Prevalence and risk factors of Leishmania infantum, Dirofilaria spp. and other potentially zoonotic or canine-specific endoparasite infections were assessed in 639 kennel dogs from central Italy. To this end, individual blood and fecal samples were examined using parasitological, immunological and molecular techniques. The presence of compatible clinical pictures, as well as age and gender were considered as putative risks factors. To evaluate risk factors, multivariable analysis with logistic regression and univariable analysis with a Chi square test and a Fischer’s exact test were performed. Overall, 52.6% of dogs (95% CI 48.6-56.5) were found positive, while 39.6% of dogs (95% CI 35.8-43.5) were infected by potentially zoonotic species. Leishmania infantum and Dirofilaria repens showed prevalences of 2.5% (95% CI 1.5-4.1) and 2.8% (95% CI 1.7-4.5), respectively. The prevalence of cardiorespiratory parasites was 7.8% (95% CI 5.9-10.3) and included the species Angiostrongylus vasorum, Eucoleus aerophilus, Eucoleus boehmi and D. immitis; the latter showed a prevalence of 0.2% (95% CI 0.001-1). Intestinal parasites were significantly prevalent (38.8%, 95% CI 35-42.7) and they consisted mainly of species of major zoonotic concern, including ancylostomatids, Toxocara canis, Giardia duodenalis, Dipylidium caninum, Taeniidae, Strongyloides stercoralis and Cryptosporidium parvum. Endoparasites were significantly prevalent in clinically suspected dogs. Leishmania infantum and cardiorespiratory nematodes were prevalent in older dogs, while intestinal parasites were prevalent in younger dogs. Results show high dog and public health risks in kennels in central Italy, and suggest the need for more effective control measures.

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From March 1991 to February 1992, 276 stool samples from 131 patients with the acquired immunodeficiency syndrome (AIDS) (average, 2.1 samples per patient) and stool samples from 81 presumed immunocompetent individuals were studied for the prevalence of Cryptosporidium sp. and Isospora belli. The techniques employed were a modified formol-ether concentration, carbol (phenol) auramine staining, and a modified Kinyoun acid-fast method. The prevalence of both coccidia among AIDS patients was 25.9% (34 of 131). Cryptosporidium sp. oocysts were demonstrated in 25 (19.1%) AIDS patients and I. belli in 13 (9.9%). Coinfection for coccidia of both species was found in 4 (3%) AIDS subjects. Among the presumed immunocompetent individuals, coccidia were not demonstrated in their 81 stool specimens. This study, like others, confirms the worldwide importance of these coccidia among AIDS patients and the necessity of suitable techniques for demonstration of oocysts in stool samples.