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Asymptomatic Strongyloidiasis among Latin American Migrants in Spain: A Community-Based Approach.
Ramos-Sesma, Violeta; Navarro, Miriam; Llenas-García, Jara; Gil-Anguita, Concepción; Torrús-Tendero, Diego; Wikman-Jorgensen, Philip; Amador-Prous, Concepción; Ventero-Martín, María-Paz; Garijo-Sainz, Ana-María; García-López, María; Pujades-Tárraga, Ana-Isabel; Bernal-Alcaraz, Cristina; Santonja, Antonio; Guevara-Hernández, Pedro; Flores-Chávez, María; Saugar, José-María; Ramos-Rincón, José-Manuel.
Afiliación
  • Ramos-Sesma V; Internal Medicine Service, HLA Inmaculada Hospital, 18004 Granada, Spain.
  • Navarro M; Public Health, Science History and Gynecology Department, Universidad Miguel Hernández, 03550 Sant Joan d'Alacant, Alicante, Spain.
  • Llenas-García J; Internal Medicine Service, Vega Baja Hospital-FISABIO, Orihuela, 03314 Alicante, Spain.
  • Gil-Anguita C; Clinica Medicine Department, University Miguel Hernández de Elche, 03550 Sant Joan d'Alacant, Alicante, Spain.
  • Torrús-Tendero D; Internal Medicine Service, Marina Baixa Hospital, La Vila Joiosa, 03570 Alicante, Spain.
  • Wikman-Jorgensen P; Internal Medicine Service, General University Hospital of Alicante-ISABIAL, 03550 Alicante, Spain.
  • Amador-Prous C; Department of Parasitology, Universidad Miguel Hernández de Elche, 03550 Alicante, Spain.
  • Ventero-Martín MP; Internal Medicine Service, University Clinical Hospital Sant Joan d'Alacant-FISABIO, 03550 Alicante, Spain.
  • Garijo-Sainz AM; Internal Medicine Service, Marina Baixa Hospital, La Vila Joiosa, 03570 Alicante, Spain.
  • García-López M; Microbiology Service, General University Hospital of Alicante -ISABIAL, 03010 Alicante, Spain.
  • Pujades-Tárraga AI; Internal Medicine Service, Marina Baixa Hospital, La Vila Joiosa, 03570 Alicante, Spain.
  • Bernal-Alcaraz C; Internal Medicine Service, Vega Baja Hospital-FISABIO, Orihuela, 03314 Alicante, Spain.
  • Santonja A; Internal Medicine Service, Marina Baixa Hospital, La Vila Joiosa, 03570 Alicante, Spain.
  • Guevara-Hernández P; Internal Medicine Service, Vega Baja Hospital-FISABIO, Orihuela, 03314 Alicante, Spain.
  • Flores-Chávez M; Internal Medicine Service, Marina Baixa Hospital, La Vila Joiosa, 03570 Alicante, Spain.
  • Saugar JM; Internal Medicine Service, Vega Baja Hospital-FISABIO, Orihuela, 03314 Alicante, Spain.
  • Ramos-Rincón JM; Foundation Mundo Sano, 28046 Madrid, Spain.
  • Corazones Sin Chagas Platform; Parasitology Service, National Center of Microbiology, 28222 Madrid, Spain.
Pathogens ; 9(6)2020 Jun 24.
Article en En | MEDLINE | ID: mdl-32599871
Strongyloides stercoralis infection is frequently underdiagnosed since many infections remain asymptomatic. AIM: To estimate the prevalence and characteristics of asymptomatic S. stercoralis infection in Latin American migrants attending a community-based screening program for Chagas disease in Spain. METHODOLOGY: Three community-based Chagas disease screening campaigns were performed in Alicante (Spain) in 2016, 2017, and 2018. Serological testing for S. stercoralis infection was performed using a non-automatized IVD-ELISA detecting IgG (DRG Instruments GmbH, Marburg, Germany). RESULTS: Of the 616 migrants from Central and South America who were screened, 601 were included in the study: 100 children and adolescents (<18 years of age) and 501 adults. Among the younger group, 6 participants tested positive (prevalence 6%, 95% confidence interval [CI] 2.5% to 13.1%), while 60 adults did so (prevalence 12%, 95% CI 9.3% to 15.3%). S. stercoralis infection was more common in men than in women (odds ratio adjusted [ORa] 2.28, 95% CI 1.289 to 4.03) and in those from Bolivia (ORa 2.03, 95% CI 1.15 to 3.59). Prevalence increased with age (ORa 1.02, 95% CI 0.99 to 1.05). In contrast, a university education had a protective effect (ORa 0.29, 95% CI 0.31 to 0.88). Forty-one (41/66; 62.1%) of the total cases of S. stercoralis infection were treated at the health care center. Positive stool samples were observed in 19.5% of the followed-up positive cases. CONCLUSION: Incorporating serological screening for S. stercoralis into community-based screening for Chagas disease is a useful intervention to detect asymptomatic S. stercoralis infection in Central and South American migrants and an opportunity to tackle neglected tropical diseases in a transversal way. The remaining challenge is to achieve patients' adherence to the medical follow-up.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Risk_factors_studies Idioma: En Revista: Pathogens Año: 2020 Tipo del documento: Article País de afiliación: España Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Risk_factors_studies Idioma: En Revista: Pathogens Año: 2020 Tipo del documento: Article País de afiliación: España Pais de publicación: Suiza