Intestinal parasitic infections and associated risk factors in diabetic patients: a case-control study

Waly, Walaa Ramadan; Ismail, Mousa A. M.; Abu-Sarea, Enas Y.; Wahab, Wegdan M. Abd El

doi:10.1007/s12639-021-01402-0

Cited by 4 publications

(3 citation statements)

References 29 publications

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“…In all the instances, the patients with diabetes were infected with the individual enteric protozoa compared to nondiabetic patients. Tese present fndings are in line with similar studies conducted among persons with diabetes in Southern Ethiopia [33] and Egypt [34] which recorded a higher prevalence of Cryptosporidium spp. Cryptosporidium spp.…”

Section: Discussionsupporting

confidence: 91%

Enteric Protozoan Parasitosis and Associated Factors among Patients with and without Diabetes Mellitus in a Teaching Hospital in Ghana

Konadu,

Essuman,

Amponsah

et al. 2023

International Journal of Microbiology

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Background. Enteric protozoa infections (EPIs) could worsen clinical outcomes in patients with diabetes mellitus and therefore requires prompt and accurate diagnosis and attention. This study aimed to determine the burden of EPIs and their associated factors among patients with and without diabetics at the Komfo Anokye Teaching Hospital (KATH) in Ghana. Again, the diagnostic performance of parasitological techniques routinely used for diagnosis was assessed. Methods. A total of 240 participants (made up of 140 patients with diabetes and 100 patients without diabetes) were recruited into the study by simple random sampling from November 2020 to May 2021. Stool samples of participants were collected, along with their demographic information, and examined using the saline direct wet mount (DWM), formol-ether concentration (FEC), and modified Ziehl–Neelsen staining (ZNS) techniques for the presence of enteric protozoans. Results. Enteric protozoa were found among 62/140 (44.3%) diabetic patients and 13/100 (13.0%) nondiabetic patients. The predominant protozoa identified were Cryptosporidium spp. (17.86%) among patients with diabetes and Blastocystis hominis (7.0%) among patients without diabetes. EPI was associated with diabetes mellitus status (AOR = 3.48, 95% CI, 1.55–7.79), having diabetes for more than five years (AOR = 3.83, 95% CI, 1.65–8.86) and having comorbidity (AOR = 2.93, 95% CI, 1.33–6.45). The FEC technique had the highest sensitivity (100.0%), specificity 94.3% (95% CI, 91.35–97.22), and accuracy 95.0% (95% CI, 88.54–98.13) when compared to other techniques for diagnosis. Conclusion. EPIs are a significant health problem among patients with diabetes at KATH, and therefore antiparasitic drugs should be included in their treatment protocols for better health outcomes. Again, the FEC technique has demonstrated better performance in detecting EPIs and is therefore recommended to achieve early and accurate diagnosis of EPIs.

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Section: Discussionsupporting

confidence: 91%

Enteric Protozoan Parasitosis and Associated Factors among Patients with and without Diabetes Mellitus in a Teaching Hospital in Ghana

Konadu,

Essuman,

Amponsah

et al. 2023

International Journal of Microbiology

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“…[ 49 ] 2020 Eastern Mediterranean Iraq PCR 40 17 30 1 Waly et al. [ 50 ] 2021 Eastern Mediterranean Egypt Parasitology method 100 44 100 32 Almugadam et al. [ 51 ] 2021 Eastern Mediterranean Sudan Parasitology method 150 31 150 16 Maori et al.…”

Section: Resultsmentioning

confidence: 99%

Intestinal parasites and diabetes: A systematic review and meta-analysis

Zibaei

Bahadory

Saadati

et al. 2023

New Microbes and New Infections

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“…However, Alemu et al [45] found that among diabetics at Arba Minch Hospital, Ethiopia, Cryptosporidium had the highest frequency (8.4%), then Ascaris (3.7%) and G. lamblia (2.8%). Waly et al [46] revealed a prevalence of 44% for intestinal parasites among diabetic patients attending Beni-Suef University Hospital, Egypt. The prevailing parasites were Blastocystis (29%), Cryptosporidium spp.…”

Section: Discussionmentioning

confidence: 99%

Stressing a tired host: Cryptosporidium species and Helicobacter pylori infections in diabetes mellitus patients with gastrointestinal manifestations

Abdel-Shafi¹,

Fadl²,

Elsayed³

et al. 2021

Parasitologists United Journal

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Intestinal parasitic infections and associated risk factors in diabetic patients: a case-control study

Cited by 4 publications

References 29 publications

Enteric Protozoan Parasitosis and Associated Factors among Patients with and without Diabetes Mellitus in a Teaching Hospital in Ghana

Enteric Protozoan Parasitosis and Associated Factors among Patients with and without Diabetes Mellitus in a Teaching Hospital in Ghana

Intestinal parasites and diabetes: A systematic review and meta-analysis

Stressing a tired host: Cryptosporidium species and Helicobacter pylori infections in diabetes mellitus patients with gastrointestinal manifestations

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