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Intestinal parasitic diseases constitute a cosmopolitan public health concern, with greater prevalence in developing countries, and mainly affecting children. The aim of this study was to develop an educational intervention aimed at mothers/guardians of children attending three child development centers (CDI) in Santa Fe, Argentina, during 2018. An educational intervention was conducted using a descriptive, quasi-experimental design, with pre- and post-intervention assessment. This intervention included 36 mothers, and was carried out in three stages: diagnosis, intervention and final evaluation. Simultaneously, a coproparasitological study was performed on 48 children under 5 years of age, who were assisted in the CDI, with the aim to understand and address the parasitic infections prevalent in the child population. It was possible to compare the correct answers before and after the educational intervention, observing a statistically significant increase (p=0.008742) in the average number of correct answers. Enteroparasites were identified in 54% of the population of children analyzed, 10% were biparasitized and 6% had more than two parasitic species. The most frequently detected parasites were Blastocystis spp., Giardia intestinalis and Ascaris lumbricoides. The educational intervention was positive, resulting in an improvement in the level of knowledge related to intestinal parasitosis and its prevention. This educational intervention experience highlights the importance of ongoing education in promoting a healthy lifestyle and preventing parasitosis in vulnerable populations.
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AIMS: A cross-sectional study was conducted in Masaya (Nicaragua) to estimate the prevalence of intestinal parasite (IP) infections in patients with non-communicable diseases (NCDs) and to determine the associations between the types of NCDs and patients' epidemiological characteristics of infection. METHODS: A total of 157 preserved faecal samples were examined (direct wet mount, formalin/ethyl acetate concentration and modified Ziehl-Neelsen technique). Microscopically positive faecal sample identification was completed by conducting a molecular study. RESULTS: The total prevalence of IP was 52% in NCD patients. Diabetic patients presented an IP prevalence of 42%. Blastocystis presented the highest prevalence (42%). A molecular analysis of Giardia intestinalis (prevalence of 1.3%) revealed 100% of sub-assemblage BIII and the Entamoeba complex (5%) was identified as E. dispar. Blastocystis ST1 appeared in 44% of those suffering from diabetes and ST3 in 66% of those suffering from hypertension, while ST2 only appeared in those suffering with several NCDs simultaneously. In diabetic patients, the risk of infection is associated with having pets (p = 0.021) and land-floor houses. The risk of infection appears to be statistically related (p = 0.019) in those with several NCDs having received a previous helminthic deworming treatment. CONCLUSIONS: Coordinated public health activities for IP and NCD screening and diagnosis are crucial to their successful control programmes.
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BACKGROUND: The Gran Chaco ecoregion is a well-known hotspot of several neglected tropical diseases (NTDs) including Chagas disease, soil-transmitted helminthiasis and multiparasitic infections. Interspecific interactions between parasite species can modify host susceptibility, pathogenesis and transmissibility through immunomodulation. Our objective was to test the association between human co-infection with intestinal parasites and host parasitaemia, infectiousness to the vector and immunological profiles in Trypanosoma cruzi-seropositive individuals residing in an endemic region of the Argentine Chaco. METHODS: We conducted a cross-sectional serological survey for T. cruzi infection along with an intestinal parasite survey in two adjacent rural villages. Each participant was tested for T. cruzi and Strongyloides stercoralis infection by serodiagnosis, and by coprological tests for intestinal parasite detection. Trypanosoma cruzi bloodstream parasite load was determined by quantitative PCR (qPCR), host infectiousness by artificial xenodiagnosis and serum human cytokine levels by flow cytometry. RESULTS: The seroprevalence for T. cruzi was 16.1% and for S. stercoralis 11.5% (n = 87). We found 25.3% of patients with Enterobius vermicularis. The most frequent protozoan parasites were Blastocystis spp. (39.1%), Giardia lamblia (6.9%) and Cryptosporidium spp. (3.4%). Multiparasitism occurred in 36.8% of the examined patients. Co-infection ranged from 6.9% to 8.1% for T. cruzi-seropositive humans simultaneously infected with at least one protozoan or helminth species, respectively. The relative odds of being positive by qPCR or xenodiagnosis (i.e. infectious) of 28 T. cruzi-seropositive patients was eight times higher in people co-infected with at least one helminth species than in patients with no such co-infection. Trypanosoma cruzi parasite load and host infectiousness were positively associated with helminth co-infection in a multiple regression analysis. Interferon-gamma (IFN-γ) response, measured in relation to interleukin (IL)-4 among humans infected with T. cruzi only, was 1.5-fold higher than for T. cruzi-seropositive patients co-infected with helminths. The median concentration of IL-4 was significantly higher in T. cruzi-seropositive patients with a positive qPCR test than in qPCR-negative patients. CONCLUSIONS: Our results show a high level of multiparasitism and suggest that co-infection with intestinal helminths increased T. cruzi parasitaemia and upregulated the Th2-type response in the study patients.
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Enfermedad de Chagas , Coinfección , Helmintiasis , Parasitosis Intestinales , Trypanosoma cruzi , Humanos , Trypanosoma cruzi/inmunología , Trypanosoma cruzi/genética , Trypanosoma cruzi/aislamiento & purificación , Coinfección/parasitología , Coinfección/epidemiología , Coinfección/inmunología , Enfermedad de Chagas/epidemiología , Enfermedad de Chagas/complicaciones , Enfermedad de Chagas/parasitología , Enfermedad de Chagas/sangre , Enfermedad de Chagas/inmunología , Animales , Adulto , Estudios Transversales , Masculino , Femenino , Parasitosis Intestinales/epidemiología , Parasitosis Intestinales/parasitología , Parasitosis Intestinales/complicaciones , Parasitosis Intestinales/inmunología , Persona de Mediana Edad , Helmintiasis/complicaciones , Helmintiasis/parasitología , Helmintiasis/epidemiología , Helmintiasis/inmunología , Adulto Joven , Adolescente , Argentina/epidemiología , Estudios Seroepidemiológicos , Strongyloides stercoralis/inmunología , Strongyloides stercoralis/aislamiento & purificación , Parasitemia/parasitología , Parasitemia/epidemiología , Células Th2/inmunología , Niño , Estrongiloidiasis/epidemiología , Estrongiloidiasis/parasitología , Estrongiloidiasis/complicaciones , Estrongiloidiasis/inmunología , Estrongiloidiasis/sangre , Anciano , Citocinas/sangre , Anticuerpos Antiprotozoarios/sangreRESUMEN
AIMS: Protozoan and helminth parasitic infections pose significant public health challenges, especially in developing countries with rural populations marked by suboptimal hygiene practices and socio-economic constraints. The parasites are the etiological agents of these infections and have a notably elevated global prevalence. Therefore, this study focuses on estimating the frequency and transmission dynamics of several parasitic species, including Blastocystis, Giardia, Cryptosporidium spp., Entamoeba histolytica, Ascaris lumbricoides, Trichuris trichiura, Taenia spp. and hookworms, within a rural community in southwest Colombia with a particular emphasis on the One Health framework, considering environmental and zoonotic transmission potentials. METHODS AND RESULTS: This study involved the analysis of 125 samples, encompassing human participants (n = 99), their domestic pets (dogs) (n = 24) and water sources (n = 2). Parasite detection was carried out utilizing a combination of microscopy and molecular techniques. Furthermore, the characterization of Blastocystis subtypes (STs) was achieved through Oxford Nanopore sequencing of the rRNA-18S gene. The investigation also entailed the examination of potential associations between intestinal parasitism and various sociodemographic factors. Results revealed a high frequency of parasitic infections when employing molecular methods, with Blastocystis (n = 109/87%), Giardia (n = 20/16%), Ancylostoma duodenale (n = 28/22%), Ancylostoma ceylanicum (n = 7/5.6%), E. histolytica (n = 6/4.8%), Cryptosporidium spp. (n = 12/9.6%) and even Taenia (n = 1/0.8%) detected. Cryptosporidium spp. was also identified in water samples. Coinfections were prevalent, with 57% (n = 70) of samples exhibiting single-parasite infections and 43% (n = 53) showing various degrees of polyparasitism, emphasizing the complexity of transmission dynamics. Blastocystis subtyping, conducted via Oxford Nanopore sequencing, revealed a diversity of subtypes and coexistence patterns, with ST2 being the most prevalent. CONCLUSIONS: This research underscores the importance of using molecular techniques for frequency estimation, particularly emphasizing the relevance of zoonotic transmission in parasitic infections. It highlights the significance of the One Health approach in comprehending the circulation of parasites among animals, humans and environmental sources, thereby directly impacting public health and epidemiological surveillance.
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Parasitosis Intestinales , Salud Única , Población Rural , Zoonosis , Colombia/epidemiología , Humanos , Animales , Zoonosis/transmisión , Parasitosis Intestinales/epidemiología , Parasitosis Intestinales/transmisión , Parasitosis Intestinales/parasitología , Masculino , Adulto , Femenino , Persona de Mediana Edad , Adolescente , Niño , Adulto Joven , Preescolar , Heces/parasitologíaRESUMEN
Intestinal parasites are widely distributed around the world and children are the most common affected group. The prevalence of intestinal parasites and associated risk factors by a cross-sectional study among children at a primary school in the Union de Reyes municipality, Matanzas province, Cuba, was carried out during April-May, 2022. Blastocystis spp. and Giardia intestinalis were the most common parasites found.
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Parasitosis Intestinales , Parásitos , Niño , Animales , Humanos , Prevalencia , Cuba/epidemiología , Estudios Transversales , Parasitosis Intestinales/epidemiología , Parasitosis Intestinales/parasitología , Factores de Riesgo , Heces/parasitologíaRESUMEN
ABSTRACT This study aimed to assess the prevalence of anemia in children of two Guarani communities in Misiones, Argentina, and to analyze its association with socioenvironmental and parasitic factors. This cross-sectional study took place in two villages, Koen Ju and Kaa Poty, and included Mbya Guarani children aged 6 months to 14 years. A multivariable analysis was performed to evaluate the association of anemia with the presence of intestinal parasites. Altogether, 162 children were included in the study: 53.1% were boys, 32.7% had low weight-for-age, and 22.2% low height-for-age. Nearly half (46.9%, n=76) had anemia, which was mainly mild (92.1%), with a few moderate cases (7.9%). Of the 109 children who underwent testing for intestinal parasites, 89 (81.7%) had at least one, and 53 (59.5%) had more than one. The main parasite was Blastocystis hominis (49.5%), followed by Entamoeba coli (47.7%), hookworms (36.7%), and Ascaris lumbricoides (31.5%). In the multivariable analysis, anemia was associated with intestinal parasitosis (adjusted odds ratio [OR] 4.24, 95% confidence interval [CI] 1.08-16.5; p=0.038) and male sex (adjusted OR 2.66; 95% CI 1.08-6.47; p= 0.01). Overall, we found that both anemia and intestinal parasites are common in the pediatric population of the Guarani ethnic group. Intestinal parasites and male sex were associated with the presence of anemia.
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Foodborne diseases now represent one of the most important public health problems. The objectives were to analyze the leafy vegetables and crop soil to detect parasitic species and evaluate the factors that increase the risk of parasitic contamination in the productive units in La Plata horticultural area. The study included 261 leafy vegetable and 87 crop soil samples that were processed using washing, sedimentation, and flotation techniques. Socio-environmental characteristics and agricultural practices were surveyed, and a generalized linear model was used to assess the change in parasitic prevalence with different predictor variable. The 58.6% of leafy vegetable and 31.0% of crop soil samples contained parasitic species, the most prevalent being Blastocystis sp. and oocysts of Cryptosporidium spp. Risk factors were the limited access to health, dirt roads, children and dogs circulating in crops, field cultivation, furrow irrigation and lettuce cultivation. The high prevalence of intestinal parasites in the vegetable crops was mainly associated with the conditions of structural precariousness in the production units. These results elaborated with the participation of the population, provide valuable knowledge for the planning of epidemiological programs that include environmental health as a fundamental nexus in health campaigns.
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INTRODUCCIÓN: Existe escasa evidencia epidemiológica actual sobre helmintos intestinales en Chile. OBJETIVO: Describir la prevalencia de infecciones por helmintos intestinales en un centro de salud en Santiago, Chile. MÉTODOS: Análisis retrospectivo de helmintos intestinales diagnosticados en muestras parasitológicas de rutina en el Laboratorio de Microbiología de Clínica Alemana de Santiago, entre los años 2015 y 2019. Las pruebas diagnósticas se seleccionaron según la solicitud médica. Los datos se obtuvieron de los sistemas informáticos del laboratorio y se analizaron de manera anonimizada. RESULTADOS: Se detectaron 127 infecciones por helmintos en 11.809 muestras estudiadas (1,1%). Estas infecciones fueron: 78 (61,4%) Enterobius vermicularis, 25 (19,6%) Dibothriocephalus/Adenocephalus spp., 9 (7,1%) Taenia spp., 6 (4,7%) Pseudoterranova spp., 5 (3,9%) Strongyloides stercoralis y 4 (3,1%) Ascaris lumbricoides. Enterobius vermicularis predominó en niños y adolescentes; Dibothriocephalus/ Adenocephalus spp. predominó en adultos. CONCLUSIÓN: El estudio proporciona información epidemiológica actual sobre la distribución de helmintos intestinales en muestras clínicas en Santiago, Chile. Enterobius vermicularis fue prevalente, seguido de helmintos transmitidos por alimentos mientras que los transmitidos por el suelo solo se detectaron ocasionalmente. El surgimiento de difilobotriasis y anisakidosis (pseudoterranoviasis), es relevante y posiblemente se relacione con cambios en las condiciones de vida y la cultura alimentaria en Chile.
BACKGROUND: Epidemiological information on the current prevalence of intestinal helminths in Chile is scarce. AIM: To describe the prevalence of different intestinal helminth infections in a healthcare center in Santiago, Chile. METHODS: We performed a retrospective analysis of intestinal helminths diagnosed in routine parasitological samples in the microbiological laboratory of Clínica Alemana Santiago, Chile, between 2015 and 2019. Diagnostic tests were applied according to the sender's request. Data were obtained from laboratory information systems and analyzed in an anonymized manner. RESULTS: Among 11,809 samples, 127 (1.1%) helminth infections were detected, of those, 78 (61.4%) were Enterobius vermicularis, 25 (19.6%) Dibothriocephalus/Adenocephalus spp., 9 (7.1%) Taenia spp., 6 (4.7%) Pseudoterranova spp., 5 (3.9%) Strongyloides stercoralis, and 4 (3.1%) Ascaris lumbricoides. Enterobius vermicularis was predominant among children and adolescents, while Dibothriocephalus/Adenocephalus spp. was the most frequent helminth in adults. CONCLUSION: The study provides updated epidemiological information on distribution of helminth infections in clinical samples in Santiago, Chile. After E. vermicularis, food-borne helminths were second most prevalent, while soiltransmitted helminths were very rarely detected. The emergence of diphyllobothriasis and anisakidosis (pseudoterranoviasis) is noteworthy and possibly related to changes in living conditions and food culture in Chile.
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Humanos , Helmintiasis/epidemiología , Parasitosis Intestinales/epidemiología , Estaciones del Año , Chile/epidemiología , Estudios Retrospectivos , Distribución por Edad y Sexo , Enfermedades Transmitidas por los Alimentos/diagnóstico , Enfermedades Transmitidas por los Alimentos/epidemiología , Helmintiasis/diagnóstico , Parasitosis Intestinales/diagnósticoRESUMEN
The aims of this study were to determine the prevalence of helminths in Thoroughbred horses in Rio de Janeiro; make correlations with risk factors for these infections; and compare the efficiency of three floatation solutions applied in the quantitative Mini-FLOTAC technique. Fecal samples from 520 horses were collected from six training centers between 2019 and 2021. These were subjected to the Mini-FLOTAC technique using three solutions: NaCl (density = 1.200 g/mL), ZnSO4 (1.350 g/mL) and ZnSO4 (1.200 g/mL); and also to qualitative techniques. Information on the horses' sex and age of horses was retrieved from the studbook; data on management from a questionnaire. The overall prevalence of intestinal parasites was 71.9%, with significant differences between training centers (P ≤ .05). On farm C, 87.7% of the samples presented strongylids and 38.7% had Parascaris spp., with the highest egg counts per gram of feces (EPG), of 358.33 and 40.41 respectively. Horses less than 3 years of age were about eight times more likely to be parasitized by strongylids and eleven times more likely to have EPG ≥500. The NaCl solution used in Mini-FLOTAC enabled recovery of the greatest number of samples with high EPG and reached the highest sensitivity values in the diagnosis when compared to the other solutions. Moreover, in the diagnoses, the levels of agreement between the results from the solutions used in Mini-FLOTAC were substantial. However, in estimating the EPG, full agreement between the results from the solutions used in Mini-FLOTAC was not obtained.
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Helmintos , Cloruro de Sodio , Animales , Caballos , Brasil/epidemiología , Prevalencia , Recuento de Huevos de Parásitos/métodos , Recuento de Huevos de Parásitos/veterinaria , Factores de RiesgoRESUMEN
The Brazilian Amazon rainforest region has a significant prevalence of malarial and intestinal parasitic infections in indigenous populations, accounting for a disproportionate burden. Thus, a cross-sectional study was conducted to assess the prevalence and association between malarial and intestinal protozoan and helminth infections in four remote indigenous villages in the Brazilian Amazon Forest. A total of 430 individuals participated in the study, and Plasmodium infections were diagnosed by examination of thick blood smears and PCR. Stool samples 295 individuals (69%) were examined by direct smear and the Kato-Katz technique. The overall prevalence of malaria, intestinal protozoan infection, and intestinal helminth infection was 14.2%, 100%, and 39.3%, respectively. Polyparasitism was predominant (83.7%), and most infected individuals had at least two or more different species of intestinal protozoan and/or helminth parasites. The prevalence of co-infection was 49.5%, and in individuals with intestinal protozoa and helminth infections (34%), Entamoeba. coli, Entamoeba histolytica, and Ascaris lumbricoides were the most common parasites. In individuals with malaria and protozoa infections (10.2%), P. vivax, E. coli, and E. histolytica predominated, and in individuals with malaria, protozoa, and helminth infections (5.4%). P. vivax, E. coli, E. histolytica, and A. lumbricoides predominated. Intestinal polyparasitism was common in the study population, and the presence of helminths was associated with an increased number of intestinal parasitic species. However, Plasmodium infections were neither a risk nor a protective factor for helminth infections; the same was true for helminth infections in relation to Plasmodium. The high prevalence of intestinal polyparasitism with Plasmodium co-infections highlights the need for combining strategies that may help control both malaria and intestinal parasite and generate a health approach aligned with indigenous perspectives.
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Coinfección , Helmintiasis , Helmintos , Parasitosis Intestinales , Enfermedades Intestinales , Malaria Vivax , Malaria , Animales , Humanos , Coinfección/complicaciones , Estudios Transversales , Brasil/epidemiología , Bosque Lluvioso , Escherichia coli , Parasitosis Intestinales/complicaciones , Parasitosis Intestinales/epidemiología , Parasitosis Intestinales/parasitología , Helmintiasis/complicaciones , Helmintiasis/epidemiología , Malaria/complicaciones , Malaria/epidemiología , Pueblos Indígenas , Prevalencia , Heces/parasitologíaRESUMEN
BACKGROUND: Surveys for intestinal parasitic infections (IPIs) often involve samples from three sampling dates analysed by various microscopy techniques. However, analysis of three samples per individual is a huge burden on time and resources. We compared the value from analysing three or fewer samples. METHODS: In this cross-sectional study, three faecal samples were collected every other day from 332 children from two locations in Guantanamo province, Cuba. Samples were analysed by wet mount with Lugol stain, Willis flotation method and Kato-Katz thick smear. RESULTS: Most parasites were detected by wet mount, although helminth eggs not found by wet smear were detected by the Willis flotation method (in particular) and Kato-Katz smear. Blastocystis spp. was the most commonly detected parasite (about 65%), then Giardia duodenalis and then Entamoeba spp. Although analysis of two stool samples significantly increased occurrence data for Blastocystis, this was not so for the other parasites. For none of the protozoan parasites were results from analysing three samples significantly higher than results from analysing just two samples. CONCLUSIONS: Analysing two faecal samples by wet mount and the Willis flotation method provides useful data for estimating the prevalence of IPIs in relatively high prevalence settings. Analysing further samples provides limited additional information and adds an extra burden in terms of time and resources.
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Giardia lamblia , Helmintos , Parasitosis Intestinales , Parásitos , Animales , Niño , Humanos , Estudios Transversales , Parasitosis Intestinales/epidemiología , Parasitosis Intestinales/parasitología , Heces/parasitología , PrevalenciaRESUMEN
The frequency of gastrointestinal parasites with an emphasis on Strongylus vulgaris was investigated among the Brazilian Pony breed kept on farms in the municipality of Teresópolis, state of Rio de Janeiro. Fecal samples were collected in three stud farms: A (n= 22 animals), B (n= 3), and C (n= 2). Fecal samples were subjected to the quantitative Mini-FLOTAC technique, using three different solutions, and to qualitative techniques. The parasite prevalence was found to be 81.4%. Eggs from strongylids were identified in 74% of the ponies. Eggs of Parascaris spp. were detected in 22.7% of the animals, which were all females of farm A. At this locality, mares were kept with their foals in fenced paddocks all the time. The NaCl solution of d = 1.200 g/ml was generally the one that presented the highest frequency of diagnosis of nematode eggs and the highest mean of fecal eggs per gram. The fecal samples were also subjected to the polymerase chain reaction for amplification of DNA from the ITS2 region for Strongylus vulgaris. Twelve samples presented nucleotide sequences for S. vulgaris. In the end, this study revealed the high frequency (96.3%) of S. vulgaris among ponies on farms in Teresópolis, Rio de Janeiro, Brazil.(AU)
A frequência de parasitos gastrointestinais, com ênfase na pesquisa de Strongylus vulgaris, foi investigada entre os Pôneis Brasileiros criados em haras na cidade de Teresópolis, no estado do Rio de Janeiro. Amostras fecais foram coletadas em três haras: A (n=22 animais), B (n=3) e C (n=2). Amostras fecais foram submetidas à técnica quantitativa de Mini-FLOTAC utilizando três diferentes soluções e técnicas qualitativas. A prevalência de parasitos foi de 81,4%. Ovos de estrôngilos foram identificados em 74% dos pôneis. Ovos de Parascaris spp. foram detectados em 22,7% dos animais, sendo todos fêmeas do haras A. Nesta propriedade, as éguas eram mantidas com os pôneis em piquetes cercados durante todo o tempo. A solução de NaCl, com densidade de 1.200 g/ml, foi a que apresentou a maior frequência diagnóstica de ovos de nematoides e a maior contagem de ovos por grama de fezes. As amostras também foram submetidas à reação de polimerase em cadeia para amplificar DNA da região ITS2 de Strongylus vulgaris. Doze amostras fecais apresentaram sequências nucleotídicas de S. vulgaris. Ao final, este estudo demonstrou a alta frequência (96.3%) de S. vulgaris em pôneis mantidos em haras na cidade de Teresópolis, Rio de Janeiro, Brazil.(AU)
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Animales , Enfermedades Parasitarias en Animales/diagnóstico , Infecciones Equinas por Strongyloidea/diagnóstico , Caballos/parasitología , Strongylus/parasitología , BrasilRESUMEN
INTRODUCTION: Intestinal parasites have the greatest impact on child populations as they can, in the long term, lead to stunted growth with advances in cognitive development. The transmission of these parasites is favored by environments of social vulnerability. METHODS: In a cross-sectional study carried out in the District of Hurlingham, in the suburbs of Buenos Aires, the prevalence of intestinal parasitoses and its associated risk factors in a child population attending Primary Health Care Centers was estimated. Coproparasitological survey, Graham test and a socio-environmental and labor survey were performed. RESULTS: A total of 130 children, 50.8% women and 49.2% men (0-12 years) were analyzed; 89.1% of those over 4 years of age were in school. In 28.5% of households, the mother or father had a formal job and 63.8% received the Universal Child Allowance. Conditions of social vulnerability were observed in the analyzed population: poor access to network water and sewage and environmental sanitation. The parasitological diagnosis revealed that 75 children [57.7% (95% CI: 48.7-66.3)] were parasitized. Protists were more frequent than helminths and the most prevalent species were Blastocystis spp, Enterobius vermicularis, Giardia lamblia and Cryptosporidium sp. The parasites in children were associated with schooling (p <0.01) and age (p <0.05). DISCUSSION: This work constitutes the first survey on intestinal parasitoses in the District of Hurlingham and the socioeconomic and environmental context where it is developed.
Introducción: Los parásitos intestinales tienen mayor impacto en las poblaciones infantiles ya que pueden, a largo plazo, conducir a un retraso en el crecimiento con alteración del desarrollo cognitivo. Sumado a esto, los entornos de vulnerabilidad social favorecen la transmisión y permanencia de estos parásitos en el ambiente. Métodos: En un estudio transversal realizado en el Municipio de Hurlingham (conurbano bonaerense) se estimó la prevalencia de enteroparasitosis y sus factores de riesgo asociados en una población infantil concurrente a Centros de Atención Primaria para la Salud locales mediante un análisis coproparasitológico, un test de Graham y una encuesta socioambiental y laboral. Resultados: Un total de 66 niñas (50.8%) y 64 niños (49.2%) entre 0 a 12 años fueron analizados. El 89.1% de los mayores de 4 años estaban escolarizados. En el 28.5% de los hogares la madre o el padre tenía trabajo formal y el 63.8% percibía la asignación universal por hijo (AUH). Se observaron condiciones de vulnerabilidad social en la población analizada, tales como: falta de acceso al agua de red y cloacas y un saneamiento ambiental deficiente. El diagnóstico parasitológico reveló un total de 75 casos [57.7% (IC 95%: 48.7-66.3)] de parasitosis. Los protistas fueron los parásitos más frecuentes y las especies más prevalentes: Blastocystis spp, Enterobius vermicularis, Giardia lamblia y Cryptosporidium sp. La presencia de parásitos estuvo asociada a la escolarización (p <0.01) y a la edad del niño (p <0.05). Discusión: Este fue el primer relevamiento sobre las enteroparasitosis en el municipio de Hurlingham y el contexto socioeconómico y ambiental donde se desarrollan.
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Criptosporidiosis , Cryptosporidium , Giardia lamblia , Parasitosis Intestinales , Masculino , Niño , Humanos , Femenino , Estudios Transversales , Parasitosis Intestinales/diagnóstico , Parasitosis Intestinales/epidemiología , Prevalencia , Heces/parasitologíaRESUMEN
Resumen Introducción: Los parásitos intestinales tienen mayor impacto en las poblaciones infantiles ya que pueden, a largo plazo, conducir a un retraso en el crecimiento con alteración del desarrollo cognitivo. Sumado a esto, los entornos de vulnerabilidad social favorecen la transmisión y permanencia de estos parásitos en el ambiente. Métodos: En un estudio transversal realizado en el Municipio de Hurlingham (conurbano bonae rense) se estimó la prevalencia de enteroparasitosis y sus factores de riesgo asociados en una población infantil concurrente a Centros de Atención Primaria para la Salud locales mediante un análisis coproparasitológico, un test de Graham y una encuesta socioambiental y laboral. Resultados: Un total de 66 niñas (50.8%) y 64 niños (49.2%) entre 0 a 12 años fueron analizados. El 89.1% de los mayores de 4 años estaban escolarizados. En el 28.5% de los hogares la madre o el padre tenía trabajo formal y el 63.8% percibía la asignación universal por hijo (AUH). Se observaron condiciones de vulnerabilidad social en la población analizada, tales como: falta de acceso al agua de red y cloacas y un saneamiento ambiental deficiente. El diagnóstico parasitológico reveló un total de 75 casos [57.7% (IC 95%: 48.7-66.3)] de parasitosis. Los protistas fueron los parásitos más frecuentes y las especies más prevalentes: Blastocystis spp, Enterobius vermicularis, Giardia lamblia y Cryptosporidium sp. La presencia de parásitos estuvo asociada a la escolarización (p<0.01) y a la edad del niño (p<0.05). Dis cusión: Este fue el primer relevamiento sobre las enteroparasitosis en el municipio de Hurlingham y el contexto socioeconómico y ambiental donde se desarrollan.
Abstract Introduction: Intestinal parasites have the greatest impact on child populations as they can, in the long term, lead to stunted growth with advances in cognitive development. The transmission of these parasites is favored by environments of social vulnerability. Methods: In a cross-sectional study carried out in the District of Hurlingham, in the suburbs of Buenos Aires, the prevalence of intestinal parasitoses and its associated risk factors in a child population attending Primary Health Care Centers was estimated. Coproparasitological survey, Graham test and a socio-environmental and labor survey were performed. Results: A total of 130 children, 50.8% women and 49.2% men (0-12 years) were analyzed; 89.1% of those over 4 years of age were in school. In 28.5% of households, the mother or father had a formal job and 63.8% received the Universal Child Allowance. Conditions of social vulnerability were observed in the analyzed population: poor access to network water and sewage and environmental sanitation. The parasitological diagnosis revealed that 75 children [57.7% (95% CI: 48.7-66.3)] were parasitized. Protists were more frequent than helminths and the most prevalent species were Blastocystis spp, Enterobius vermicularis, Giardia lamblia and Cryptosporidium sp. The parasites in children were associated with schooling (p<0.01) and age (p<0.05). Discussion: This work constitutes the first survey on intestinal parasitoses in the District of Hurlingham and the socioeconomic and environmental context where it is developed.
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Las enteroparasitosis son un problema de salud pública a nivel global con mayor impacto en los países subdesarrollados asociadas a condiciones de vida inadecuadas. La población infantil es más suceptible para desarrollar sintomatología provocando cuadros disentéricos, vomitos, síndrome de mal absorción, lo que influye en deficiencia de nutrientes y vitaminas, como consecuencia retraso en el crecimiento, malnutrición, trastornos del desarrollo físico y cognitivo. Se realizó una investigación epidemiológica, de corte transversal para estimar la prevalencia de parásitos instestinales y las diferencias en relación a las medidas antropométricas, en 283 escolares de la Capital de la provincia de Manabí. Las variables peso, talla parada, circunferencia de brazo izquierdo, pliegues de tríceps y subescapular, índice de masa corporal, área magra y área grasa fueron seleccionadas para establecer la relación. El coproparasitológico se realizó con el método directo (solución salina 0,9% y Lugol) y Kato Katz. Los resultados mostraron 62,54% de prevalencia, sin distingo de sexo, ni edad. Blastocytis spp., la especie más frecuente, confirmándose el comportamiento epidemiológico a nivel mundial a expensa de los protozoarios, con presencia de especies comensales (E. nana) relacionada con el fecalismo. A pesar de la alta prevalencia, no se observó diferencia significativa entre variables antropométricas analizadas en los escolares parasitados y no parasitados. Se infiere que es debido al tipo de especies y la intensidad de la infestación. Se recomienda realizar campañas de educación sanitaria y promover hábitos de higiene, así como dirigir investigaciones para determinar el papel epidemiológico del agua de consumo y las enteroparasitosis(AU)
Enteroparasitosis is a global public health problem with the greatest impact in underdeveloped countries associated with inadequate living conditions. The child population is more susceptible to developing symptoms causing dysentery, vomiting, malabsorption syndrome, which influences nutrient and vitamin deficiency, resulting in growth retardation, malnutrition, physical and cognitive development disorders. A cross-sectional epidemiological investigation was carried out to estimate the prevalence of intestinal parasites and the differences in relation to anthropometric measurements, in 283 schoolchildren from the capital of the province of Manabí. The variables weight, standing height, left arm circumference, triceps and subscapular folds, body mass index, lean area, and fat area were selected to establish the relationship. Coproparasitology was performed with the direct method (saline solution 0.9% and Lugol) and Kato Katz. The results showed 62.54% prevalence, regardless of sex or age. Blastocytis spp., the most frequent species, confirming the epidemiological behavior worldwide at the expense of protozoa, with the presence of commensal species (E. nana) related to fecalism. Despite the high prevalence, no significant difference was observed between the anthropometric variables analyzed in parasitized and non-parasitized schoolchildren. It is inferred that it is due to the type of species and the intensity of the infestation. It is recommended to carry out health education campaigns and promote hygiene habits, as well as to conduct research to determine the epidemiological role of drinking water and enteroparasitosis(AU)
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Humanos , Masculino , Femenino , Preescolar , Niño , Adolescente , Enfermedades Parasitarias/epidemiología , Enfermedades Desatendidas/epidemiología , Parasitosis Intestinales/epidemiología , Pesos y Medidas Corporales , Índice de Masa Corporal , Estudios Transversales , Giardia lamblia , Blastocystis , Ascaris lumbricoides , Ecuador/epidemiología , Endolimax , Investigación EpidemiológicaRESUMEN
Diversos factores de riesgos pueden condicionar las prevalencias de parasitosis intestinales en niños. Como objetivo se propuso determinar los factores de riesgo y parasitosis intestinal en niños menores de 10 años de la Olla Común ubicada en Villa Mara del Triunfo-Perú durate el año 2022. La investigación fue descriptiva-experimental y correlativa con una muestra de 160 niños <10 años de ambos sexos. Como instrumento de recolección se aplicó un cuestionario con preguntas dicotómicas para conocer las prácticas de higiene de los niños y se efectuó la recolección y procesamiento de muestras con técnicas de Solución Salina S.S.F al 85%, Lugol, Método de Kato y Método de concentración-Flotación de Faust. Para analizar los datos se utilizó Microsoft Excel y el software SPSS, estadística descriptica y hallar tablas de frecuencias y porcentajes y Prueba de correlación entre los elementos de riesgo y la frecuencia de signos de los parásitos. Como resultado, el cálculo estadístico con el método de Spearman mostró una concordancia positiva con el coeficiente de correlación 0,725 y con un valor de 0,001<0,05; donde los niveles de factores de riesgo en los infantes mostraron que el 31,3% se encontraban en riesgo bajo con un nivel bajo de síntomas y sin evidencia de parásitos intestinales, el 18,8% en riesgo medio y el 12,5% en riesgo alto y un nivel alto de síntomas y parasitosis intestinal confirmado; la mayoría de los niños se encuentran en un entorno de bajo riesgo. Se hace necesario e indispensable continuar con invesigaciones en zonas adyacentes(AU)
Various risk factors can condition the prevalence of intestinal parasitosis in children. The objective was to determine the risk factors and intestinal parasitosis in children under 10 years of age from the Common Pot located in Villa Mara del Triunfo-Peru during the year 2022. The research was descriptive-experimental and correlative with a sample of 160 children <10 years of both sexes. As a collection instrument, a questionnaire with dichotomous questions was applied to know the hygiene practices of the children and the collection and processing of samples was carried out with techniques of Saline Solution S.S.F at 85%, Lugol's, Kato's Method and Concentration-Flotation Method. of Faust. To analyze the data, Microsoft Excel and the SPSS software were used, descriptive statistics and finding tables of frequencies and percentages and a correlation test between the risk elements and the frequency of signs of the parasites. As a result, the statistical calculation with the Spearman method showed a positive agreement with the correlation coefficient 0.725 and with a p value of 0.001<0.05; where the levels of risk factors in infants showed that 31.3% were at low risk with a low level of symptoms and no evidence of intestinal parasites, 18.8% at medium risk and 12.5% at high risk and a high level of symptoms and confirmed intestinal parasitism; most children are in a low-risk environment. It is necessary and essential to continue with investigations in adjacent areas(AU)
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Humanos , Masculino , Femenino , Niño , Parasitosis Intestinales/epidemiología , Perú/epidemiología , Giardia lamblia , Blastocystis , Ascaris lumbricoides , Endolimax , Entamoeba , Entamoeba histolyticaRESUMEN
The education sector is a cornerstone in the battle against malnutrition in children. However, there are still no consolidated protocols that outline strategies for how nutrition programs in low- and middle-income countries can be delivered through the education sector. Establishing the correct community diagnosis is essential prior to the elaboration of an intervention plan for a school population that takes into account more than just traditional variables related to the nutritional status. A total of 574 boys and girls aged 3-11 years from three educational institutions in different municipalities in Ecuador participated in the study. Sociodemographic, anthropometric (weight and height) and coproparasitological data were obtained. Nutrimetry, which is a combination of two classical anthropometrics indicators, was used for the analysis of the nutritional status, and the indicators' frequencies varied among the schools. In order to improve the nutritional status of children, we proposed a framework mainly focusing on establishing alliances with the education sector and taking into account gender equality; respect for the environment; and the customs, beliefs and traditions of each population. The results obtained from the analyses of other variables demonstrated the importance of an adequate diagnosis prior to any type of intervention at the nutritional level, since characteristics could vary by local area and have an impact on the successfulness of the intervention.
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Desnutrición , Estado Nutricional , Niño , Fenómenos Fisiológicos Nutricionales Infantiles , Ecuador/epidemiología , Femenino , Humanos , Masculino , Desnutrición/diagnóstico , Desnutrición/epidemiología , Desnutrición/prevención & control , Instituciones AcadémicasRESUMEN
The purpose of this study was to evaluate the influence of environmental pollution and the living conditions of indigenous Ecuadorians on the transmission of enteroparasites in an Andean agricultural area located at high altitude. Environmental pollution was recorded after observation in each community. The parasites were identified by microscopic sediment analysis using physiological saline solution from macerated arthropods, washed vegetables, and human stools, utilizing four coproparasitological techniques (direct examination, Kato-Katz, ether concentration, and Ziehl-Neelsen). The results show that the inadequate disposal of human and animal excreta that contaminate soil and water, incorrect food hygiene, inadequate sanitary infrastructure in houses, a lack of animal veterinary care, and rodent proliferation are important reservoirs of zoonotic parasites. The use of excrement as fertilizer increases the number of flies, which act as mechanical vectors, and vegetables grown in areas with disperse infective parasitic forms act as vehicles that are marketed at the local, regional, and international levels. These analyses verify contamination levels of 52.7% in mechanical vectors, 70.6% in vegetables, and 98.2% in human stools. The agricultural communities analyzed maintained poor hygienic-sanitary and environmental conditions, which had a significant influence on the transmission of enteroparasites that affect human health.
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Parasitosis Intestinales , Parásitos , Animales , Ecuador , Contaminación Ambiental , Humanos , Parasitosis Intestinales/parasitología , Prevalencia , Condiciones Sociales , VerdurasRESUMEN
Resumen Objetivo: Determinar la prevalencia de Blastocystis sp. en niños residentes de la ciudad de Reynosa, Tamaulipas, México. Material y Método: Estudio transversal que incluyó 238 muestras de heces de niños con edad de 5 a 12 años de escuelas primarias de la ciudad de Reynosa, Tamaulipas, México. Resultados: Del total de muestras, el 13,8% tuvo presencia de Blastocystis sp.; siendo este el más prevalente dentro de los parásitos encontrados; también se re porta la presencia de Entamoeba histolytica/dispar, Giardia intestinalis y Enterobius vermicularis. Conclusiones: La prevalencia de Blastocystis en zonas de México es poco conocida; sin embargo, los estudios en diversas partes del mundo sugieren un aumento, por lo que es importante determinar la presencia y su relación como patógeno u oportunista humano.
Abstract Objective: To determine the prevalence of Blastocystis spp. in children living in the city of Reynosa, Tamaulipas, Mexico. Material y Method: Cross-sectional study that included 238 stool samples from children aged 5 to 12 years from elementary schools in the city of Reynosa, Tamaulipas, Mexico. Results: Of the total number of samples, 13.8% showed the presence of Blastocystis spp., being the most prevalent among the parasites found; the presence of Entamoeba histolytica/dispar, Giardia intestinalis and Enterobius vermicularis was also reported. Conclusions: The prevalence of Blastocystis in areas of Mexico is poorly known; however, studies in various parts of the world suggest an increase, so it is important to determine the presence and its relationship as a human pathogen or opportunist.
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Water is the indispensable natural resource for all living beings. For human consumption, it must be potable, so as not to pose a risk to health, and can be used for ingestion, food preparation and personal hygiene. Knowing this importance, this study aimed to carry out physical-chemical, microbiological and parasitological analyzes of water for human consumption in a quilombola community of Santa Luzia do Norte in Alagoas. A cross-sectional, experimental and quantitative study was carried out between January and December 2019. The physical-chemical parameters of residual chlorine, turbidity, fluoride, fluoridation, color and pH were analyzed, microbiological analyses were based on the research of total and thermotolerant coliforms (E. coli) and parasitological analyses were performed based on the research of protozoa and intestinal helminths. Some physical-chemical parameters (turbidity and pH) were observed outside the limits required by the Ministry of Health, and the presence of total coliforms in some of the analyzed samples (17.85%), characterizing this community at risk related to waterborne diseases. The samples analyzed did not present infecting forms of parasitic species. Regarding the variables evaluated, the results found showed that the lack of adequate basic sanitation affects the quality of water used for human consumption by the quilombola population of Santa Luzia do Norte-AL.(AU)
A água é o recurso natural indispensável a todos os seres vivos. Para consumo humano, deve ser potável, de modo a não oferecer risco à saúde, podendo ser usada para ingestão, preparação de alimentos e higiene pessoal. Sabendo dessa importância, este estudo teve como objetivo realizar análises físico-químicas, microbiológicas e parasitológicas da água para consumo humano em uma comunidade quilombola de Alagoas. Foi realizado um estudo transversal, do tipo experimental e quantitativo, realizado na comunidade quilombola de Santa Luzia do Norte-AL, entre janeiro a dezembro de 2019. Foram analisados os parâmetros físico-químico de cloro residual, turbidez, fluoreto, fluoretação, cor e pH, as análises microbiológicas foram baseadas na pesquisa de coliformes totais e termotolerantes (E. coli) e as análise parasitológicas foram realizadas com base na pesquisa de protozoários e helmintos intestinais. E a pesquisa de protozoários oportunistas pelo método de Ziehl-Neelsen modificado. Foi observado alguns parâmetros físico-químicos (turbidez e pH) fora dos limites exigidos pelo Ministério da Saúde, e a presença de coliformes totais em algumas das amostras analisadas (17,85%), caracterizando esta comunidade em situação de risco relacionado às doenças de veiculação hídrica. As amostras analisadas não apresentaram formas infectantes das espécies parasitárias. Em relação às variáveis avaliadas, os resultados encontrados demonstraram que a falta de saneamento básico adequado afeta a qualidade da água utilizada para consumo humano pela população quilombola de Santa Luzia do Norte-AL.(AU)