Co-infection of Schistosoma mansoni/hepatitis C virus and their associated factors among adult individuals living in fishing villages, north-western Tanzania

Autor: Godfrey M. Kaatano, Humphrey D. Mazigo, Stella Kepha, Safari Kinung’hi
Jazyk: angličtina
Rok vydání: 2017
Předmět:
0301 basic medicine
Male
Hepatosplenomegaly
Rural Health
medicine.disease_cause
Gastroenterology
Tanzania
0302 clinical medicine
Medical microbiology
Risk Factors
Prevalence
S. mansoni
education.field_of_study
biology
Coinfection
Fishing village
Hepatitis C
Middle Aged
3. Good health
Co-infection
Infectious Diseases
Female
Schistosoma mansoni
medicine.symptom
Research Article
Hepatomegaly
Adult
medicine.medical_specialty
Adolescent
Hepatitis C virus
030231 tropical medicine
Population
Context (language use)
lcsh:Infectious and parasitic diseases
03 medical and health sciences
Periportal fibrosis
Internal medicine
parasitic diseases
medicine
Animals
Humans
lcsh:RC109-216
education
business.industry
medicine.disease
biology.organism_classification
Schistosomiasis mansoni
030104 developmental biology
Cross-Sectional Studies
Immunology
Splenomegaly
Morbidity
business
Zdroj: BMC Infectious Diseases
BMC Infectious Diseases, Vol 17, Iss 1, Pp 1-9 (2017)
ISSN: 1471-2334
Popis: Background Schistosoma mansoni and Hepatitis C virus (HCV) are co-existence in sub-Saharan Africa and co-infection is common among humans population. The immunological responses characterized with Th2-immune responses for S. mansoni and Th1-immune responses for HCV are responsible for development hepatic morbidities in infected individuals. However, the co-occurrences of S. mansoni and HCV infection, their related ultrasound detectable morbidities and associated risk factors at community levels have not been examined in fishing communities, north-western Tanzania. In this context, the present study covers that gap. Methods A cross-sectional study was conducted among 1924 asymptomatic individuals aged 15–55 years in four fishing villages (Igombe, Igalagala, Sangabuye and Kayenze) of Northwestern Tanzania. A single stool sample was collected from each study participants and examined for S. mansoni eggs using Kato Katz technique. Hepatitis C surface antigen (HCVsAg) was determined from a finger prick blood sample using a rapid test. Results Overall, 51.8% (997/1924; 95%CI: 49.6–54.1) of the study participants were infected with S. mansoni and had a mean intensity of 223.7epg (95%; 202.4–247.1). Of the study participants, 90 (4.7%) were infected with hepatitis C virus (HCV). Overall, 2. 4% (47/1924) of the study participants were co-infected with S. mansoni and hepatitis C virus. Among the co-infected individuals, 42.6%, 70.2% and 19.1% had splenomegaly, hepatomegaly and periportal fibrosis (PPF). Factors associated with S. mansoni/HCV co-infection were being aged 26–35 years (aRR = 2.67, 95%CI: 1.03–6.93, P
Databáze: OpenAIRE