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Giardia intestinalis infection associated with malnutrition in children living in northeastern Brazil.
Coronato-Nunes, Beatriz; Calegar, Deiviane Aparecida; Monteiro, Kerla Joeline Lima; Hubert-Jaeger, Lauren; Reis, Elis Regina Chaves; Xavier, Samanta Cristina das Chagas; Carpp, Lindsay Nicole; Lima, Marli Maria; Bóia, Márcio Neves; Carvalho-Costa, Filipe Anibal.
Afiliação
  • Coronato-Nunes B; Oswaldo Cruz Foundation, Rio de Janeiro, Brasil. biacoronato@yahoo.com.br.
  • Calegar DA; Oswaldo Cruz Foundation, Rio de Janeiro, Brasil. deivianecalegar@gmail.com.
  • Monteiro KJL; Oswaldo Cruz Foundation, Rio de Janeiro, Brasil. kerla.monteiro@gmail.com.
  • Hubert-Jaeger L; Oswaldo Cruz Foundation, Rio de Janeiro, Brasil. laurenhj@hotmail.com.
  • Reis ERC; Nossa Senhora de Nazaré Municipal Health Office, Nossa Senhora de Nazaré, Brasil. reginaenf25@hotmail.com.
  • Xavier SCDC; Oswaldo Cruz Foundation, Rio de Janeiro, Brasil. samanta@ioc.fiocruz.br.
  • Carpp LN; Fred Hutchinson Cancer Research Center, Seattle, WA, United States. lindsay.carpp@gmail.com.
  • Lima MM; Oswaldo Cruz Foundation, Rio de Janeiro, Brasil. mmlima@ioc.fiocruz.br.
  • Bóia MN; Oswaldo Cruz Foundation, Rio de Janeiro, Brasil. mboia@ioc.fiocruz.br.
  • Carvalho-Costa FA; Oswaldo Cruz Foundation, Rio de Janeiro, Brasil. guaratiba@ioc.fiocruz.br.
J Infect Dev Ctries ; 11(7): 563-570, 2017 Jul 31.
Article em En | MEDLINE | ID: mdl-31071066
INTRODUCTION: The present study aimed to determine the prevalence and factors associated with Giardia intestinalis infection, verifying its impact on the nutritional status of children in northeastern Brazil. METHODOLOGY: A cross-sectional study was conducted to obtain parasitological, sociodemographic, and anthropometric data in two municipalities in the states of Piauí and Ceará, northeastern Brazil. RESULTS: Prevalence of giardiasis was 55/511 (10.8%). G. intestinalis was more frequent in people living in poverty (30/209 [14.4%], p = 0.041), performing open evacuation (26/173 [15%], p = 0.034), and drinking rainwater stored in cisterns (9/56 [16.1%], p = 0.005). The proportion of stunting and being underweight in children infected with G. intestinalis was significantly higher than that in uninfected children (5/23 [21.7%] vs. 10/179 [5.6%], p = 0.017, OR = 4.69, 95% confidence interval [CI] = 1.44-15.25 and 5/23 [21.7%] vs. 13/179 [7.3%], p = 0.038, OR = 3.54, 95% CI = 1.13-11.09, respectively). Infection with G. intestinalis remained significantly associated with stunting and being underweight after adjustment for poverty, municipality, sex, and age in a logistic regression multivariate model. CONCLUSIONS: In rural areas in northeastern Brazil, giardiasis has acquired great public health importance in the soil-transmitted helminths control era, impacting the nutritional status of children and requiring new approaches to diagnosis and treatment and translational research that could generate applicable solutions at the community level.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies País/Região como assunto: America do sul / Brasil Idioma: En Revista: J Infect Dev Ctries Assunto da revista: DOENCAS TRANSMISSIVEIS Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: Itália
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies País/Região como assunto: America do sul / Brasil Idioma: En Revista: J Infect Dev Ctries Assunto da revista: DOENCAS TRANSMISSIVEIS Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: Itália