Prevalence of and risk factors for intestinal parasite infections in pediatric patients admitted to public hospitals in Southern Brazil

Almeida, Isis Almeida de; Jeske, Sabrina; Mesemburg, Marília Arndt; Berne, Maria Elisabeth Aires; Villela, Marcos Marreiro

doi:10.1590/0037-8682-0116-2017

Cited by 8 publications

(9 citation statements)

References 11 publications

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“…We observed that G. lamblia infection was more common in older children. This finding was also observed in other studies; -in hospitalized children from Manhiça district in the south region of Mozambique, Brazil and Cuba [5,7,36,37]. Children's habits can explain this finding.…”

Section: Plos Neglected Tropical Diseasessupporting

confidence: 86%

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Intestinal protozoan infections among children 0-168 months with diarrhea in Mozambique: June 2014 - January 2018

et al. 2020

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Background Intestinal parasites such as Cryptosporidium spp., Giardia lamblia and Entamoeba histolytica can cause severe diarrhea, especially among children in developing countries. This study aims to determine the frequency of Cryptosporidium spp., Giardia lamblia and Entamoeba histolytica in children with diarrhea and identify risk factors for infection. Methodology We conducted a cross-sectional study in children aged 0-168 months hospitalized with diarrhea in three regions of Mozambique, from June 2014 to January 2018. Following consent, caretakers were interviewed and a single stool specimen was collected from each child to diagnose Cryptosporidium spp., G. lamblia and E. histolytica using commercial immuneenzymatic assay (TechLab, Inc, Blacksburg, VA, USA). Anthropometric data were collected from the clinical reports. Multivariable logistic regression models were built to identify risk factors for Cryptosporidium spp. and G. lamblia infection. Results Twenty-one percent of all specimens (212/1008) presented at least one parasitic infection. Cryptosporidium spp. infection was the most common 12.0% (118/985), followed by G. lamblia 9.7% (95/983) and E. histolytica 2.0% (20/1004). Risk factors for infection by Cryptosporidium spp. were: provenience (children from Nampula province showed the highest risk, OR: 8.176; CI: 1.916-34.894; p-value < 0.01); animal contact (children with animal contact PLOS NEGLECTED TROPICAL DISEASES

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Section: Plos Neglected Tropical Diseasessupporting

confidence: 86%

“…Having a developing immune system, being undernourished, and animal contact are risk factors for intestinal parasite infection [2,7,8]. Symptoms of intestinal parasites can include lack of appetite, anemia, abdominal pains, cognitive impairment, fever, vomiting, malabsorption, and diarrhea [2,7,8].…”

Section: Introductionmentioning

confidence: 99%

Intestinal protozoan infections among children 0-168 months with diarrhea in Mozambique: June 2014 - January 2018

et al. 2020

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“…This type of infections may also be used as socioeconomic development indicators. Nevertheless, current data on intestinal infections concerning hospitalized children anywhere is still limited [6,26].…”

Section: Discussionmentioning

confidence: 99%

“…In the current study, we were able to identify age as a risk factor for global intestinal parasitic infection. It is widely known that older children are more exposed to greater transmission risk due to the inadequate personal hygiene habits and greater contact with the soil than younger children [26,36,37,40]. It is believed that children harbour higher levels of intestinal pathogens and eggs of helminths, thereby exposure to their feces poses a greater risk to health [38,39].…”

Section: Discussionmentioning

confidence: 99%

Intestinal parasitic infections in children under five in the Central Hospital of Nampula, Northern Mozambique

Ferreira

Pereira

Martins

2020

J Infect Dev Ctries

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Introduction: Intestinal parasites are known to cause infection in humans worldwide, with higher prevalence in low- and middle- incoming countries. Children are greatly affected leading to malnutrition and subsequently to physical and cognitive development impairment. Despite the scale and importance of this issue, there are few studies conducted in Mozambique concerning parasitic intestinal infections in hospitalized children. To our knowledge this is the first published report with data on this subject from Northern Mozambique. Methodology: A cross-sectional study was conducted in 2012 and 2013 in 831 children, attending the Central Hospital of Nampula in Northern Mozambique. One single stool sample was obtained from each child. Socio-demographic and clinical data were also obtained. Parasitological analysis of feces was performed through direct examination and Ritchie concentration technique and Giardia duodenalis antigen detection by rapid immunochromatographic test. Modified Ziehl-Neelsen staining was used for coccidia detection. Results: The global prevalence of pathogenic intestinal parasites was 31.6%. G. duodenalis (23.9%) was by far the most prevalent parasite followed by Strongyloides stercoralis (4.1%) and Cryptosporidium sp. (3.4%). Intestinal parasites were more frequent in older children (p = 0.005; aOR = 1.025). Conclusions: This work is one of the few published studies reporting intestinal parasites infection in hospitalized children. The percentage of children affected with G. duodenalis is higher than found in other studies in the African region. This highlights the need of particular attention being given to this intestinal protozoan and its resistance to water treatment, as well as to environmental health and personal hygiene.

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“…It addressed the main intestinal parasitoses that are found in the region and measures that should be taken to avoid them. The booklet had illustrations and information on parasites which had been diagnosed by the latest studies that were carried out in the region (Almeida et al, 2017;Jeske et al, 2018).…”

Section: Educational Materialsmentioning

confidence: 99%

Neoplastic patients’ knowledge about intestinal parasitoses in southern Brazil

et al. 2020

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Abstract Since oncologic patients have been considered an important risk group for parasitic infections, it is fundamental to find out what they know about intestinal parasites. This study aimed at evaluating knowledge that the adult oncologic patients undergoing chemotherapy in the main centers of treatment for cancer in the city of Pelotas, Brazil, has about intestinal parasites. A semi-structured questionnaire was used for collecting data from two hundred oncologic patients who were undergoing chemotherapy. Results showed that 69.5% know what intestinal parasites are and cited Ascaris lumbricoides and Taenia sp. as being the most known ones. The statistical comparison between the group that knows intestinal parasites and the one that does not know about them – associated with socioeconomic variables –, showed that factors that significantly influenced their knowledge were their place of residence, schooling and household income (p≤0.05). Only 36% stated that they know when they are infected with parasites and misdescribed some signs and symptoms. Regarding prevention, 52% mentioned that they do not know how to avoid parasitism. The population under study showed that there are some gaps in its knowledge of the theme under investigation. Therefore, it is important to implement socioeducational measures in hospitals and clinics that treat cancer patients.

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Prevalence of and risk factors for intestinal parasite infections in pediatric patients admitted to public hospitals in Southern Brazil

Cited by 8 publications

References 11 publications

Intestinal protozoan infections among children 0-168 months with diarrhea in Mozambique: June 2014 - January 2018

Intestinal protozoan infections among children 0-168 months with diarrhea in Mozambique: June 2014 - January 2018

Intestinal parasitic infections in children under five in the Central Hospital of Nampula, Northern Mozambique

Neoplastic patients’ knowledge about intestinal parasitoses in southern Brazil

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