Intestinal parasitic infections in Okada rural community, Edo State, Nigeria: a four year retrospective study

Abstract

Intestinal parasitic infections are associated with morbidity and mortality worldwide. Data on prevalence of intestinal parasitic infection is sparse in rural Nigeria. Against this background, this study aimed at determining the prevalence of intestinal parasitic infections within a four year period in the rural community of Okada, Edo State, Nigeria. Fecal samples obtained from 1528 patients (consisting of 740 males and 788 females) presenting with signs and symptoms of gastroenteritis at the Igbinedion University Teaching Hospital, Okada were examined for presence of ova, cyst and trophozoites of parasites using standard methods. Patient's age ranged from 6 months to 73 years. Study was conducted between 2007 and 2010. The prevalence of intestinal parasitic infections increased significantly (P=0.003) from 14.7% in 2007 to 22.5% in 2010. In the study period, gender did not affect the prevalence of intestinal parasitic infection (P>0.05). Patients within <1-10 years had significantly higher prevalence of intestinal parasitic infection. Ascaris lumbricoides was the most predominant parasitic agent, while Schistosoma japonicum was the least prevalent. With respect to parasite, males were observed to have consistently higher prevalence of Entamoeba histolytica infection. The prevalence of intestinal parasitic infection was observed to significantly increase from 2007 to 2010. Age was a risk factor for acquiring intestinal parasitic infection. Ascaris lumbricoides was the most predominant parasitic agent in all years of study. Control and prevention measures are advocated.

Prevalence of Intestinal Parasites among Patients Accessing care in Secondary and Tertiary Healthcare Institutions in Edo State, Nigeria

“…Of the 8 parasites recovered, hookworm (75%) predominated, and this agrees with a previous report [10]. Previous reports from UBTH, ISTH and another tertiary hospital in a rural community of Edo State among HIV and non-HIV subjects indicated that Ascaris lumbricoides was the most prevalent intestinal parasites [12,[15][16][17][18][19]23]. Only one study among diabetic patients reported hookworm as the most prevalent intestinal parasites [9].…”

“…Conflicting reports exists on the effect on age on the prevalence of intestinal parasitic infection. Some studies found higher prevalence within the age group of ≤1 -10 years [15,19] while other reported increasing prevalence with increasing age [20,21]. In this study, age had no significant (p=0.7479) effect on the prevalence of intestinal parasitic infection.…”