Prevalence of intestinal parasite infections and associated clinical symptoms among patients with end-stage renal disease undergoing hemodialysis

Omrani, Vahid Fallah; Fallahi, Shirzad; Rostami, Ali; Siyadatpanah, Abolghasem; Barzgarpour, Gh.; Mehravar, Saeed; Memari, Fatemeh; Hajialiani, Fateme; Joneidi, Z.

doi:10.1007/s15010-015-0778-6

Cited by 65 publications

(67 citation statements)

References 30 publications

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“…In this study, no significant relationship between the prevalence of intestinal parasites and sex was observed in patients referred to the laboratory, which was consistent with results of some other studies in the world and Iran (25,29,(31)(32)(33). A significant association between sex and parasites infection has been reported in Kashan (27).…”

Section: Discussionsupporting

confidence: 91%

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A Survey on Prevalence of Intestinal Parasites Infections in Patients Referred to the Public Hospital in Khoy, West Azarbaijan Province, Iran, 2014 - 2016

Kazemi¹,

Rostamkhani²,

Hooshyar³

2017

Avicenna J Clin Microbiol Infect

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Background: Intestinal parasites are one of the most important human infections in many tropical and sub-tropical areas. Objectives:The aim of the present study was to determine the prevalence of intestinal parasites and their association with some demographic factors in patients referred to the Ghamar Bani Hashem hospital Khoy, West Azarbaijan province. Methods: This cross-sectional study was conducted from April 2014 to March 2016. Stool samples of 5610 patients referred to the Ghamar Bani Hashem hospital were examined using the formalin-ether concentration and direct smear methods. Determination of intestinal parasites was based on the morphological characteristics of the parasites. The scotch tape method was used for detection of Enterobius vermicularis ova in 133 suspected individuals. Microscopic results were recorded and analyzed.

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Section: Discussionsupporting

confidence: 91%

“…These results indicate that the helminthic infection has declined compared to previous studies in Iran (6,12,(25)(26)(27)(28)(29)(30)(31).…”

Section: Discussionmentioning

confidence: 43%

A Survey on Prevalence of Intestinal Parasites Infections in Patients Referred to the Public Hospital in Khoy, West Azarbaijan Province, Iran, 2014 - 2016

Kazemi¹,

Rostamkhani²,

Hooshyar³

2017

Avicenna J Clin Microbiol Infect

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“…Some researchers have shown that the transport of oxygen to the brain and decrease in blood stream may act as a mechanism in the complex etiology of AD (28). This study was conducted with regards to the localization of T. gondii tissue cysts in the central nervous system and reports indicating the impact of T. gondii on neurodegenerative diseases (7,9,10,13,16,29,30), as well as the lack of information about the prevalence of toxoplasmosis in patients with AD in studies conducted on the prevalence of parasitic infections in Lorestan province (18,19,(31)(32)(33)(34)(35)(36)(37).…”

Section: Introductionmentioning

confidence: 99%

Seroprevalence of Toxoplasma gondii Infection in Patients with Alzheimer’s Disease

Rashno

Fallahi

Kheirandish

et al. 2016

Arch Clin Infect Dis

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Background: Toxoplasmosis is one of the most important diseases in humans and animals. Almost one-third of the human population around the world is infected with toxoplasmosis. The agent of this parasitic disease is a protozoan called Toxoplasma gondii (T. gondii) that causes encephalitis in people with suppressed immune systems and abortion, mental retardation and chorioretinitis in the fetus. Alzheimer's disease (AD) is the most important neurodegenerative disease. Objectives: Due to the high prevalence of toxoplasmosis in Iran and evidence on its impact on neurodegenerative diseases, this study was performed to evaluate the T. gondii infection in patients with AD. Patients and Methods:In this case-control study, after selection of alzheimer's patients (APs) referred to Imam Reza psychiatric hospital of Khorramabad, west of Iran, and healthy controls (each group consisted of 87 individuals), using the convenience sampling method and under the supervision of a neurologist, blood samples were taken during July 2014 and January 2015. The collected samples were transferred to the research laboratory of parasitology under cold chain storage and then, the serum samples were separated by centrifugation and were frozen at -20°C until use. The T. gondii IgM and IgG specific antibodies were assessed in serum samples using commercial Enzyme Linked Immunosorbent Assay (ELISA) kits. Results: The overall prevalence of T. gondii infection in patients with AD and the control group, using ELISA assay, was obtained as 66.6% (58/87) and 56.32% (49/87), respectively (P = 0.99). In this study, there was no significant association between T. gondii infection and AD. On the other hand, no statistically significant difference was observed between the two groups in terms of infection with T. gondii (P = 0.99). Conclusions: Higher prevalence of T. gondii in patients with AD compared to controls showed the possible impact of this parasite in AD, which may exacerbate symptoms, and this requires special attention of specialists and patient families.

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“…Dialysis adequacy is concept rather than a number (35); thus, the main drawback of Kt/V is the use of limited data for measuring a concept that can be affected by multiple factors (36). This type of concept cannot be gauged based on serial evaluation of the blood urea or investigation of the amount of removal of urea and the built up fluids in the blood (37).…”

Section: Discussionmentioning

confidence: 99%

Kt/V: A Magical Formula for Dialysis Adequacy: A Critical Review

Biniaz

Moonaghi

Froutan

et al. 2017

Jundishapur J Chronic Dis Care

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Long-term prognosis of chronic hemodialysis patients is affected by dialysis adequacy; thus, evaluation of dialysis adequacy plays a key role in assessment of healthcare system in all countries. Currently, urea reduction ratio (URR) and Kt/V are applied to evaluate dialysis adequacy; however, due to the inconsistency between their results and patient outcome, their application has been questioned. Herein, we aimed at broadly reviewing the shortcomings of Kt/V index for appraisal of dialysis adequacy. For this purpose, we searched MEDLINE, EMBASE, Science direct, Cochrane Library, Scopus, and Google Scholar for relevant literature without any time or language limitations from May 2016 to February 2017. The applied keywords were "dialysis adequacy" OR "dialysis sufficiency" OR "dialysis competence" OR "dialysis efficiency". We summarized all the studies questioning the success of Kt/V index in appraisal of dialysis adequacy to investigate whether Kt/V is still an appropriate index for evaluation of adequacy of different types of dialysis. The results of this study revealed that Kt/V is not the best criterion and one cannot be assured of dialysis adequacy solely based on this criterion.Keywords: Dialysis Adequacy, Kt/V, Dialysis Sufficiency, Dialysis Competence, Dialysis Efficiency ContextChronic kidney disease (CKD) is a progressive and irreversible malfunction with various systemic adverse effects (1). End stage renal disease (ESRD) is a condition in which the patient requires dialysis or renal transplant to survive. Annually, thousands of people die of ESRD (2). Change in parameters associated with lifestyle, such as hypertension and diabetes, can explain the rising incidence rate of this disease (3). The prevalence of this disease is on a growing trend in the developed and developing countries (4). According to the national health organization of America reports, the prevalence rate of this debilitating disease has increased by 600% during 1980 and 2009 (5).In Iran, prevalence and incidence of ESRD is also on the rise (6), so prevalence and incidence of ESRD, with an increase of 460 times, have risen from 137 per 1,000,000 cases in 1997 to 238 cases in 2000 and to 436 cases in 2007 (7, 8). Based on a report by the management center for transplantation and special diseases, approximately 33,000 patients received alternative therapies for kidney during 2007 (8, 9).Hemodialysis replaces some of the renal functions in ESRD patients to remove waste products and extra fluids from the blood when the kidneys cannot function adequately (10, 11). Thus, with higher dialysis adequacy, the patient would have a better health status and would suffer less from adverse effects of renal failure (12). Long-term prognosis of hemodialysis patients is affected by dialysis adequacy (13). Dialysis adequacy is considered a predictor of patient mortality and primary outcomes (14). The patients undergoing dialysis with high adequacy live as long as those receiving kidney transplant (15, 16).The Kt/V index, as a criterion for inve...

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Prevalence of intestinal parasite infections and associated clinical symptoms among patients with end-stage renal disease undergoing hemodialysis

Cited by 65 publications

References 30 publications

A Survey on Prevalence of Intestinal Parasites Infections in Patients Referred to the Public Hospital in Khoy, West Azarbaijan Province, Iran, 2014 - 2016

A Survey on Prevalence of Intestinal Parasites Infections in Patients Referred to the Public Hospital in Khoy, West Azarbaijan Province, Iran, 2014 - 2016

Seroprevalence of Toxoplasma gondii Infection in Patients with Alzheimer’s Disease

Kt/V: A Magical Formula for Dialysis Adequacy: A Critical Review

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