][26] and Saoting et al (30.0%) in the North Region of Cameroon [27].…”

Section: Discussionsupporting

confidence: 73%

Relationship between high rates of intestinal parasitic infections and knowledge, attitudes, and practices of Ndelele Health District populations (East Region, Cameroon): a cross-sectional mixed approach

Ongbassomben

Ndo

Lebon³

et al. 2021

Preprint

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BackgroundIntestinal parasitic infections remain of public health concern worldwide, especially among rural and poorest populations as a consequence of precariousness, lack of sanitation, non-availability of potable water and poor hygiene conditions. The present study aimed to better understand the epidemiology of intestinal parasitic infections in rural areas of forested Cameroon.MethodologyA cross-sectional survey was conducted in three Health Areas (Ndelele, Kentzou and Lolo) of the Ndelele Health District (East Region, Cameroon). Information on socio-demographic characteristics, knowledge, attitudes, and practices regarding intestinal parasitic infections were collected using a semi-structured questionnaire. Stool samples were collected and analyzed by the Kato-Katz and formalin-ether concentration techniques to complement simple direct examination.Principal FindingsA total of 406 individuals belonging to three main groups (Kako or Bantu, Baka or Pygmies and Central African Republic refugees) were enrolled in the study. The overall intestinal parasitic infection rate was 74.9%, including 57.2% cases of polyparasitism. Fourteen parasite species were identified, 89.1% being intestinal protozoa and 41.8% belonging to helminths. Infections with helminths were associated with Baka (P < 0.0001). Spring water consumption was associated with hookworm infection (OR = 3.87; P = 0.008). Garbage deposited near houses was positively associated with infection with Giardia lamblia (OR = 3.41; P = 0.003). Polyparasitism was positively linked to washing hand without soap before meal (OR= 11.64; p= 0.002).Conclusion/SignificanceIntestinal parasitic infections exhibited high rates in the Ndelele Health District, especially among indigenous and hard-to-reach populations (Pygmies). Hygiene measures appear as the main drivers sustaining transmission, and targeted strategies should be developed to efficiently fight against these debilitating diseases.Author summaryIntestinal parasitic infections such as soil transmitted helminthiasis and schistosomiasis, remain a public health concern in Cameroon. To better understand the epidemiology of these infections in hard-to-reach populations in rural areas, a cross-sectional study was carried out in three health areas of Ndelele health District in the Eastern-Cameroon. The rate of intestinal parasitic infections was high (74.9%) especially in indigenous populations (Baka-Pygmies) which exhibited high prevalence of soil transmitted helminth infections (83.3%). The study confirmed that the lack of sanitation and poor hygiene largely contribute to the endemicity of intestinal parasitic infections, particularly among indigenous populations. Targeted control strategies seem mandatory to reach these populations and offer them appropriate care to interrupt or reduce the transmission of these diseases.

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Section: Discussionsupporting

confidence: 73%

Relationship between high rates of intestinal parasitic infections and knowledge, attitudes, and practices of Ndelele Health District populations (East Region, Cameroon): a cross-sectional mixed approach

Ongbassomben

Ndo

Lebon³

et al. 2021

Preprint

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“…Habit of playing with domestic animals increases the odds of protozoa infection by 3.82 folds. (Table 5) [20,21]. However, these results were higher than finding from Uganda (Prevalence of 55.04%) [22], and England (Prevalence of 30%) [23].…”

Section: Intestinal Parasitic Infection Among Childrenmentioning

confidence: 87%

Intestinal parasitic infection among household contacts of primary cases, a comparative cross-sectional study

Feleke

Beyene

Feleke³

et al. 2019

PLoS ONE

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Background Intestinal parasitic infection affects 3.5 billion people in the world and mostly affecting the low socioeconomic groups. The objectives of this research works were to estimate the prevalence and determinants of intestinal parasitic infection among family members of known intestinal parasite infected patients. Methods and materials A comparative cross-sectional study design was implemented in the urban and rural settings of Mecha district. The data were collected from August 2017toMarch 2019 from intestinal parasite infected patient household members. Epi-info software was used to calculate the sample size, 4531 household members were estimated to be included. Data were collected using interview technique, and collecting stool samples from each household contact of intestinal parasite patients. Descriptive statistics were used to estimate the prevalence of intestinal parasites among known contacts of intestinal parasite patients/family members. Binary logistic regression was used to identify the determinant factors of intestinal parasitic infection among family members. Results The prevalence of intestinal parasite among household contacts of intestinal parasiteinfected family members was 86.14% [95% CI: 86.14%-87.15%]. Hookworm infection was the predominant type of infection (18.8%). Intestinal parasitic infection was associated with sex, environmental sanitation, overcrowding, personal hygiene, residence, substandard house, role in the household, source of light for the house, trimmed fingernails, family size, regular handwashing practice. Protozoa infection was associated with habit of ingesting raw vegetable, playing with domestic animals, water source and the presence of household water filtering materials.

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“…Screening tests performed in the capital city of Bangui in the 1980's in a group of 3,352 residents revealed gastrointestinal parasitic infections in 46.8% of the subjects, with a clear domination of Ancylostoma duodenale (26.7%); infections with more than one parasite species were found to be common [18]. A high rate of parasitic infections (88.2%) with a domination of Ascaris lumbricoides (40.1%) and Necator americanus (18.6%), and large numbers of mixed infections (33.3%), were revealed by screening tests conducted between 2015 -2016 among 102 children living in rural areas in the southern parts of the Central African Republic [19]. The presented study which involved a group of BaAka Pygmies revealed polyparasitism in 70.8% of the study participants, with co-invasions of Ascaris lumbricoides and hookworm, Trichuris trichiura and Giardia intestinalis being the most common.…”

Section: Discussionmentioning

confidence: 99%

Intestinal parasitic infections in a population of BaAka Pygmies inhabiting the Congo Basin in the Central African Republic

Korzeniewski

Augustynowicz

Bylicka-Szczepanowska

et al. 2020

Ann Agric Environ Med.

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Epidemiological and clinical profile of intestinal parasitosis of children in rural areas in Central African Republic

Cited by 5 publications

References 1 publication

Relationship between high rates of intestinal parasitic infections and knowledge, attitudes, and practices of Ndelele Health District populations (East Region, Cameroon): a cross-sectional mixed approach

Relationship between high rates of intestinal parasitic infections and knowledge, attitudes, and practices of Ndelele Health District populations (East Region, Cameroon): a cross-sectional mixed approach

Intestinal parasitic infection among household contacts of primary cases, a comparative cross-sectional study

Intestinal parasitic infections in a population of BaAka Pygmies inhabiting the Congo Basin in the Central African Republic

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