Prevalence and associated risk factors of human intestinal parasitic infections: a population-based study in the southeast of Kerman province, southeastern Iran
Autor: | Mohammad Bagher Amirshekari, Ruhollah Hamidinia, Somayeh Amiri, Vali Baigi, Mohammad Samimi, Mostafa Rezaeian, Maryam Barkhori Mehni, Mohammad Javad Abbaszadeh Afshar, Mehdi Mohebali |
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Rok vydání: | 2019 |
Předmět: |
Adult
Male 0301 basic medicine Veterinary medicine Adolescent 030106 microbiology Helminthiasis Iran medicine.disease_cause lcsh:Infectious and parasitic diseases Feces Young Adult 03 medical and health sciences Entamoeba histolytica Risk Factors parasitic diseases medicine Prevalence Animals Humans Giardia lamblia Helminths Parasites lcsh:RC109-216 Intestinal Diseases Parasitic Child Intestinal parasites Chilomastix mesnili Protozoan Infections biology Ascaris Entamoeba coli Middle Aged Iodamoeba bütschlii biology.organism_classification Cross-Sectional Studies 030104 developmental biology Infectious Diseases Female Entamoeba hartmanni Research Article Human |
Zdroj: | BMC Infectious Diseases, Vol 20, Iss 1, Pp 1-8 (2020) BMC Infectious Diseases |
Popis: | Background Determination of the prevalence and distribution pattern of intestinal parasites is a fundamental step to set up an effective control program to improve the health status. This study aimed to determine the prevalence of intestinal parasitic infections and associated risk factors among inhabitants of Rudbar-e Jonub county, southeast of Kerman province, southeastern Iran. Methods In this cross-sectional study, 861 stool specimens were collected from inhabitants of Rudbar-e Jonub county through a multistage cluster sampling method in 2018. The collected specimens were examined by parasitological methods including, direct wet-mounting (for the fresh specimens with a watery consistency), formalin-ethyl acetate sedimentation and agar plate culture. Results The prevalence of intestinal parasites was 34.2% (95% CI 30.1 to 38.2). The prevalence of protozoan parasites 32.3% (95% CI 28.4 to 36.5) was significantly higher than helminthic parasites 3.2% (95% CI 2.1 to 4.7). Blastocystis sp. (13.3%), Entamoeba coli (11.4%) and Giardia lamblia (10.6%) as protozoan parasite and Hymenolepis nana (2.4%) as helminthic parasite were the most common detected intestinal parasites in the study. Entamoeba histolytica/dispar (1.5%), Iodamoeba bütschlii (1.0%), Chilomastix mesnili (0.5%), Entamoeba hartmanni (0.4%), Enterobius vermicularis (0.3%) and Ascaris lambercoides (0.3%) were other detected parasites. Multiple logistic regression revealed a significant association of intestinal parasitic infections with source of drinking water and residency status (rural/urban). Multiple infections with 2 or 3 parasitic agents constituted 22.7% of 295 infected cases. Conclusions This study revealed a high prevalence of intestinal protozoan infections among inhabitants of Rudbar-e Jonub county. Intestinal parasites especially protozoans remain a challenging public health problem wherever sanitation and health measures are limited in Iran. |
Databáze: | OpenAIRE |
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