2016
DOI: 10.1371/journal.pone.0158805
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Spatial and Molecular Epidemiology of Giardia intestinalis Deep in the Amazon, Brazil

Abstract: BackgroundCurrent control policies for intestinal parasitosis focuses on soil-transmitted helminths, being ineffective against Giardia intestinalis, a highly prevalent protozoon that impacts children’s nutritional status in developing countries. The objective of this study was to explore spatial and molecular epidemiology of Giardia intestinalis in children of Amerindian descent in the Brazilian Amazon.Methodology/Principal FindingsA cross sectional survey was performed in the Brazilian Amazon with 433 childre… Show more

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Cited by 25 publications
(21 citation statements)
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“…Similar A/B proportions have been previously reported in individuals of paediatric age in the State of Santa Catarina [69], in Amerindian children in the State of Amazonas [70], in deprived communities in the State of São Paulo [57], and in patients attending a hospital setting in Rio de Janeiro [71]. Interestingly, the presence of assemblage A, but not assemblage B, has been described in a few epidemiological surveys targeting clinical patients in the State of São Paulo [72], and paediatric populations [73] and people from disadvantaged communities seeking medical care [74] in Rio de Janeiro.…”
Section: Discussionsupporting
confidence: 88%
“…Similar A/B proportions have been previously reported in individuals of paediatric age in the State of Santa Catarina [69], in Amerindian children in the State of Amazonas [70], in deprived communities in the State of São Paulo [57], and in patients attending a hospital setting in Rio de Janeiro [71]. Interestingly, the presence of assemblage A, but not assemblage B, has been described in a few epidemiological surveys targeting clinical patients in the State of São Paulo [72], and paediatric populations [73] and people from disadvantaged communities seeking medical care [74] in Rio de Janeiro.…”
Section: Discussionsupporting
confidence: 88%
“… a Identified by Qi et al [17] b Identified by Coronato Nunes et al [37] c Identified by Karim et al [2]…”
Section: Resultsmentioning
confidence: 99%
“…Within these assemblages, sub-assemblages (AI-AIII and BIII-BIV) have been established (Faria et al, 2017;Lasek-Nesselquist, Mark Welch & Sogin, 2010;Ryan & Cacciò, 2013). In Latin America, similar frequencies of assemblages A and B were observed in Brazil (Coronato Nunes et al, 2016) and Cuba (Pelayo et al, 2008), while the frequencies of the AI, AII, AIII, BIII and BIV sub-assemblages varied in Brazil, Argentina, Peru, Colombia and Mexico (Coronato Nunes et al, 2016;Minvielle et al, 2008;Molina et al, 2011;Perez Cordon et al, 2008;Sánchez et al, 2017;Torres-Romero et al, 2014). On the other hand, members of the genus Blastocystis can be classified into 17 subtypes (STs) (Stensvold et al, 2007) based on polymorphisms of 18S rDNA (Scicluna, Tawari & Clark, 2006).…”
Section: Introductionmentioning
confidence: 94%