Prevalence of intestinal parasitic infection among children under 5 years of age at Dessie Referral Hospital: cross sectional study

Gebretsadik, Daniel; Metaferia, Yeshi; Seid, Abdurahaman; Fenta, Genet Molla; Gedefie, Alemu

doi:10.1186/s13104-018-3888-2

Cited by 41 publications

(49 citation statements)

References 15 publications

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“…The finding of this study was higher than a studies, that were reported from researches done at Dessie referral hospitals was 15.5% among children below 5 years old [27], at Debre-Berhan, Ethiopia among children below 5 years old was 17.3% [28], at University of Gondar Hospital, Gondar, Northwest Ethiopia was 48 (17.3%) among children below 5 years old [29], and at Wonji Shoa, Sugar Estate was 24% [30].…”

Section: Discussioncontrasting

confidence: 72%

Prevalence and risk factors of intestinal parasitic infestations among preschool children in Sekota town, Waghimra zone, Ethiopia

et al. 2019

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BackgroundIntestinal parasitic infestations triggered considerable gastrointestinal morbidity, malnutrition, and mortality worldwide. In particular, young children in developing countries affected most. Helminthiasis infestation accounts for 10–20% of prevalence on preschool children worldwide. Unfortunately, small children below 5 years are uniquely susceptible to intestinal parasitic infestations in poor communities. This is because of children’s behavior like playing with soil and putting hand -to- mouth habit. Thus, the aim of this study was to assess the prevalence and risk factors of intestinal parasitic infestations among preschool children in Sekota town, Ethiopia.MethodsA community-based cross-sectional study was carried out on 378 preschool children in Sekota town from February 15 – March 10/2019. Stool specimens were collected and examined for intestinal parasites using wet mount and formal ether concentration technique. The risk factors of intestinal parasites were assessed using a pretested structured questionnaire. The data were entered and analyzed using Epi-data version 4.2.0.0 and SPSS-version 23 statistical software respectively. Both bivariable and multivariable analysis was carried out, and potential co-linearity was tested for closely similar variables. Variables with P value less than 0.05 in multivariable analysis was considered as statistically significant and reported with 95% CI and odds ratio.ResultsThe prevalence of intestinal parasitic infestations in Sekota town on wet mount and formal ether concentration techniques was 83(21.9%), (95% CI, 17.7–26.3%) and 113(29.9%), (95% CI, 25.1–34.8%) respectively.In multivariable analysis, not taking medication as periodical deworming (AOR, 95% CI), (2.5, 1.5–4.3), presence of animals in the living room (AOR, 95% CI) (3.1, 1.8–5.3), and being a government employee as an occupation (AOR, 95% CI), (3.4, 1.1–10.0) were increasing the odds of intestinal parasitic infestations.ConclusionsThe prevalence of intestinal parasitic infestations in Sekota town is high, which is a public health problem. The risk factors that contributed to intestinal parasitic infestations in this study were preventable and modifiable. Therefore, the concerned bodies need to emphasis on periodical deworming and keeping animals in separate room.

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Section: Discussioncontrasting

confidence: 72%

Prevalence and risk factors of intestinal parasitic infestations among preschool children in Sekota town, Waghimra zone, Ethiopia

et al. 2019

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“…histolytica, G. lambilia and C. parvum were the most prevalent protozoan parasites in our study cohort. The high prevalence of E. histolytica/dispar (36.1%) in our study is in agreement with previous reports (54,58,72). Consequences of childhood E. histolytica infection include malnourishment, anaemia and stunted growth (25).…”

Section: Factors Associated With Anaemia Among Pre-school Age Childrensupporting

confidence: 93%

Intestinal parasitosis, anaemia and risk factors among pre-school children in Tigray Region, Northern Ethiopia

Wasihun

Teferi

Negash

et al. 2019

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BackgroundIntestinal parasitic infections (IPIs) and anaemia are major health problems. This study assessed the prevalence of IPI, anaemia and associated factors among pre-school children in rural areas of the Tigray region, northern Ethiopia. Methodology/Principal FindingA community based cross-sectional study was conducted among 610 pre-school children in rural communities of Northern Ethiopia from June 2017 to August 2017. Stool specimens were examined for the presence of trophozoites, cysts, oocysts, and ova using direct, formal-ethyl acetate concentration, Kato-Katz, and Ziehl-Neelsen techniques.Haemoglobin was measured using a HemoCue spectrometer. Among the 610 pre-school children participated in the study, prevalence of IPIs and anaemia were 58% (95% CI: 54.1-61.9%) and 21·6% (95% CI: 18·5% to 25·1%), respectively. Single, double, and triple parasitic infections were seen in 249 (41%, 95% CI: 37% to 45%), 83 (14%, 95% CI: 11% to 17%), and 22 (3.6%, 95% CI: 2.4% to 5.4%) children, respectively. Of the seven intestinal parasitic organisms recorded from the participants, Entamoeba histolytica/dispar was the most prevalent 220 (36.1%) followed by Giardia lamblia 128 (20.1%), and Hymenolepis nana 102 (16.7%). Mixed infections were common among G. lamblia, E. histolytica/dispar and Cryptosporidium spp. oocyst. Age 48-59 months prevalence ratio (PR = 1·078, P=0·009), child deworming (PR= 1.2; 95% CI=1.00-1.4, p= 0.045), and having two or more children aged under five (PR=0.76, 95% CI= 0.61-0.95, p=0.015) were independent predictors for IPIs. Anaemia was associated with proper disposal of solid waste (PR= 1.5, 95% CI=0.1.1-2.10, p=0.009). Eating raw meat (PR=0.49, 95% CI=0.45-0.54, p=0.000), any maternal education (PR=0.64 95% CI=0.52-0.79, p=0.000), and household water treatment (PR=0.75, 95% CI=0.56-1.0, p=0.044) were associated with lower prevalence of anaemia. ConclusionsMore than half of the children were infected with intestinal parasites and one in five were anaemic. This study has identified a number of potentially modifiable risk factors to address the significant prevalence of IPIs and anaemia in these children. Improvements in sanitation, clean water, hand hygiene, maternal education could address both short and long-term consequences of these conditions in this vulnerable population. Author SummaryIntestinal parasitic infection and anaemia are public health problems in developing counties. Children due to their immature immune systems and frequent exposure to unhygienic environments are at high risk which in turn put them at an increased risk of malnutrition and growth deficits. Similarly, childhood anaemia impairs physical growth, impairs immune function and weakens motor development. The finding of this study reveals more than half of the children were infected. Entamoeba histolytica/dispar, Giardia lamblia and Hymenolepis nana were dominant parasites. Multiple infections was common among Giardia lamblia, Entamoeba histolytica/dispar and Cryptosporidium spp.Oocyst. Children aged 48-59 months were mo...

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“…The association between ngernail hygiene and intestinal parasitic infection was determined from seven studies with a sample size of 5,155 (16,21,23,29,37,50,51). The result of this analysis shows signi cant association between ngernail hygiene and IPI.…”

Section: Factors Associated With Intestinal Parasite Infectionmentioning

confidence: 99%

Intestinal Parasitic Infection and Its Associated Factors Among Primary School Students in Ethiopia; a Systematic Review and Meta-Analysis

Assemie

Petrucka²,

Shitu

et al. 2020

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Background: Intestinal parasitic infection (IPI) remains a major public health concern affecting both children and adolescents in Ethiopia. However, little attention has been given to intestinal parasitic infection within primary school children. Therefore, this systematic review and meta-analysis was done to determine pooled prevalence and associated factors of intestinal parasitic infection in this target group.Method: We systematically retrieved available articles on the prevalence of intestinal parasitic infection in primary school children in Ethiopia. PubMed, Scopus, Cochrane Library, Google Scholar, and Science Direct between September 1 and December 27, 2019. Two authors independently extracted all relevant data using a standardized Microsoft™ Excel data extraction form. Heterogeneity among included studies was assessed with the Higgins I2 tests. The pooled estimates and associated factors of primary school children’s intestinal parasitic infection were assessed with a random-effects model using Stata/se Version 14.Result: We have retrieved 30 eligible articles with pooled sample size of 14,445 primary school children with response rate of 97.8%. Entamoeba spp (16.11%), Ascaris lumbricoides (13.98%), Hookworm (12.51%) and Giardia lamblia (9.98%) were among the top four causes of intestinal parasitic infection among primary school children. The pooled prevalence of intestinal parasitic infection was found to be 46.09 (95% CI: 38.50, 53.68). Heterogeneity was assessed by doing subgroup analysis by study province/region, with the highest prevalence of intestinal parasitic infection being 66.6 % (95% CI: 55.5, 77.7) in Tigray region, followed by Southern Nations, Nationalities, and Peoples’ Region at 50.8% (95% CI: 33.1, 68.5). Latrine availability (OR=4.39: 2.50,7.73), fingernail hygiene (OR= 2.37: 1.67, 3.35), place of defecation (OR=1.67:1.64,4.36), maternal education (OR=2.02: 1.18,3.47), residence (OR= 1.88: 1.46, 2.41), habit of wearing shoes (OR= 2.66: 1.79, 3.96), source of drinking water (OR=1.99: 1.42,2.76), hands washing practices (OR= 3.45:1.85,6.47), and habit of washing fruits and vegetables (OR=1.59:1.01,2.49) were found to be significantly associated with intestinal parasitic infection. Conclusions: The prevalence of intestinal parasitic infection was high (46%) in the study population. Therefore, this finding warrants the need to design school children hygiene and sanitation service and expand school children deworming programs to decrease intestinal parasitic infections and improve academic performance in the country. In addition, attention should be given to promoting personal hygiene, latrine utilization, wearing shoes, avoiding eating raw food, and creating awareness for those mothers who lack formal education. Moreover, the researchers try to conduct research on province/regions which have no prior research.

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Prevalence of intestinal parasitic infection among children under 5 years of age at Dessie Referral Hospital: cross sectional study

Cited by 41 publications

References 15 publications

Prevalence and risk factors of intestinal parasitic infestations among preschool children in Sekota town, Waghimra zone, Ethiopia

Prevalence and risk factors of intestinal parasitic infestations among preschool children in Sekota town, Waghimra zone, Ethiopia

Intestinal parasitosis, anaemia and risk factors among pre-school children in Tigray Region, Northern Ethiopia

Intestinal Parasitic Infection and Its Associated Factors Among Primary School Students in Ethiopia; a Systematic Review and Meta-Analysis

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