Background: Parasitic infections are among the most important global health problems, especially in the developing countries. They are among the most common forms of infectious diseases in the world. According to the report of the world health organization (WHO), about 3.5 billion people worldwide are infected by a kind of parasite, and 450 million people each year become ill due to complications caused by parasites. Objectives: Due to a lack of accurate statistics on the prevalence of the parasite in primary school children in rural areas of West of Ahvaz, Iran, the current study aimed at investigating the prevalence of intestinal parasites in the mentioned group. Methods: The current descriptive epidemiologic analysis was conducted on 306 rural primary school students in the Western regions of Ahvaz County in 2015. Collected samples were transferred to the laboratory of parasitology in the school of medicine, and underwent a direct and sedimentary formalin-ether test. Results: Out of the 306 students under study, 180 (58.8%) were male and 126 (41.2%) female. Of these students 88 (28.8%) were with 1 or more intestinal parasites, which Giardia lamblia, with the prevalence of 61 (19.9%) subjects had the highest rate, followed by Entamoeba dispar, Entamoeba histolytica, Blastocystis hominis, and Entamoeba coli with the prevalence of 12 (3.9%), 9 (2.9%), and 6 (1.9%), respectively,. Six (1.9%) students showed coinfection by the 2 parasites. There was a significant relationship between the prevalence of the parasite and the variables of age, the source of drinking water, and the method of washing vegetables and fruits, but no significant relationship was observed between the prevalence of the parasite, and parents' level of education and children's gender. There was no case of infection with the worms. Conclusions: Similar to other recent studies, only protozoan infection was observed in the current study. Giardia lamblia had the highest infection rate. According to the pathogenesis properties of protozoan in the infected people, especially children, it is necessary to compile educational programs to control and prevent the aforementioned infections and other protozoan infections among the primary school students.
Background: Leishmaniasis is a protozoan disease caused by Leishmania genus and its most common form is cutaneous leishmaniasis. The number of reported cases of cutaneous leishmaniasis in Khuzestan, southwest Iran, continues to increase. Therefore, early, accurate diagnosis is crucial for successful therapy. Objectives: The Nested PCR is a molecular method with high sensitivity and specificity in detecting leishmaniasis, but this method requires advanced equipment and skilled labor. Therefore, developing a simple yet accurate technique to diagnose leishmaniasis is essential. This study was designed to evaluate the possibility of replacing Nested PCR with loop-mediated isothermal amplification (LAMP) method for diagnosis of cutaneous leishmaniasis. Methods: We obtained 75 clinical samples from cutaneous leishmaniasis patients whose infection had already been confirmed by microscopic examination. The LAMP assay with pre-added malachite green was performed using a set of four primers targeting conserved sequences of the18S ribosomal RNA gene. The nested PCR method was performed using specific kinetoplast minicircle DNA primers. Cultured promastigotes of Leishmania major (MHOM /IR/75/ER), L. tropica (MHOM/IR/02/Mash10), and the virulent RH strain of Toxoplasma gondii were used as controls. Results: Our results showed that LAMP was positive for 100% of microscopically positive samples, which was similar to Nested PCR. The detection of L. major was improved at 10 4 parasites/ml using the LAMP method. Conclusions: Our findings suggest that considering the simplicity, specificity, and sensitivity of LAMP, it would be a potentially useful method in the diagnosis of leishmaniasis and detection of its various strains/species. This cost and time-effective method can be used as a suitable alternative for surveillance of leishmaniasis, as well as in epidemiological studies.
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